Murphy's sign


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Murphy's sign

 [mur´fēz]
a sign of gallbladder disease consisting of pain on taking a deep breath when the examiner's fingers are on the approximate location of the gallbladder.

Murphy's sign

a test for gallbladder disease in which the patient is asked to inhale while the examiner's fingers are hooked under the liver border at the bottom of the rib cage. The inspiration causes the gallbladder to descend onto the fingers, producing pain if the gallbladder is inflamed. Deep inspiration can be very much limited.

Murphy's sign

Clinical medicine Pain on inspiration when the examiner's fingers are placed under the right costal margin next to the rectus abdominalis, a finding associated with acute cholecystitis. See Cholecystitis.

Murphy's sign

Tenderness and rigidity under the ribs on the right side (right hypochondrium) that increases on breathing in. (John Benjamin Murphy, 1857—1916, American physician).
References in periodicals archive ?
5] The vomiting, upper right quadrant pain, positive Murphy's sign on sonography and leucocytosis observed in our patients are similar to the findings described in other types of cholecystitis.
Physical examination is usually unremarkable except possibly for a positive Murphy's sign when acute cholecystitis is present.
A physical examination revealed an absence of Murphy's sign.
Physical exam showed no evidence of tenderness in the right upper quadrant and negative Murphy's sign.
13] Patients who presented with fever, a thickened gallbladder wall, and a positive Murphy's sign on abdominal sonography were diagnosed as having acute acalculous cholecystitis.
His exam revealed significant local tenderness over right abdomen, including epigastric pain and positive Murphy's sign, obturator sign and tenderness over McBurney's point.
Clinical diagnosis to differentiate complicated acute cholecystitis (empyema/gangrene) from non-complicated acute cholecystitis is extremely difficult because often clinical features are the same as biliary colic7 and Murphy's sign is positive in only one-third of gangrenous gall bladder because of the denervation by necrosis.
KRH LLC, 505-A Grant Road, East Wenatchee; cost not listed for Papa Murphy's sign.
Sonographic findings were a thickened gallbladder wall (defined as wall thickness > 4 mm) in absence of ascitis and hypoalbuminemia, a positive sonographic Murphy's sign (defined as maximum tenderness of the sonographically localized gallbladder), pericholecystic fluid collection, and no stone(s) in the gallbladder (4).
The biliary tree was normal in calibre and ultrasound Murphy's sign was positive.
Murphy's sign was positive in 38 cases; 31 patients had complaint of nausea.