Cholecystitis addition to abdominal pain, right shoulder pain can be present. On physical examination, fever is common. A gallbladder with cholecystitis is almost always tender to touch. Because of the inflammation, its size can be felt from the outside of the body in 25–50% of people with cholecystitis. Pain with deep inspiration leading to termination of the breath while pressing on the right upper quadrant of the abdomen usually causes pain (Murphy's sign). Murphy's sign is sensitive, but not specific for cholecystitis. Yellowing of the skin (jaundice) may occur but is often mild. Severe jaundice suggests another cause of symptoms such
Time is the Simplest Thing body and explore the universe. They are accompanied by a small machine that can record experiences and gather physical samples. Some explorers have returned with minds affected by what they encountered. Those explorers have disappeared and never been heard from again. Blaine returns from one expedition having encountered an intelligence that looks like a large pink blob sitting immobile in a room open to the sky. The blob greets him telepathically with the message "Hi pal! I trade with you my mind." Blaine immediately feels the alien mind alongside his own. Returning to his body, he knows he must get