A positive Murphy sign can be seen with acute cholecystitis. To perform the test, palpate the gallbladder area medial to the midclavicular line while the patient is lying supine. Ask the patient to inhale deeply, which expands the lungs and pushes the gallbladder against the examiner's fingertips. The Murphy signs is considered positive if the patient abruptly ceases inhaling due to pain. Remember that the absence of a positive Murphy sign does not rule out cholecystitis!
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Murphy Sign - Clinical Examination
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medical educationmed schoolusmleshelf exammedicinemedical studentgallbladderexaminationclinical examinationmurphy's signmurphysigncholecystitispositive murphy's signsharp and sudden painAMBOSSgastroenterologygeneral medicineinternal medicineOSCEStep 2 CSclinical skillscholelithiasisliver examinationhepatic injurygallstonesabdominal examinationgeneral surgeryusmle step 2lecturioosmosisnbmeMurphy Sign - Clinical Examination
