Question

Utilizing a pathophysiology source describe the physiologic process of a positive Murphy sign as it is occurring within the body. Cite your reference(s)

Answer 1

Positive murphy's sign in cholecystitis the gallbladder becomes intimated other causes of upper abdominal pain can include Biology college peptic ulcer disease dysplasia pancreatic and Cardiac chest pain murphy's sign is one of the artist used on patients presenting with an acute abdomen to ascertain whether the abdominal pain is being caused by an inflammation gall bladder or not.

In cholecystitis the gallbladder becomes inflamed secondary to blockage of cystic duct usually by Gal stone. Does inflammation causes the release of prostaglandins which cause more inflammation of the gallbladder.

Murphy's sign is a test for gallbladder disease in which the patient is asked to inhale while examiners fingers are book under the liver border at the bottom of Rib cage the inspiration causes the girl bladder to descend on to the fingers producing pain if gallbladder is inflammed.

There are two major types of garage tones doors composed predominantly of pigmented and those composed primarily of cholesterol pigment stones probably form when unconjugated pigments in the Bible precipitate to farm stones the stones account for 25% of cases the United States the risk of developing such stones is increasing in patients with cirrhosis hemolysis and infections of the biliary tract. Pigment red stones cannot be dissolved and must be removed surgically cholesterol stones account for most of the remaining 75% of cases of gallbladder diseases in the United States cholesterol normal constitution of bile is insoluble in water is solubility depends on bile acid and lecithin in bile in gallatin prone patients there is decreased by acid synthesis and increased cholesterol synthesis in the liver resulting in by supersaturated with cholesterol which precipitate out of the bile to form stones the cholesterol saturated by predisposes to the formation of gallstones and acts as an evident that produces inflammatory changes in the gallblader .

References are textbook of medical surgical nursing brunner and Siddharth 11th edition, and in websites tamilwire.com PDF files thank you.