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56 Possible Causes for Murphy's Sign, Right Shoulder Pain, Tenderness in the Right Upper Quadrant

  • Acute Cholecystitis

    Physical examination revealed a positive Murphy's sign. Laboratory data showed leukocytosis and mild increasement of liver enzymes.[ncbi.nlm.nih.gov] Constant right upper quadrant pain that can radiate to the right shoulder.[radiopaedia.org] Abdominal examination in gallbladder colic and cholecystitis is remarkable for epigastric or right upper quadrant tenderness and abdominal guarding.[emedicine.medscape.com]

  • Liver Abscess

    Initial evaluation showed a patient without acute stress, with normal vital signs and right upper quadrant tenderness with positive Murphy’s sign.[sages.org] Signs and symptoms of a liver abscess includes : Right upper quadrant abdominal pain , but may extend to the left side as well or present with referred pain to the right shoulder[healthhype.com] On systemic examination there was mild tenderness of the right upper quadrant of the abdomen.[hepatitis.imedpub.com]

  • Subcapsular Liver Hematoma

    A patient with a liver hematoma will usually experience right upper quadrant or epigastric pain.[ncbi.nlm.nih.gov] She had worsening right upper quadrant pain and on examination the surgical site was clean with a tender right upper quadrant.[ispub.com] On physical examination, the patient had hepatomegaly and was tender to right upper quadrant palpation. The physical exam was otherwise within normal limits.[uscapknowledgehub.org]

  • Hepatic Rupture

    […] chest tenderness and upper right upper side pain (from liver distention) Shoulder pain or pain when breathing deeply Bleeding Changes in vision Swelling Signs to look for[preeclampsia.org] She had worsening right upper quadrant pain and on examination the surgical site was clean with a tender right upper quadrant.[ispub.com] […] and upper-right-quadrant abdominal tenderness, but no signs of shock.[dovepress.com]

  • Ascending Cholangitis

    sign, anorexia, weight loss; spontaneous remission is rare.[medical-dictionary.thefreedictionary.com] The pain also moves to the back region or just below the patient’s right shoulder blade.[diethealthclub.com] On physical exam, he has tenderness in the right upper quadrant and is intermittently confused, often repeating himself.[medbullets.com]

  • Choledocholithiasis

    Symptoms During physical examination , Murphy’s sign is usually negative , which helps to distinguish choledocholithiasis from cholecystitis .[ahealthgroup.com] Asymptomatic (30–50%) Right upper quadrant (RUQ) pain: Moderate/intense spasmodic pain, often intermittent, transient, recurrent (biliary colic) May radiate to right shoulder[5minuteconsult.com] upper quadrant.[de.slideshare.net]

  • Biliary Colic

    Pain in the right hypochondrium, referred pain, and Murphy's sign were scored before and after treatment. Data indicate that ceruletide is effective in biliary colic.[ncbi.nlm.nih.gov] Gallbladder and Right Shoulder Pain Gallbladder pain can be referred to the tip of the right shoulder or both shoulders, but not likely only to the left shoulder [4] .[ehealthstar.com] Fever, tachycardia Tenderness in right upper quadrant Murphy's sign - guarding in right upper quadrant on deep inspiration Investigations USS - keep on clear fluids only[jjs.me.uk]

  • Cholelithiasis

    The sitting version was described by John Murphy (hence the name, Murphy's sign ).[amboss.com] But if a gallstone gets stuck going out the opening of the gallbladder, it can cause pain in the top or the top right of the belly, below the right shoulder blade, or in the[kidshealth.org] Epigastric and/or right upper quadrant tenderness (Murphy sign) is traditional physical finding—associated with acute cholecystitis.[unboundmedicine.com]

  • Cholangitis

    Sonographic Murphy’s sign is a reliable finding of acute cholecystitis showing about 90 % sensitivity and specificity [ 22 , 23 ], which is higher than those of Murphy’s sign[link.springer.com] The following symptoms may occur: Pain on the upper right side or upper middle part of the abdomen. It may also be felt in the back or below the right shoulder blade.[nlm.nih.gov] On physical exam, he has tenderness in the right upper quadrant and is intermittently confused, often repeating himself.[step2.medbullets.com]

  • Gallbladder Disease

    Physical examination: A physical examination of the abdomen is necessary including Murphy’s signs.[symptoma.com] […] in the upper right portion of the abdomen, beneath the breastbone, between the shoulder blades or in the right shoulder.[healdove.com] Upper-right-quadrant tenderness and palpable infiltrate in the region of the gallbladder are revealed upon physical examination. 5,10 Cholecystitis presents in the same manner[uspharmacist.com]