<prompt> Pain at left shoulder tip in a patient with splenic trauma is known as -Trosseu signKehrs signCullen signRovsings sign  <response>: Ans. is b i.e., Kehrs signo In splenic rupture the pain may be referred to the tip of the left shoulder.This is known as Kehrs signo 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 bimaual compression of the left upper quadrant after the patient has been in Trendelenburgs position for about 10 minutes prior to the manoeuvre. 