<prompt> Kehr;s sign is seen in-Splenic traumaHepatic traumaRenal traumaPaccreatic trauma  <response>: Ans. is a i.e., Splenic trauma o In splenic rupture the pain may be referred to the tip of the left shoulder. o This is known as Kehrs sign. o It occurs due to irritation of the undersurface of the diaphragm with blood and the pain is referred to the shoulder through the affected fibres of phrenic nerve C4 and C5. o Kehrs sign can be elicited by bimanual compression of the left upper quadrant after the patient has been in Trendelenburgs position for about 10 minutes prior to the maneuver. 