Gallbladder tenderness

Murphy's sign means that the patient bends his knees on his back. The doctor places the left palm flat on the lower part of the right rib of the patient. First, he presses the left thumb and the abdomen with a moderate pressure on the point of the right lower rib of the gallbladder, and instructs the patient to inhale slowly and deeply. When the inflamed gallbladder moves down and touches a hard pressed thumb when it is inhaled, it causes pain. The patient's sudden breath holding due to pain is called Murphy's sign positive, also known as gallbladder tenderness sign. Acute cholecystitis is inflammation of the gallbladder caused by obstruction of the gallbladder duct and bacterial invasion; its typical clinical feature is paroxysmal colic in the right upper abdomen, accompanied by marked tenderness and abdominal rigidity. About 95% of patients with gallbladder stones are called calculus cholecystitis; 5% of patients without gallbladder stones are called non-calculus cholecystitis.

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