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When is Dunphy's sign observed?

A. Right upper quadrant pain is referred to the right shoulder.
B. Pressure on the abdominal wall is suddenly released.
C. The patient's abdominal pain radiates to the shoulder.
D. Coughing causes severe right lower quadrant pain.

Answer :

Final answer:

Dunphy sign, associated with appendicitis, occurs when coughing or deep breath produces severe right lower quadrant pain. In contrast, Kehr's sign involves pain in the left shoulder, chest, and neck following a spleen rupture.

Explanation:

The actual term 'Dunphy sign' is associated with acute appendicitis, which is not explicitly present in the options provided. However, Dunnphy's sign is said to be present if coughing or taking a deep breath produces severe pain in the right lower quadrant (bedside diagnosis). Comparative mentioning, Kehr's sign refers to the pain in the left shoulder, chest, and neck regions following the rupture of the spleen. This sign links the spleen with the diaphragm and is highlighted by the relationship between the spleen, diaphragm, and cervical nerves causing referred pain to the shoulder.

Furthermore, your mention of right upper quadrant pain being referred to the right shoulder could, in some cases, indicate gallbladder or liver issues. However, this pain referral phenomenon is not typically associated with a Dunphy sign, which is usually related to appendicitis.

Learn more about Dunphy Sign and Kehr's Sign here:

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