THORAX ABDOMEN AND PELVIS

Detailed explanation-1: -Kehr’s sign is the occurrence of acute pain in the tip of the shoulder due to the presence of blood or other irritants in the peritoneal cavity when a person is lying down and the legs are elevated. Kehr’s sign in the left shoulder is considered a classic symptom of a ruptured spleen.

Detailed explanation-2: -Kehr sign has traditionally been described as pain referred to the left shoulder on gentle palpation of the abdomen when the patient is lying down with legs elevated. It is classically associated with splenic rupture.

Detailed explanation-3: -Pain at the tip of the left shoulder on elevating the legs in the supine position: this is due to the presence of blood leaking from the spleen into the peritoneal cavity, pooling in and thereby irritating the left dome of the diaphragm when the patient adopts this position.

Detailed explanation-4: -Sudden left shoulder pain can sometimes be a sign of a heart attack. Call 911 or your local emergency number if you have sudden pressure or crushing pain in your shoulder, especially if the pain runs from your chest to the left jaw, arm or neck, or occurs with shortness of breath, dizziness, or sweating.