Murphy characters

from Wikipedia, the free encyclopedia

The Murphy's sign , named after the American surgeon John Benjamin Murphy (1857–1916), is a clinical sign (symptom) that can be triggered during a physical examination and indicates the presence of cholecystitis .

To do this, the lower edge of the right costal arch is palpated ; the patient is asked to take a deep breath ( inspiration ). As a result of the breathing maneuver, the gallbladder moves downward as you inhale and presses against the examiner's fingers. When the gallbladder is inflamed, the patient feels pressure pain and stops breathing prematurely.

The sign is not to be confused with the Courvoisier sign , in which the gallbladder is not painful, but enlarged and elastic.

literature

  • JB Murphy: Five diagnosis methods of John B. Murphy. Surgical clinics of JB Murphy, 1912, 1: 459-466.
  • Herold: Internal Medicine. Edition 2011, p. 553

Web links