Testing for Murphy’s Sign:
- press your left thumb just under the right costal margin and ask the patient to take a deep breath.
- A sharp increase in tenderness with a sudden stop in inspiratory effort constitutes a positive Murphy’s sign of acute chelecystitis.
- Refers to a finding elicited in physical examination of the abdomen.
- It is useful for differentiating pain in the right upper quadrant.
A positive sign is typical in cholecystitis
A negative Murphy’s sign typically is elicited in:
- ascending cholangitis