Severe right upper quadrant tenderness with respiratory arrest on inspiration (Murphy's sign) suggests cholecystitis or occasionally ascending cholangitis. The presence of ascites and jaundice suggests advanced cirrhosis or malignancy with peritoneal spread. Gynecomastia, caput medusae, Dupuytren's contractures, parotid gland enlargement, testicular atrophy, or a periumbilical nodule (Sister Mary Joseph's nodule) suggests an abdominal malignancy. Jugular venous distention suggests right-sided heart failure and hepatic congestion, while a right pleural effusion also indicates the latter.
Severe right upper quadrant tenderness with respiratory arrest on inspiration (Murphy's sign) suggests cholecystitis or occasionally ascending cholangitis. The presence of ascites and jaundice suggests advanced cirrhosis or malignancy with peritoneal spread. Gynecomastia, caput medusae, Dupuytren's contractures, parotid gland enlargement, testicular atrophy, or a periumbilical nodule (Sister Mary Joseph's nodule) suggests an abdominal malignancy. Jugular venous distention suggests right-sided heart failure and hepatic congestion, while a right pleural effusion also indicates the latter.
Severe right upper quadrant tenderness with respiratory arrest on inspiration (Murphy's sign) suggests cholecystitis or occasionally ascending cholangitis. The presence of ascites and jaundice suggests advanced cirrhosis or malignancy with peritoneal spread. Gynecomastia, caput medusae, Dupuytren's contractures, parotid gland enlargement, testicular atrophy, or a periumbilical nodule (Sister Mary Joseph's nodule) suggests an abdominal malignancy. Jugular venous distention suggests right-sided heart failure and hepatic congestion, while a right pleural effusion also indicates the latter.