Which of the following clinical signs is defined as cessation of inspiration upon deep palpation of the right upper quadrant, characteristic of acute cholecystitis?
Answer and explanation
Correct answer: A. Murphy sign
- Step 1: Murphy sign is elicited when the patient gasps and arrests inspiration as the inflamed gallbladder touches the examiner's fingers during deep inspiration.
- Step 2: It has high specificity for acute cholecystitis.
Answer
Murphy sign.
Why not the others: 'Rovsing sign' is pain in the right lower quadrant upon palpation of the left lower quadrant, indicative of acute appendicitis; 'Kehr sign' is referred left shoulder pain from diaphragmatic irritation by splenic rupture; 'Cullen sign' is periumbilical ecchymosis indicating retroperitoneal hemorrhage.
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