A common abdominal examination manoeuvre, but a common understanding is elusive
Most of us think that Murphy’s sign consists of the abrupt interruption of deep inspiration when palpating in the right upper quadrant of the abdomen. Its relevance would seem to be its presence in a non-tender abdomen, but is that so? Canvass your colleagues and you will find that a common understanding is as elusive as the Scarlet Pimpernel. The radiological community’s development of a “sonographic” Murphy’s sign has only added to the confusion.
Publication of your online response is subject to the Medical Journal of Australia's editorial discretion. You will be notified by email within five working days should your response be accepted.