Sonographic Murphy sign: Difference between revisions

Sonographic Murphy sign
Synonyms	N/A
Pronounce	N/A
Specialty	N/A
Symptoms	Pain upon ultrasound probe pressure
Complications	N/A
Onset	N/A
Duration	N/A
Types	N/A
Causes	Acute cholecystitis
Risks	N/A
Diagnosis	Ultrasound
Differential diagnosis	N/A
Prevention	N/A
Treatment	N/A
Medication	N/A
Prognosis	N/A
Frequency	N/A
Deaths	N/A

Latest revision as of 21:39, 29 December 2024

The Sonographic Murphy sign is a clinical finding observed during an ultrasound examination, particularly when evaluating for acute cholecystitis. It is analogous to the Murphy's sign elicited during a physical examination.

Description[edit]

The Sonographic Murphy sign is considered positive when there is maximal tenderness over the gallbladder upon the application of pressure with the ultrasound probe. This sign is used to help diagnose acute cholecystitis, which is an inflammation of the gallbladder often due to gallstones.

Clinical Significance[edit]

A positive Sonographic Murphy sign is a strong indicator of acute cholecystitis. It is often used in conjunction with other ultrasound findings, such as the presence of gallstones, thickening of the gallbladder wall, and pericholecystic fluid, to confirm the diagnosis.

Procedure[edit]

During an ultrasound examination, the patient is asked to take a deep breath while the sonographer applies gentle pressure with the ultrasound probe over the gallbladder area. If the patient experiences a sharp increase in pain, the Sonographic Murphy sign is considered positive.

Related Terms[edit]

References[edit]

"Sonographic Murphy sign." Radiopaedia. Accessed October 2023.
"Acute Cholecystitis." American College of Radiology. Accessed October 2023.

   This article is a medical stub. You can help WikiMD by expanding it!

@@ Line 1: / Line 1: @@
-== Sonographic Murphy Sign ==
-[[File:Sonographic Murphy Sign.jpg|thumb|right|Sonographic Murphy Sign]]
+{{Infobox medical condition
+| name = Sonographic Murphy sign
+| image = <!-- Image removed -->
+| caption = <!-- Caption removed -->
+| field = [[Radiology]]
+| symptoms = Pain upon ultrasound probe pressure
+| causes = [[Acute cholecystitis]]
+| diagnosis = [[Ultrasound]]
+}}
-The '''Sonographic Murphy Sign''' is a [[medical diagnostic]] tool used in the field of [[radiology]] and [[gastroenterology]]. It is a clinical test used to diagnose acute [[cholecystitis]], an inflammation of the [[gallbladder]].
+The '''Sonographic Murphy sign''' is a clinical finding observed during an [[ultrasound]] examination, particularly when evaluating for [[acute cholecystitis]]. It is analogous to the [[Murphy's sign]] elicited during a physical examination.
-== History ==
+== Description ==
+The Sonographic Murphy sign is considered positive when there is maximal tenderness over the [[gallbladder]] upon the application of pressure with the ultrasound probe. This sign is used to help diagnose [[acute cholecystitis]], which is an inflammation of the gallbladder often due to [[gallstones]].
-The Sonographic Murphy Sign is named after the American surgeon, [[John Benjamin Murphy]], who first described the clinical sign in the early 20th century. The sonographic version of the test was later developed with the advent of [[ultrasound]] technology.
+== Clinical Significance ==
+A positive Sonographic Murphy sign is a strong indicator of [[acute cholecystitis]]. It is often used in conjunction with other ultrasound findings, such as the presence of [[gallstones]], thickening of the gallbladder wall, and pericholecystic fluid, to confirm the diagnosis.
 == Procedure ==
+During an ultrasound examination, the patient is asked to take a deep breath while the sonographer applies gentle pressure with the ultrasound probe over the gallbladder area. If the patient experiences a sharp increase in pain, the Sonographic Murphy sign is considered positive.
-The Sonographic Murphy Sign is performed during an [[abdominal ultrasound]]. The patient is asked to take a deep breath while the sonographer applies pressure with the ultrasound probe over the area of the gallbladder. If the patient experiences pain or abruptly stops inhaling, it is considered a positive Sonographic Murphy Sign.
+== Related Terms ==
+* [[Murphy's sign]]
-== Clinical Significance ==
+* [[Cholecystitis]]
+* [[Gallstones]]
-A positive Sonographic Murphy Sign is highly suggestive of acute cholecystitis. However, it is not definitive and further diagnostic tests may be required. The sign is considered highly sensitive and specific for acute cholecystitis, making it a valuable tool in the diagnostic process.
+* [[Ultrasound]]
-== Limitations ==
-While the Sonographic Murphy Sign is a useful diagnostic tool, it is not without limitations. It may not be positive in patients with chronic cholecystitis or those who have previously had a [[cholecystectomy]]. Additionally, it may be difficult to perform in patients who are obese or have a high degree of abdominal pain.
 == See Also ==
 * [[Murphy's sign]]
 * [[Cholecystitis]]
 * [[Gallbladder]]
-* [[Ultrasound]]
-[[Category:Medical tests]]
+== References ==
+* "Sonographic Murphy sign." Radiopaedia. Accessed October 2023.
+* "Acute Cholecystitis." American College of Radiology. Accessed October 2023.
+{{Medical-stub}}
+[[Category:Medical signs]]
 [[Category:Radiology]]
+[[Category:Ultrasound]]
 [[Category:Gastroenterology]]
-[[Category:Diagnostic ultrasound]]

Sonographic Murphy sign

Synonyms	N/A
Pronounce	N/A
Specialty	N/A
Symptoms	Pain upon ultrasound probe pressure
Complications	N/A
Onset	N/A
Duration	N/A
Types	N/A
Causes	Acute cholecystitis
Risks	N/A
Diagnosis	Ultrasound
Differential diagnosis	N/A
Prevention	N/A
Treatment	N/A
Medication	N/A
Prognosis	N/A
Frequency	N/A
Deaths	N/A