Functional

Gastrointestinal System


{"ops":[{"insert":"Evaluation of right upper quadrant pain"},{"insert":"\n","attributes":{"header":1}},{"insert":"When evaluating a patient with acute abdominal pain, the location of the pain plays an important role. For some diagnoses, such as appendicitis, the location of pain has a very strong predictive value.\n\nPossible diagnoses in this case include:\n\n- Biliary: cholecystitis, cholelithiasis, cholangitis\n\n- Colonic: colitis, diverticulitis\n\n- Hepatic: abscess, hepatitis, mass\n\n- Pulmonary: pneumonia, pulmonary embolus\n\n- Renal: nephrolithiasis, pyelonephritis\n"},{"insert":"Murphy\u0027s sign"},{"insert":"\n","attributes":{"header":1}},{"insert":"This classic sign is named after American physician John Benjamin Murphy (1857-1916), a prominent Chicago-based surgeon of the 1880s.\n\nThis was described as the sudden cessation of inspiration in cholecystitis, when the examiner curls their fingers below the anterior right costal margin, while standing at the head of the patient.\n\nThis sign is currently considered the most reliable clinical indicator of cholecystitis, although the sensitivity is reported to be only 65%.\n"}]}

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