Cervical motion tenderness

In gynecology, cervical motion tenderness or cervical excitation (*chandelier sign), is a sign found on pelvic examination suggestive of pelvic pathology. Classically, it is present in the setting of pelvic inflammatory disease (PID), ectopic pregnancy, and is of some use to help differentiate PID from appendicitis. It is also known by the colloquial name "chandelier sign" due to the pain being so excruciating upon bimanual pelvic exam (a part of a woman's physical examination where two hands are used to feel the anatomy of the pelvis) that it is as if the patient reaches up to motion the grabbing of a ceiling-mounted chandelier.