ABDOMINAL
ABDOMINAL STATION
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Question
[CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
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Cullen sign
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Rovsing’s sign
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Murphy’s sign
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None of the above
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Detailed explanation-1: -Murphy’s sign is elicited in patients with acute cholecystitis by asking the patient to take in and hold a deep breath while palpating the right subcostal area. If pain occurs when the inflamed gallbladder comes into contact with the examiner’s hand, Murphy’s sign is positive.
Detailed explanation-2: -Ultrasonography is preferred as the initial diagnostic test and hepatobiliary scintigraphy is reserved for the 20% of patients with equivocal ultrasonography test results. Hepatobiliary scintigraphy is the most reliable imaging study for patients with suspected acalculous acute cholecystitis.
Detailed explanation-3: -The best diagnostic test to confirm gallbladder disease is the abdominal ultrasound. It is noninvasive and is 90% to 95% accurate in detecting gallstones. Pericholic fluid and thickened gallbladder walls can also be identified as in acute cholecystitis.