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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. Indirect Fist Percussion of the Liver Is a More Sensitive Technique for Detecting Hepatobiliary Infections than Murphy's Sign (PubMed)

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

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2015 Current gerontology and geriatrics research

3. 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

4. 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

5. 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 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

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2016 American Heart Association

6. 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

7. The impact of analgesia on the diagnostic accuracy of the sonographic Murphy's sign. (PubMed)

The impact of analgesia on the diagnostic accuracy of the sonographic Murphy's sign. Administering analgesia to patients with abdominal pain before diagnostic imaging is now accepted as standard practice. However, analgesia before diagnostic right upper quadrant ultrasound continues to be controversial for fear of masking the sonographic Murphy's sign (SMS). This study sought to evaluate the impact of analgesia on the accuracy of the SMS in predicting cholecystitis. We hypothesized (...) shows that analgesia does not significantly change the assessment of SMS when performed by an EP sonographer. It also suggests that EP-performed ultrasound may be more accurate in assessing this predictive sign of cholecystitis.

2010 European journal of emergency medicine : official journal of the European Society for Emergency Medicine Controlled trial quality: uncertain

8. A Clinical Sign of Vagotonia (PubMed)

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

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1945 British medical journal

9. John Benjamin Murphy

, born John Murphy (December 21, 1857 in – August 11, 1916 ), was an American and noted for advocating early surgical intervention in appendicitis , and several : Murphy’s button, , , , and . He is best remembered for the eponymous clinical sign that is used in evaluating patients with acute . His career spanned general surgery, , , and , which helped him to gain international prominence in the surgical profession. co-founder called him "the surgical genius of our generation". Over the course of his (...) with skepticism after his first presentation of appendectomy, he gathered evidence from 250 cases and presented his opinions again as an authority on the subject. A number of procedures and devices were named after Murphy, including Murphy’s button (a mechanical device used for intestinal ), (a punch tenderness at the costo-vertebral angle in cases of perinephric ), (a sign of inflammation of the ), Murphy’s test (a test for deep-seated tenderness and muscular rigidity in cases of perinephric abscess

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2012 Wikipedia

11. What research has been done to understand substance misuse within the UK student population, and what interventions have been introduced as a result?

interventions on frequency of drug use was uncertain due to the limited number of trials found. Also, only four of the trials were conducted on UK students. The University of Buckingham’s vice chancellor, Sir Anthony Seldon, announced that the university was set to become the first in the UK to ask students to sign a contract promising not to take drugs on university property (21). Policy responses that focus solely on disciplining students fail to recognise the complex reasons that lead people to use drugs (...) /09687637.2016.1257564?needAccess=true]. 32. Brown R, Murphy S 2019. Contrasting staff and student views on alcohol education provision in a UK university. Drugs: Education, Prevention and Policy 26(3) 229-37. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6474724/pdf/idep-26-1475548.pdf]. 33. Cooke R, Beccaria F, Demant J, Fernandes-Jesus M, Fleig L, Negreiros J, et al. 2019. Patterns of alcohol consumption and alcohol-related harm among European university students. Eur J Public Health 11 11. [https://dx.doi.org

2020 Publication 4890972

13. British guideline on the management of asthma

; 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 (...) that these equality aims are addressed in every guideline. This methodology is set out in the current version of SIGN 50, our guideline manual, which can be found at www.sign.ac.uk/sign-50.html. The EQIA assessment of the manual can be seen at www.sign.ac.uk/assets/sign50eqia.pdf. The full report in paper form and/or alternative format is available on request from the Healthcare Improvement Scotland Equality and Diversity Officer. Every care is taken to ensure that this publication is correct in every detail

2019 SIGN

14. Children and young people exposed prenatally to alcohol

, gender, race, religion/belief and sexual orientation. SIGN guidelines are produced using a standard methodology that has been equality impact assessed to ensure that these equality aims are addressed in every guideline. This methodology is set out in the current version of SIGN 50, our guideline manual, which can be found at www.sign.ac.uk/sign-50.html. The EQIA assessment of the manual can be seen at www.sign.ac.uk/assets/sign50eqia.pdf. The full report in paper form and/or alternative format (...) to produce clinical guidelines. The accreditation term is valid until 31 March 2020 and is applicable to guidance produced using the processes described in SIGN 50: a guideline developer’s handbook, 2015 edition (www.sign.ac.uk/assets/sign50_2015.pdf). More information on accreditation can be viewed at www.nice.org.uk/accreditationScottish Intercollegiate Guidelines Network Gyle Square, 1 South Gyle Crescent Edinburgh EH12 9EB www.sign.ac.uk First published January 2019 ISBN 978-1-909103-67-2 Citation

