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If we have a patient with c/o jaundice & in his abdominal exam we see tenderness of RUQ, should we check murphy's sign and ckeck the size of liver?
I've heard that we should not repeat painful manuvers so in this patient we can't touch RUQ again.
if that is true so how can we check rebound in patient with tenderness?:notsure:
 

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Here's how you do it

You have to be as gentle as you can in the palpation, take permission from the SP before doing it, tell him/her that you need to check for tenderness in order to reach a diagnosis.

If the SP insists that you don't touch him/her again, then you mention in the PN the following:
Rebound Tenderness/Murphy's Sign/Liver size ...etc could not be examined due to exquisite tenderness.
 
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