Cervical motion tenderness


Cervical motion tenderness or cervical excitation is a sign found on a gynecological pelvic examination suggestive of pelvic pathology. Classically, it is present in the setting of pelvic inflammatory disease or ectopic pregnancy and is of some use to help differentiate PID from appendicitis. It is also known colloquially as chandelier sign due to the pain being so excruciating upon bimanual pelvic exam that it is as if the patient reaches up to motion the grabbing of a ceiling-mounted chandelier.