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
Species affected by poaching Western states. Commercial poachers kill grizzly bears, moose, bighorn sheep, elk, mountain lions, eagles and snakes. Domestic bear species such as American black bear are slaughtered for their body parts that are used for exotic foods, medicinal purposes and as aphrodisiacs. Walrus is poached for the ivory of their tusks, white-tailed deer for antlers and meat, bobcats for their pelts, and bighorn sheep as trophies. Elk antlers and seal penises are used for medicinal purposes. Paddlefish and sturgeon eggs are sold as caviar. Redfish, shellfish, trout and salmon are poached for meat, snakes for their skins, bald eagles for their