Indirect Fist Percussion of the Liver Is a More Sensitive Technique for Detecting Hepatobiliary Infections than Murphy’s Sign

Table 1

Definite diagnoses.

	Number of cases
Hepatobiliary infection	40
Cholecystitis	10
Cholangitis	28
Liver abscess ⋅ Hepatic cyst infection	2
Other hepatobiliary diseases	65
Common bile duct stone/obstruction	4
Biliary colic	4
Alcoholic hepatitis	6
Viral infection accompanied by hepatic dysfunction	7
Congestive hepatopathy	4
Ischemic hepatitis	4
Drug-induced liver injury	25
Hepatic carcinoma ⋅ Malignant infiltration of the liver	8
Other hepatic diseases	3
Other diseases	303
Nonhepatobiliary infection	159
Pneumonia
Urinary tract infection
Gastrointestinal diseases	59
Pancreatitis	5
Urogenital diseases	8
Vascular diseases	7
Metabolic diseases	12
Spinal diseases	5
Soft tissue diseases	12
Nonspecific abdominal pain	14
Abdominal pain with psychological component	12
Other diseases	10