방금 푼 그 흐름,
합격까지 이어보세요
지식 자료를 소장하고 멋진 의료인으로 성장하세요
학습 자료 둘러보기 →To elicit Murphy's sign, hook your fingers under the right costal margin at the RUQ and ask the patient to take a deep breath. A positive sign is an abrupt inspiratory arrest due to sharp pain as the inflamed gallbladder contacts your fingers.
In pregnancy, elevated estrogen increases cholesterol in bile and progesterone slows gallbladder emptying, creating a high-risk state for gallstone formation and cholecystitis.
Do not confuse Murphy's sign with rebound tenderness (peritoneal sign) or hemorrhagic signs like Cullen's and Grey Turner's signs, which indicate bleeding or pancreatitis, not acute cholecystitis.
학습 참고용입니다. 실제 임상은 최신 지침과 소속 기관 프로토콜을 따르세요.