findings on physical ecmxamination of cholecistitis
Physical examination findings in cholecystitis can vary depending on the severity of the condition. Here are some possible findings:
1. Right upper quadrant tenderness: In cholecystitis, there is often tenderness upon palpation in the right upper quadrant of the abdomen. This tenderness may be localized to the area over the gallbladder.
2. Murphy's sign: This is a classic sign of cholecystitis where there is pain and abrupt cessation of inspiration upon palpation of the gallbladder as the patient breathes in. It indicates inflammation of the gallbladder.
3. Guarding or rigidity: The patient may exhibit guarding or rigidity of the abdominal muscles in response to pain.
4. Rebound tenderness: In more severe cases of cholecystitis, there may be rebound tenderness when pressure is released from the right upper quadrant.
5. Jaundice: In cases where cholecystitis is caused by gallstones blocking the bile duct, the patient may have jaundice, which presents as a yellowing of the skin and eyes.
6. Fever: Cholecystitis can cause fever, typically in more severe cases or when there is an associated infection.
It is important to note that physical examination findings alone may not provide a definitive diagnosis for cholecystitis, and further diagnostic tests such as imaging (ultrasound, CT scan) and blood tests (liver function tests) are often required for confirmation.