Murphy's sign--> gallbladder inflammation Rovsing sign --> appendicitis ( from left iliac region) McBurney's point is where appendix is located (1/3 from ASIC to umbilicus)
I have mild swelling in that area and tenderness to the touch. No real pain in every day life. I just started noticing tenderness while sleeping on my stomach and upon palpation. When I do this test on myself I have actual pain upon inhalation. Should I see a Dr. now if my everyday life seems to be ok? I hate running to the Dr for any little thing! Thanks!
pushing on the gall bladder in its self causes pain, for those with/without cholecystitis. This maneuver helps to increase the specificity of finding cholecystitis. if everyone has pain pushing on the gall bladder, you need to do something to distinguish pathology from normal pain
Why does it matter to you if you have Murphy's sign or not? It is merely an indicator of gallbladder inflammation. Unless you believe that somehow removing your gallbladder will solve all of the problems you listed, I don't see why it would be such a point of contention for you. As for why 3 doctors (you didn't specify their specialty) believed you had Murphy's sign whereas the surgeon (who likely uses it more than the others) did not, your other sources of pain may have thrown them off
It doesn't have to be palpated (ie: physically/directly felt by the doctor) in order to be painful when palpated. There's a difference. Also, we don't know anything about the rest of her history and physical. What if she WAS tender to palpation over her spleen, had elevated WBC and sed rate, elevated temp, had biliary colic with meals that caused diffuse upper abdominal pain, and had gallstones on ultrasound? Would you still say "not gallbladder"? My point is, we don't know her whole story.
I presented with Murphy's Sign no doubt. Three doctors confirmed. Then I see a surgeon who said no it wasn't Murphy's Sign. He's obviously an idiot as I also have cirrhosis, diverticulosis, inguinal hernia, extremely enlarged spleen(very low platelets) and likely a large cancerous lesion on my liver. Both sides hurt badly upon any palpitations. So I'm living with bile coming up my throat constantly, horrid abdominal pain, and an idiot doctor who refuses to agree that I have M's sign. What now?
This isn't the proper way to preform Murphy's sign. One must use both hands beneath the costal margins at the midclavicular line. This is a nice adaptation, but not the formal way.
You need to find a new doctor... It's your spleen located there, and it can be palpated under the left rib cage, but this is generally difficult unless done on a pt. that is fairly skinny. i'm not judging..
![บุษบา - วงชานเมือง [LiveCoverVertion] Original : เมนทอล](http://i.ytimg.com/vi/Dm81sKcd9rs/mqdefault.jpg)
Murphy's sign--> gallbladder inflammation
Rovsing sign --> appendicitis ( from left iliac region)
McBurney's point is where appendix is located (1/3 from ASIC to umbilicus)
I have mild swelling in that area and tenderness to the touch. No real pain in every day life. I just started noticing tenderness while sleeping on my stomach and upon palpation. When I do this test on myself I have actual pain upon inhalation. Should I see a Dr. now if my everyday life seems to be ok? I hate running to the Dr for any little thing! Thanks!
And if this patient has trigger points in the Diaphragm, rectus abdominis, internal oblique or external oblique and this triggers pain?
tq so much....... doc...... 👍
i confuse with murphy sndrome..and which one related to appendicitis?? plizz help me
Thank you!
very helpful..
thank u very much
thanks very helpful
murphy's sign is not pain, it is the arrest of inspiration
Ron Rasch ya due to pain bud lol
pushing on the gall bladder in its self causes pain, for those with/without cholecystitis. This maneuver helps to increase the specificity of finding cholecystitis. if everyone has pain pushing on the gall bladder, you need to do something to distinguish pathology from normal pain
If there is any gall bladder inflammation, it will cause a sudden stop to the inspiration, due to extreme pain.
nice 1! :)
Murphy's sign--> gallbladder inflammation
McBurney's sign--> appendicitis
Thanks
Thx
@altforfit Then the proceeding sonogram will rule out an issue with the gallbladder.
my pain is under my left rib area and my dr say it is my galbladder?
look for another surgeon, mate..am sure that guy's not the only surgeon out there, or is he? xD
I'm a sexy paramedic, stealing your tricks!
aha
Why does it matter to you if you have Murphy's sign or not? It is merely an indicator of gallbladder inflammation. Unless you believe that somehow removing your gallbladder will solve all of the problems you listed, I don't see why it would be such a point of contention for you.
As for why 3 doctors (you didn't specify their specialty) believed you had Murphy's sign whereas the surgeon (who likely uses it more than the others) did not, your other sources of pain may have thrown them off
It doesn't have to be palpated (ie: physically/directly felt by the doctor) in order to be painful when palpated. There's a difference. Also, we don't know anything about the rest of her history and physical. What if she WAS tender to palpation over her spleen, had elevated WBC and sed rate, elevated temp, had biliary colic with meals that caused diffuse upper abdominal pain, and had gallstones on ultrasound? Would you still say "not gallbladder"?
My point is, we don't know her whole story.
I presented with Murphy's Sign no doubt. Three doctors confirmed. Then I see a surgeon who said no it wasn't Murphy's Sign. He's obviously an idiot as I also have cirrhosis, diverticulosis, inguinal hernia, extremely enlarged spleen(very low platelets) and likely a large cancerous lesion on my liver. Both sides hurt badly upon any palpitations. So I'm living with bile coming up my throat constantly, horrid abdominal pain, and an idiot doctor who refuses to agree that I have M's sign. What now?
This isn't the proper way to preform Murphy's sign. One must use both hands beneath the costal margins at the midclavicular line. This is a nice adaptation, but not the formal way.
You need to find a new doctor... It's your spleen located there, and it can be palpated under the left rib cage, but this is generally difficult unless done on a pt. that is fairly skinny. i'm not judging..
Thanks