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Kehr's Sign refers to left shoulder pain caused by the irritation of the inferior surface of the diaphragm due to bleeding from a splenic rupture when a person is lying down and the legs are elevated. It was first described by Hans Kehr - a German surgeon(1862-1916).
This is called Kehr’s sign. It happens because bleeding from your ruptured spleen can irritate a nerve that runs from your neck down through the left side of your chest (your left phrenic nerve ). You may notice the pain is worse when you breathe in.
Kehr's sign is the occurrence of acute pain in the tip of the shoulder due to the presence of blood or other irritants in the peritoneal cavity when a person is lying down and the legs are elevated. Kehr's sign in the left shoulder is considered a classic symptom of a ruptured spleen.
Kehr sign is a rare finding and should increase the suspicion of the peritoneal process and possible splenic rupture. Some patients also report pleuritic left-sided chest pain in the setting of a ruptured spleen.
A history of trauma to the left upper quadrant should increase suspicion of splenic injury. The patient may exhibit a Kehr sign, a pain in the left shoulder that worsens with inspiration. Abdominal tenderness and peritoneal signs are common presentations and should warrant further assessment.
Kehr’s sign, which is pain that radiates upward to the left shoulder; confusion or changes in your mental state; blurred vision; fast heart rate; paler skin than usual; weakness; intolerance for...
Pain felt in the left shoulder as a result of a ruptured spleen is known as Kehr’s sign. This feels worse when the individual breathes in.
Symptoms of a ruptured spleen can vary depending on the associated injury, however, the most common symptom is pain and tenderness in the left upper abdomen. The pain may be referred to the left shoulder, which is known as Kehr’s sign, and typically feels worse when breathing.
Kehr's Sign is a clinical sign used to diagnose splenic rupture, particularly in cases of blunt abdominal trauma. It is performed during a physical examinati...
Often there is a sharp pain in the left shoulder, known as Kehr's sign. [1] In larger injuries with more extensive bleeding, signs of hypovolemic shock are most prominent. This might include a rapid pulse, low blood pressure, rapid breathing, and paleness. [2]