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Pain on deep inspiration, when an inflamed gallbladder is palpated by pressing the fingers under the rib cage is known as:
Question

Pain on deep inspiration, when an inflamed gallbladder is palpated by pressing the fingers under the rib cage is known as:

A.

Rovsing’s sign

B.

Psoas sign

C.

McBurney’s sign

D.

Murphy’s sign

Correct option is D

Murphy’s sign is elicited by palpating under the right costal margin during deep inspiration. In cases of acute cholecystitis (gallbladder inflammation), this maneuver produces pain and sudden cessation of inspiration. It is a key clinical sign in diagnosing gallbladder disease.
Explanation of options: (a) ✘ Rovsing’s sign – Pain in the right lower quadrant when the left side is palpated; seen in appendicitis. (b) ✘ Psoas sign – Indicates retrocecal appendicitis; involves pain with thigh extension. (c) ✘ McBurney’s sign – Tenderness at McBurney’s point, associated with appendicitis. (d) ✔ Murphy’s sign – Indicates gallbladder inflammation when palpation interrupts inspiration.

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