Cervical motion tenderness

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Cervical motion tenderness
Differential diagnosisPID, Ectopic pregnancy

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 woman's 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.[2]

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  1. ^ 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.
  2. ^ Gomella LG, Haist SA (2007). "Chapter 13. Bedside Procedures". Clinician's Pocket Reference: The Scut Monkey (11th ed.). McGraw-Hill.