Women's Health/Pain/Cervical motion tenderness

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.Bongard F, Landers DV, Lewis F Differential diagnosis of appendicitis and pelvic inflammatory disease. A prospective analysis Am. J. Surg. 150 1 90–6 1985 3160252 10.1016/0002-9610(85)90015-7 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.Chapter 13. Bedside Procedures Clinician's Pocket Reference: The Scut Monkey 11th 2007 McGraw-Hill Gomella LG, Haist SA References Attribution for this article can be found here; last update 16 August 2017