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Murphy Sign

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1. Murphy Sign

Murphy Sign Murphy Sign Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Murphy Sign Murphy Sign Aka: Murphy Sign II. Indications III (...) . Technique Examiner palpates the abdominal RUQ (deep subcostal palpation) Patient takes a deep breath IV. Interpretation Positive test if the patient has increased pain or suddenly halts their inspiration due to pain (inspiratory arrest) Suggests when present V. Efficacy ral patients : 5.0 : 0.4 : 65% : 87% Older patients : 2.3 : 0.66 : 48% : 79% VI. References Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Murphy Sign." Click

2018 FP Notebook

2. BTS/SIGN British Guideline on the Management of Asthma

BTS/SIGN British Guideline on the Management of Asthma SIGN158 British guideline on the management of asthma A national clinical guideline First published 2003 Revised edition published July 2019Key to evidence statements and recommendations Levels of evidence 1 ++ High-quality meta-analyses, systematic reviews of RCTs, or RCTs with a very low risk of bias 1 + Well-conducted meta-analyses, systematic reviews, or RCTs with a low risk of bias 1 – Meta-analyses, systematic reviews, or RCTs (...) ; or Extrapolated evidence from studies rated as 2 + Good-practice points ? Recommended best practice based on the clinical experience of the guideline development group. Healthcare Improvement Scotland (HIS) is committed to equality and diversity and assesses all its publications for likely impact on the six equality groups defined by age, disability, gender, race, religion/belief and sexual orientation. SIGN guidelines are produced using a standard methodology that has been equality impact assessed to ensure

2019 British Thoracic Society

3. Indirect Fist Percussion of the Liver Is a More Sensitive Technique for Detecting Hepatobiliary Infections than Murphy's Sign Full Text available with Trip Pro

Indirect Fist Percussion of the Liver Is a More Sensitive Technique for Detecting Hepatobiliary Infections than Murphy's Sign Background. Murphy's sign and Charcot's triad are established clinical findings of acute cholecystitis and cholangitis, respectively, but both show low sensitivity and limited clinical application. We evaluated if indirect fist percussion of the liver improves the efficiency of diagnosing cholecystitis and cholangitis when used as a diagnostic adjunct. Methods (...) . The presence/absence of right upper quadrant (RUQ) tenderness, Murphy's sign, and pain induced by indirect fist percussion of the liver was assessed, and the results were compared with the definite diagnosis based on ultrasound and additional examinations in patients aged over 18 who visited our outpatient clinic with suspected hepatobiliary diseases. Results. Four hundred and eight patients were investigated, and 40 had hepatobiliary infection (acute cholecystitis: 10, acute cholangitis: 28, liver abscess

2015 Current gerontology and geriatrics research

4. A Systematic Review of Instruments used to Assess Nonverbal Emotional Signs in Children during an Investigative Interview for Suspected Sexual Abuse Full Text available with Trip Pro

A Systematic Review of Instruments used to Assess Nonverbal Emotional Signs in Children during an Investigative Interview for Suspected Sexual Abuse A Systematic Review of Instruments used to Assess Nonverbal Emotional Signs in Children during an Investigative Interview for Suspected Sexual Abuse - Ham - 2020 - Child Abuse Review - Wiley Online Library Working off-campus? Learn about our By continuing to browse this site, you agree to its use of cookies as described in our . Search within (...) Search term Search term Systematic Review Open Access A Systematic Review of Instruments used to Assess Nonverbal Emotional Signs in Children during an Investigative Interview for Suspected Sexual Abuse Corresponding Author Social Paediatrics, Emma Children's Hospital, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands Correspondence to: Kirsten van Ham, Division of Social Paediatrics, Amsterdam UMC, Meibergdreef 9, PO Box 22660, 1100 DD, Amsterdam, The Netherlands. E‐mail Social

2020 Child Abuse Review

5. Chest pain: What are the signs and symptoms of other causes of chest pain?

of peptic ulcer, gastro-oesophageal reflux, or oesophagitis, see the CKS topic on . Acute cholecystitis History — the person may have a history of gallstones (cholelithiasis). Cholecystitis without biliary colic usually has a gradual onset. Symptoms — sudden-onset, constant, severe pain in the upper right quadrant; and possibly anorexia, nausea, vomiting, and sweating. Low-grade fever (a high temperature is uncommon). Signs — tenderness in the upper right quadrant, with or without Murphy's sign (...) Chest pain: What are the signs and symptoms of other causes of chest pain? Other causes | Diagnosis | Chest pain | CKS | NICE Search CKS… Menu Other causes Chest pain: What are the signs and symptoms of other causes of chest pain? Last revised in April 2020 What are the signs and symptoms of other causes of chest pain? Gastrointestinal causes of chest pain include: Acute pancreatitis History — the person may have a history of gallstones or excessive alcohol consumption. Symptoms — sudden-onset

2017 NICE Clinical Knowledge Summaries

6. Importance of Assessing Cardiorespiratory Fitness in Clinical Practice: A Case for Fitness as a Clinical Vital Sign: A Scientific Statement From the American Heart Association Full Text available with Trip Pro

