Women's Health/Pain/Cervical motion tenderness

From Wikibooks, open books for an open world
Jump to navigation Jump to search

In gynecology, cervical motion tenderness or cervical excitation (chandelier sign), is a sign found on pelvic examination suggestive of pelvic pathology. Classically, it is present in the setting of pelvic inflammatory disease (PID), ectopic pregnancy, and is of some use to help differentiate PID from appendicitis.[1] It is also known by the colloquial name "chandelier sign" due to the pain being so excruciating upon bimanual pelvic exam (a part of a woman's physical examination where two hands 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]


  1. "Differential diagnosis of appendicitis and pelvic inflammatory disease. A prospective analysis". Am. J. Surg. 150 (1): 90–6. 1985. doi:10.1016/0002-9610(85)90015-7. PMID 3160252. 
  2. "Chapter 13. Bedside Procedures". Clinician's Pocket Reference: The Scut Monkey (11th ed.). McGraw-Hill. 2007Template:Inconsistent citations 

Attribution for this article can be found here; last update 16 August 2017