2019 SIGN

16. Safeguarding in general dental practice

Health and Jasmine Murphy, Consultant in Dental Public Health For queries relating to this document, please contact: colum.durkan@phe.gov.uk or jasmine.murphy@phe.gov.uk © Crown copyright 2019 You may re-use this information (excluding logos) free of charge in any format or medium, under the terms of the Open Government Licence v3.0. To view this licence, visit OGL. Where we have identified any third party copyright information you will need to obtain permission from the copyright holders concerned (...) and that they have the maturity and ability to fully understand the information given and what they are consenting to. A person is unable to decide for themselves if they are unable to: Understand the information relevant to the decision Retain that information Use or evaluate that information as part of the process of making the decision Communicate their decision verbally, by sign lanuage or another meansSafeguarding in general dental practice: a toolkit for dental teams 15 There is a legal duty to refer

2019 Public Health England

17. Sexualized drug use (chemsex and methamphetamine) and men who have sex with men

about the new Gay Village crisis: Meth. 2018. Available from: Accessed April 17, 2019. Murphy T. Gay black men confront crystal meth. 2017. Available from: Accessed April 17, 2019. Bradshaw P. ‘Chemsex’ review — Scary but valuable documentary. 2015. Available from: Accessed April 17, 2019. Llewelyn I. Among Angels at the Courtyard Theatre — ‘The Chemsex play that gazes heavenwards’. 2019. Available from: Accessed April 17, 2019. Hochstrasser T. Review — 5 Guys Chillin’. 2017. Available from

2019 Ontario HIV Treatment Network

18. Recommendations for good practice in Ultrasound: Oocyte retrieval

Case report Clinical signs/symptoms (day of OPU) Clinical signs/symptoms (post-OPU) Clinical signs/symptoms (during pregnancy) Management Bleeding Intra-abdominal bleeding (Mashiach et al., 2013) None OPU + 2 days: - Severe abdominal and shoulder pain - Abdominal bloating Tenesmus. Exploratory laparoscopy - The vessel was successfully coagulated. None OPU + 3 days: - Lower abdominal pain - Dyspnea with stable Hb concentration (10.43–10.95 g/dL). OPU + 4 days: - Pale and tachycardiac, with a drop

2019 European Society of Human Reproduction and Embryology

19. Prenatal Management of Pregnancies at Risk of Fetal Neonatal Alloimmune Thrombocytopenia (FNAIT)

. Blood 1986 ; 68 : 488 – 92 . 15 Wu, GG , Kaplan, C , Curtis, BR , Pearson, HA . Report on the 14th International Society of Blood Transfusion Platelet Immunology Workshop . Vox Sang 2010 ; 99 : 375 – 81 . 16 Davoren, A , McParland, P , Barnes, CA , Murphy, WG . Neonatal alloimmune thrombocytopenia in the Irish population: a discrepancy between observed and expected cases . J Clin Pathol 2002 ; 55 : 289 – 92 . 17 Kamphuis, MM , Paridaans, N , Porcelijn, L , De Haas, M , van der Schoot, SC , Brand (...) to intravenous γ ‐globulin . Am J Obstet Gynecol 1996 ; 174 : 1414 – 23 . 24 Bussel, JB , Zabusky, ME , Berkowitz, RL , McFarland, JG . Fetal alloimmune thrombocytopenia . N Engl J Med 1997 ; 337 : 22 – 6 . 25 Kroll, H , Kiefel, V , Giers, G , Bald, R , Hoch, J , Hanfland, P , et al. Maternal intravenous immunoglobulin treatment does not prevent intracranial haemorrhage in fetal alloimmune thrombocytopenia . Transfus Med 1994 ; 4 : 293 – 6 . 26 Murphy, MF , Waters, AH , Doughty, HA , Hambley, H , Mibashan

2019 Royal College of Obstetricians and Gynaecologists

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