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Upon arrival at the emergency department, the patient presented with Kehr's sign. Which clinical sign would the patient with Kehr's sign be expected to demonstrate?

A. Left shoulder pain
B. Bowel sounds in the chest
C. Free air in the abdomen
D. Left flank ecchymosis

Answer :

Final answer:

Kehr's sign is indicative of a. left shoulder pain. This occurs due to a ruptured spleen causing hemorrhage in the upper-left quadrant of the abdominopelvic cavity and subsequent pressure on the diaphragm, leading to this referred pain.

Explanation:

The patient with Kehr's sign is expected to demonstrate left shoulder pain. Kehr's sign is a clinical manifestation often seen in patients with a ruptured spleen that has led to blood spilling into the upper-left quadrant of the abdominopelvic cavity. This internal hemorrhage puts pressure on the diaphragm, which results in the referred pain in the left shoulder as the visceral sensation is in the diaphragm and not the actual injury site, the spleen. This is known as referred pain - the perception of visceral sensation projected to a different region of the body.

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