A patient presents in the emergency room (ER)complaining of right upper quadrant pain.The physician notes a positive Murphy's sign on physical examination.This finding is most indicative of
A)intolerance to gluten
B)twisting of the intestines
C)slippage of one part of the bowel into another
D)inflammation of the gallbladder
E)inflammation of the liver

Question

Quizplus · Accepted Answer

A positive Murphy's sign on physical examination is most indicative of inflammation of the gallbladder, specifically acute cholecystitis. This is because the test involves the physician pressing down on the patient's right upper quadrant while the patient takes a deep breath. If the patient stops breathing in due to pain when pressure is applied under the right rib cage, it suggests inflammation of the gallbladder. Intolerance to gluten, twisting of the intestines, and slippage of one part of the bowel into another are not typically associated with a positive Murphy's sign. While inflammation of the liver can cause pain in the right upper quadrant, a positive Murphy's sign is not specific for liver inflammation.

A Patient Presents in the Emergency Room (ER)complaining of Right