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Kehr's Sign and Splenic Rupture

Jul 22, 2025

Overview

This lecture explains the significance of Kehr's sign in diagnosing a splenic rupture following left upper quadrant trauma.

Kehr's Sign and Splenic Rupture

  • Kehr's sign is used to assess potential splenic rupture.
  • The spleen is located in the left upper quadrant below the costal margin.
  • Acute traumatic injury to the spleen can cause Kehr's sign.
  • A positive Kehr's sign is pain radiating to the left shoulder.
  • Left upper quadrant pain with recent trauma and left shoulder pain suggests splenic rupture.
  • Recognizing Kehr's sign helps in identifying splenic injuries quickly.

Key Terms & Definitions

  • Kehr's sign — referred pain in the left shoulder due to irritation in the left upper quadrant, commonly associated with splenic rupture.
  • Splenic rupture — a traumatic injury where the spleen is torn or broken, often leading to internal bleeding.

Action Items / Next Steps

  • Review the physical examination techniques for detecting Kehr's sign.
  • Study the anatomical location and clinical relevance of the spleen.