Re: Sensitivity of Murphy’s sign on the diagnosis of acute cholecystitis: is it really so insensitive?

2019 ◽  
Vol 26 (10) ◽  
Author(s):  
Masamichi Yokoe
Keyword(s):  
Acute Cholecystitis ◽  
Murphy’S Sign ◽  
Murphy's Sign

scholarly journals Indirect Fist Percussion of the Liver Is a More Sensitive Technique for Detecting Hepatobiliary Infections than Murphy’s Sign

2015 ◽  
Vol 2015 ◽  
pp. 1-6
Author(s):  
Takeshi Ueda ◽  
Eri Ishida
Keyword(s):  
Acute Cholecystitis ◽  
Acute Cholangitis ◽  
Clinical Findings ◽  
Hepatic Cyst ◽  
Charcot’S Triad ◽  
Hepatobiliary Diseases ◽  
Murphy’S Sign ◽  
Low Sensitivity ◽  
High Level ◽  
Murphy's Sign

Background. Murphy’s sign and Charcot’s triad are established clinical findings of acute cholecystitis and cholangitis, respectively, but both show low sensitivity and limited clinical application. We evaluated if indirect fist percussion of the liver improves the efficiency of diagnosing cholecystitis and cholangitis when used as a diagnostic adjunct.Methods. The presence/absence of right upper quadrant (RUQ) tenderness, Murphy’s sign, and pain induced by indirect fist percussion of the liver was assessed, and the results were compared with the definite diagnosis based on ultrasound and additional examinations in patients aged over 18 who visited our outpatient clinic with suspected hepatobiliary diseases.Results. Four hundred and eight patients were investigated, and 40 had hepatobiliary infection (acute cholecystitis: 10, acute cholangitis: 28, liver abscess: 1, and hepatic cyst infection: 1). The sensitivity of indirect fist percussion of the liver for diagnosing hepatobiliary infection was 60%, being significantly higher than that of RUQ tenderness (33%) and Murphy’s sign (30%), and its specificity was 85%. There was no significant improvement in sensitivity or diagnostic accuracy when Murphy’s sign was combined with indirect fist percussion of the liver.Conclusion. Indirect fist percussion-induced liver pain is a useful clinical finding to diagnose hepatobiliary infection, with high-level sensitivity.

Sonography of Acute Cholecystitis: Murphy's Sign or Murphy's Law?

2011 ◽  
Vol 37 (8) ◽  
pp. S87
Author(s):  
A.C. Friedman ◽  
P. Mukerji ◽  
A. Buadu ◽  
C. Grandone
Keyword(s):  
Acute Cholecystitis ◽  
Murphy’S Sign ◽  
Murphy's Sign

scholarly journals Right Upper Quadrant Pain With Positive Murphy’s Sign in a 19-Year-Old Woman

2020 ◽  
Vol 158 (5) ◽  
pp. e3-e4
Author(s):  
Hiroki Matsuura ◽  
Masayuki Kishida ◽  
Waku Shimizu
Keyword(s):  
Quadrant Pain ◽  
Murphy’S Sign ◽  
Murphy's Sign

Murphy's sign

2017 ◽  
Vol 206 (3) ◽  
pp. 115-116
Author(s):  
Phillip L Jeans
Keyword(s):  
Murphy’S Sign ◽  
Murphy's Sign

scholarly journals Murphy of Murphy's sign

2003 ◽  
Vol 124 (2) ◽  
pp. 292
Author(s):  
William S. Haubrich
Keyword(s):  
Murphy’S Sign ◽  
Murphy's Sign

scholarly journals Positive Murphy’s Sign in Pericardial Hematoma from a Right Atrial Tear

Cureus ◽  
2018 ◽  
Author(s):  
Srilekha Sridhara ◽  
Christopher Lichtenwalter ◽  
Shahnaz Mazdeh ◽  
Beeletsega T Yeneneh
Keyword(s):  
Right Atrial ◽  
Murphy’S Sign ◽  
Murphy's Sign

Positive Murphy’s sign in acute appendicitis

2011 ◽  
Vol 72 (7) ◽  
pp. 413-413
Author(s):  
Rajaramati Durai ◽  
Aftab Khan ◽  
Midhat Siddiqui ◽  
Tayo Oke
Keyword(s):  
Acute Appendicitis ◽  
Murphy’S Sign ◽  
Murphy's Sign

scholarly journals Murphy's Sign

2005 ◽  
Vol 3 (3) ◽  
pp. 132-132 ◽  
Author(s):  
K. A. Musana ◽  
S. H. Yale
Keyword(s):  
Murphy’S Sign ◽  
Murphy's Sign
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