Importance of Assessing Cardiorespiratory Fitness in Clinical Practice: A Case for Fitness as a Clinical Vital Sign: A Scientific Statement From the American Heart Association Importance of Assessing Cardiorespiratory Fitness in Clinical Practice: A Case for Fitness as a Clinical Vital Sign: A Scientific Statement From the American Heart Association | Circulation Search Hello Guest! Login to your account Email Password Keep me logged in Search March 2019 March 2019 March 2019 March 2019 March (...) 2019 February 2019 February 2019 February 2019 February 2019 January 2019 January 2019 January 2019 January 2019 January 2019 This site uses cookies. By continuing to browse this site you are agreeing to our use of cookies. Free Access article Share on Jump to Free Access article Importance of Assessing Cardiorespiratory Fitness in Clinical Practice: A Case for Fitness as a Clinical Vital Sign: A Scientific Statement From the American Heart Association , PhD, FAHA, Chair , PED, FAHA, Co-Chair , PhD

2016 American Heart Association

7. Henry Murphy: Resignation to Jeremy

Henry Murphy: Resignation to Jeremy Henry Murphy: Resignation to Jeremy - The BMJ ---> Another blog about the junior doctor’s contract, another march, and another strike. What is left to be said? The argument has been detailed in every way; with eloquence, with anger, with emotional outpourings, and cold hard evidence. Under our belt now are two big marches and one big strike, with the support of two choirs and one guitarist, actors, fashion designers, poet-laureates, and even Doctor Who (...) I’m blue (or should it be, red?) in the face, I’m sure I’m not the only one who is beginning to realise that contract-fatigue is kicking in. I watched the sign-up list for the latest march stall with unease; the enthusiasm is waning. On Saturday 6 February, a fraction of the original crowd gathered in the cold to listen to Dame Vivienne Westwood and Vanessa Redgrave attempting to stoke the fires of unrest (the BBC and The Guardian said “hundreds,” , the ). Twitter seemed more interested

2016 The BMJ Blog

8. Murphy Sign

Murphy Sign Murphy Sign Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Murphy Sign Murphy Sign Aka: Murphy Sign II. Indications III (...) . Technique Examiner palpates the abdominal RUQ (deep subcostal palpation) Patient takes a deep breath IV. Interpretation Positive test if the patient has increased pain or suddenly halts their inspiration due to pain (inspiratory arrest) Suggests when present V. Efficacy ral patients : 5.0 : 0.4 : 65% : 87% Older patients : 2.3 : 0.66 : 48% : 79% VI. References Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Murphy Sign." Click

2015 FP Notebook

9. Signs of current suicidality in men: A systematic review Full Text available with Trip Pro

Signs of current suicidality in men: A systematic review Signs of current suicidality in men: A systematic review ') Advertisement Publish Submissions Policies Manuscript Review and Publication Submit Your Manuscript Discover a faster, simpler path to publishing in a high-quality journal. PLOS ONE promises fair, rigorous peer review, broad scope, and wide readership – a perfect fit for your research every time. About Browse Search Search Browse Subject Areas ? Click through the PLOS taxonomy (...) to find articles in your field. For more information about PLOS Subject Areas, click . Loading metrics Open Access Peer-reviewed Research Article Signs of current suicidality in men: A systematic review * E-mail: Affiliations School of Psychology, University of Wollongong, Wollongong, Australia, Illawarra Health and Medical Research Institute, Wollongong, Australia Affiliations Illawarra Health and Medical Research Institute, Wollongong, Australia, School of Medicine, University of Wollongong

2017 PloS one

10. A Clinical Sign of Vagotonia Full Text available with Trip Pro

A Clinical Sign of Vagotonia 20785910 2011 04 04 2011 04 04 0007-1447 1 4389 1945 Feb 17 British medical journal Br Med J A Clinical Sign of Vagotonia. 222 Murphy C J CJ eng Journal Article England Br Med J 0372673 0007-1447 2010 8 27 6 0 1945 2 17 0 0 1945 2 17 0 1 ppublish 20785910 PMC2056866

1945 British medical journal

11. Canadian Platform for Trials in noninvasive brain stimulation (CanStim) consensus recommendations for repetitive transcranial magnetic stimulation in upper extremity motor stroke rehabilitation trials

Dukelow, Joyce Fung, Adam Kirton, Jed Meltzer, Zahra Moussavi, Jason Neva, Caroline Paquette, Michelle Ploughman, Sepideh Pooyania, Tarek K. Rajji, Marc Roig, Francois Tremblay, Alexander Thiel, 2021 Intended for healthcare professionals Cookies Notification This site uses cookies. By continuing to browse the site you are agreeing to our use of cookies. MENU IN THIS JOURNAL Sign In Institution Society Access Options You can be signed in via any or all of the methods shown below at the same time. My (...) Profile Sign in here to access free tools such as favourites and alerts, or to access personal subscriptions The email address and/or password entered does not match our records, please check and try again. Email (required): * Password (required): * Remember me I don't have a profile I am signed in as: With my free profile I can: Set up and register for List and Institution If you have access to journal content via a university, library or employer, sign in here Research off-campus without worrying

