Cervical motion tenderness
Cervical motion tenderness or cervical excitation is a sign elicited during a gynecological pelvic examination that is suggestive of pelvic pathology. It is classically present in cases of pelvic [inflammatory disease] and ectopic pregnancy, and can be useful in differentiating PID from appendicitis. It is also known colloquially as chandelier sign because the pain elicited during a bimanual pelvic exam can be so excruciating that the patient might involuntarily reach up as if to grasp a ceiling-mounted chandelier.