A nurse practitioner is assessing a 45-year-old White woman with a body mass index (BMIl) of 32 for a compliant of intermittent right upper quadrant abdominal pain over the past fen weeks that k precipitated by eating fried foods and peanut butter. On exam, the patient’s heart and lungs are normal. There is no pain over the costovertebral angle. During abdominal ecan, boe sounds presentin all quadrants. While the nurse is palpating deeply on the right upper quadrant during inspiration, the patient complains of severe sharp pain. Which of the foling is best dexribed? • Murphy’s sign • McMurray’s sign • Rovsing’s sign • Obturator sign
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