Cervical motion tenderness or cervical excitation is a sign found on a gynecological pelvic examination suggestive of pelvic pathology. Classically, it is present in the setting of pelvic inflammatory disease (PID) or ectopic pregnancy and is of some use to help differentiate PID from appendicitis.[1] It is also known colloquially as chandelier sign due to the pain being so excruciating upon bimanual pelvic exam (a part of a gynecological physical examination where two fingers are used to feel the anatomy of the pelvis) that it is as if the patient reaches up to motion the grabbing of a ceiling-mounted chandelier.[incomprehensible]
Seen in PID.[2]
^Bongard F, Landers DV, Lewis F (1985). "Differential diagnosis of appendicitis and pelvic inflammatory disease. A prospective analysis". Am. J. Surg. 150 (1): 90–6. doi:10.1016/0002-9610(85)90015-7. PMID 3160252.
^Gomella LG, Haist SA (2007). "Chapter 13. Bedside Procedures". Clinician's Pocket Reference: The Scut Monkey (11th ed.). McGraw-Hill.
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anatomical landmarks (e.g., to assess range and quality of joint motion), and assess tenderness through tissue deformation (e.g. provoking pain with pressure...
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the lower cervical spine. Contributing factors to injury include; lack of strength, poor posture, overuse injuries (such as repetitive motion), or a trauma...
bottom. Back pain – is pain felt in the back. It is divided into neck pain (cervical), middle back pain (thoracic), lower back pain (lumbar) or coccydynia (tailbone...
reimbursement [further explanation needed]: Pain and tenderness Asymmetry/misalignment Range of motion abnormality Tissue/tone changes It has been proposed...
examination, and strength testing. The shoulder should also be examined for tenderness and deformity. Since pain arising from the neck is frequently 'referred'...
on poor posture, cervical muscle spasms and treatment for referred cervical origin (pain referred from upper levels of the cervical spine) or orofacial...
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is required to rule out life-threatening head injuries, injuries to the cervical spine, and neurological conditions and to use information obtained from...
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