Gastrointestinal Illnesses Archives - Page 15 of 16 - Clinical Advisor

Gastrointestinal Illnesses

Cheers for Murphy’s sign

Even though Murphy’s sign is nonspecific, I use it to aid in diagnosing gallbladder disease in patients with a history of fatty meals leading to abdominal pain. If a hand placed in the medial aspect of the upper right quadrant and a command to take a deep breath elicits pain, I do a hepato-iminodiacetic acid…


Level 2: Mid-level evidence A randomized trial evaluated the impact of increased practitioner interaction in 262 patients (mean age 39 years) with irritable bowel syndrome (IBS) (BMJ. 2008;336:999-1003; full-text available online free of charge at:; accessed August 13, 2008). Patients were randomized to one of three groups for three weeks: waiting-list control vs. placebo…

The majority of cases involving infection with salmonella (brown) do not require antibiotics

Salmonella symptoms with negative stool culture?

Can a patient exhibit signs of salmonella poisoning (e.g., nausea, vomiting, diarrhea, and elevated WBCs) and still have a negative stool culture?—Leslie Pryor, MSN, CRNP, Shamong, N.J. The short answer to this question is “Yes,” as there is no test that is 100% sensitive and specific. Stool testing is no exception. The real question is:…

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