<prompt> Kehrs sign is present in -Diaphragmmatic ruptureSplenic injuryLiver abscessCholelithiasis  <response>: Ans. is b i.e., Splenic injury Physical signs present in Splenic injury Signs of peritonitis and severe shock Local tenderness, abdominal rigidity and a rising pulse rate. Tenderness over 9th and 10th rib on the left side Ballances Sign -- Persistent dullness on the left side of the abdomen with shifting dullness towards the right side due to coagulation of blood from the injured spleen. Kehrs sign -9 Pain referred to the left shoulder. Cullens Sign -- Pigmentation around the umbilicus. 