Sonographic Murphy sign

Sonographic Murphy sign
Synonyms	N/A
Pronounce	N/A
Specialty	N/A
Symptoms	Pain upon ultrasound probe pressure
Complications	N/A
Onset	N/A
Duration	N/A
Types	N/A
Causes	Acute cholecystitis
Risks	N/A
Diagnosis	Ultrasound
Differential diagnosis	N/A
Prevention	N/A
Treatment	N/A
Medication	N/A
Prognosis	N/A
Frequency	N/A
Deaths	N/A

The Sonographic Murphy sign is a clinical finding observed during an ultrasound examination, particularly when evaluating for acute cholecystitis. It is analogous to the Murphy's sign elicited during a physical examination.

Description

The Sonographic Murphy sign is considered positive when there is maximal tenderness over the gallbladder upon the application of pressure with the ultrasound probe. This sign is used to help diagnose acute cholecystitis, which is an inflammation of the gallbladder often due to gallstones.

Clinical Significance

A positive Sonographic Murphy sign is a strong indicator of acute cholecystitis. It is often used in conjunction with other ultrasound findings, such as the presence of gallstones, thickening of the gallbladder wall, and pericholecystic fluid, to confirm the diagnosis.

Procedure

During an ultrasound examination, the patient is asked to take a deep breath while the sonographer applies gentle pressure with the ultrasound probe over the gallbladder area. If the patient experiences a sharp increase in pain, the Sonographic Murphy sign is considered positive.

Related Terms

• Murphy's sign
• Cholecystitis
• Gallstones
• Ultrasound

See Also

• Murphy's sign
• Cholecystitis
• Gallbladder

References

• "Sonographic Murphy sign." Radiopaedia. Accessed October 2023.
• "Acute Cholecystitis." American College of Radiology. Accessed October 2023.

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