Created at 9:51 p.m. May, 08, 2025
Author: joshuamb
Related Note: 1511234976845 1
Rationale for change

I believe this is incorrect.

Murphy's sign could be positive in some cases of gallstone pancreatitis with concomitant acute cholecystitis, but it's misleading to include it as an expected exam component for gallstone pancreatitis alone.

On the AMBOSS page for gallstone pancreatitis, there is zero mention of Murphy's sign anywhere, though general RUQ pain and other symptoms are discussed extensively.

Unfortunately, AMBOSS doesn't specifically say one way or the other. Other non-AMBOSS sources I've looked at all agree that Murphy's sign is specific for acute cholecystitis. DeVirgilio's surgery, in particular, explains that gallstones which cause gallstone pancreatitis are, by definition, small enough to have already escaped the gallbladder and they usually also escape the biliary system entirely so wouldn't themselves cause cholecystitis directly or indirectly (page 230). One could have more gallstones and concomitant acute cholecystitis, but that's not what this card is about.

Text Text
Extra
Lecture Notes
Empty field
Missed Questions
Empty field
Pathoma
Empty field
Boards and Beyond
Empty field
First Aid
Empty field
Sketchy
Empty field
Sketchy 2
Sketchy Extra
Empty field
Picmonic
Empty field
Pixorize
Empty field
Physeo
Empty field
Bootcamp
Empty field
OME
Additional Resources
One by one
Empty field
#AK_Step2_v12::!Shelf::#Cards_AnKing_Skipped #AK_Other::!AK_UpdateTags::AnKing_Image::!Subjects::Endocrinology::Gallstone_pancreatitis #AK_Step2_v12::#OME::Clinical::01_Medicine::03_Gastroenterology::15_Pancreatitis #AK_Step2_v12::#Subjects::Gastroenterology::11_Pancreas::Pancreatitis::Gallstone_Pancreatitis::Pathophysiology #AK_Step2_v12::#Resources_by_rotation::IM::ome::gi::pancreatitis #PANCE::EOR::Family_med #AK_Step2_v12::#CMS::EM::Form_01 #AK_Step2_v12::#SketchyIM::11_Hepatobiliary::06_Pancreatic_Disease::01_Acute_Pancreatitis #AK_Step2_v12::#SketchyIM::11_Hepatobiliary::05_Gallbladder_&_Biliary_Diseases::02_Acute_Cholecystitis_&_Acute_Cholangitis_SOAPs #AK_Step2_v12::#Subjects::Gastroenterology::11_Pancreas::Pancreatitis::Gallstone_Pancreatitis #AK_Step2_v12::#OME::01_Medicine::03_Gastroenterology::15_Pancreatitis #AK_Step2_v12::!FLAG_THESE_CARDS::Potential_duplicates #AK_Other::#AK_Original_Decks::Step_2::Cheesy_Dorian_(M3) #AK_Step2_v12::#SketchySurgery::03_Hepatobiliary_Disorders::02_Pancreas::01_Acute_Pancreatitis #AK_Step2_v12::#SketchyIM::10_Gastroenterology::01_Approach_to_Abdominal_Pain::01_Upper_Abdominal_Pain_DDx #AK_Step2_v12::#AMBOSS::ED08TR #AK_Step2_v12::#SketchySurgery::03_Hepatobiliary_Disorders::01_Gallbladder_&_Bile_Ducts::01_Cholelithiasis_and_Acute_Calculus_Cholecystitis #AK_Step2_v12::#FirstAid::06_Gastrointestinal::10_Biliary_Disease::03_Choledocholithiasis::Extra #AK_Step2_v12::#SketchySurgery::03_Hepatobiliary_Disorders::01_Gallbladder_&_Bile_Ducts::04_Acute_Cholangitis #PANCE::GI::biliary_disorders #AK_Step2_v12::#OME::06_Surgery::01_General::04_Gallstone_Diseases #AK_Step2_v12::Original_decks::Dorian::surg::ome::gensurg::gallstones #PANCE::EOR::EM #AK_Step2_v12::#Resources_by_rotation::Surgery::ome::gensurg::gallstones #AK_Step2_v12::#SketchyIM::11_Hepatobiliary::05_Gallbladder_&_Biliary_Diseases::01_Gallbladder_Disease_SOAP #AK_Step2_v12::#AMBOSS::GD0BfR #AK_Step2_v12::#SketchySurgery::03_Hepatobiliary_Disorders::01_Gallbladder_&_Bile_Ducts::03_Choledocholithiasis #AK_Step2_v12::#FirstAid::06_Gastrointestinal::10_Biliary_Disease::02_Cholecystitis::Extra #AK_Other::!AK_UpdateTags::AnKing_Image::Mujeeb::Gallstone_pancreatitis