Kehr's sign is present in -: (A) Diaphragmmatic rupture, (B) Splenic injury, (C) Liver abscess, (D) Cholelithiasis
Answer is B. Ans. is 'b' i.e., Splenic injury Physical signs present in Splenic injury Signs of peritonitis and severe shock Local tenderness, abdominal rigidity and a rising pulse rate. Tenderness over 9th and 10th rib on the left side Ballance's Sign --> Persistent dullness on the left side of the abdomen with shifting dullness towards the right side due to coagulation of blood from the injured spleen. Kehr's sign -9 Pain referred to the left shoulder. Cullen's Sign --) Pigmentation around the umbilicus.