2021 CPG Infobase

12. Prevention and management of allergic reactions to food in child care centers and schools: practice guidelines

- laxisoccurs,epinephrineisthe?rst-linerecommendedtreatment. We found no evidence to support the preemptive use of epinephrine when signs or symptoms of anaphylaxis have not yetdeveloped.Stockepinephrinemayprovideatreatmentoption when someone experiences anaphylaxis and does not have personal epinephrine available to treat it. However, the cost- effectiveness and feasibility of stocking epinephrine varies dependingonthespeci?cjurisdictionandapproachtaken.Studies have not consistently found that site-wide (...) suspected allergic reactions. (Conditional recommendation; very low certainty of evidence.) For special circumstances, see the full guidelines. 5. We suggest that child care and school personnel do not preemptively administer epinephrine in cases when no signs or symptomsofanallergicreactionhavedeveloped,evenifastudent haseatenafoodtowhichtheyhaveaknownallergyorhistoryof anaphylaxis.(Conditionalrecommendation;verylowcertaintyof evidence.) For special circumstances, see the full guidelines. 6. When laws

2021 CPG Infobase

13. Enhancing Clinical Cancer Genetic Service Delivery in Ontario - Recommendations for a New Model of Care

However, genetic counsellors can face challenges providing services if institution-specific guidelines and policies d (e.g., a direct order or a medical directive) limit their ability to order genetic testing. 34,35 Eliminating the need for the physician lead to sign-off on every test ordered would allow for more timely delivery of care, and promote better use of physician and genetic counselling personnel. 35 Processes should be in place for genetic counsellors to facilitate timely consultation

2021 Cancer Care Ontario

14. Care of the Newborn Exposed to Substances During Pregnancy

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 CLINICAL PRESENTATION OF NEONATAL ABSTINENCE SYNDROME . . . . . . . . . . . . . . . . . . . 4 Pathophysiology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Substance Effects on Neurotransmitters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Signs and Symptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 ASSESSMENT OF THE NEWBORN EXPOSED TO SUBSTANCES (...) and excrete the remaining metabolites of substances until depleted and once depleted the absence of substances alter neurotransmitter release resulting in signs of substance withdrawal. Presentation of withdrawal signs and symptoms will depend on the type of substance and the type of neurotransmitter that is affected. TCA = Tricyclic antidepressant SSRI = Selective serotonin reuptake inhibitor SNRI = Serotonin norepinephrine reuptake inhibitor GABA = Gamma aminobutyric acid (naturally occurring amino acid

2021 British Columbia Perinatal Health Program

16. Guidelines for the Provision of Anaesthesia Services for Trauma and Orthopaedic Surgery

for many patients undergoing hip fracture and major trauma surgery, owing to delirium, dementia, altered conscious level, severe pain or the effects of sedative drugs. Patients should not be asked to sign a consent form if they do not have capacity to do so. Standard operating procedures must be compliant with the Mental Capacity Act 2005. A high level of integrity should be maintained, and good documentation is essential. , , , M Strong End of life care 9.5 Early communication with patients

2021 Royal College of Anaesthetists

18. The 2020 Canadian Cardiovascular Society/Canadian Heart Rhythm Society Comprehensive Guidelines for the Management of Atrial Fibrillation Full Text available with Trip Pro

improve survival (see sections 3 and 6). 2.3 Health care resource utilization The economic burden of AF care is substantial. A significant proportion of AF health care expenses are attributed to the direct costs associated with hospitalization and the provision of acute care. Andrade J. Khairy P. Dobrev D. Nattel S. The clinical profile and pathophysiology of atrial fibrillation: relationships among clinical features, epidemiology, and mechanisms. Circ Res. 2014; 114 : 1453-1468 , Stewart S. Murphy

2021 Canadian Cardiovascular Society

20. Guidance for maternal medicine in the evolving coronavirus (COVID-19) pandemic

with co-existing medical co- morbidities and suspected/confirmed COVID-19. These recommendations are made in addition to those that apply to non-pregnant adults with the same co-morbidities. It does not replace existing guidance produced by NICE, SIGN, the RCOG or specialist medical societies on the care of women with medical co-morbidities in pregnancy, except where suggested modifications are described which are required to support social distancing measures and respond to staffing changes during (...) and should be ‘shielded’. 2 This group of patients are extremely vulnerable to the risks of COVID-19 but still require the same amount of monitoring in pregnancy for signs of deterioration of graft function, tacrolimus /ciclosporin levels and maternal/ fetal complications. As these women should be shielded, and their numbers are small, they should attend at the start of the clinic or be seen outside of regular clinics to minimise risk of infection.19 The British Transplantation Society and the Renal

2020 Royal College of Obstetricians and Gynaecologists

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