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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 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

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 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

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. 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

8. John Benjamin Murphy Full Text available with Trip Pro

, 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

2012 Wikipedia

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

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

13. 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 Public Health England - Evidence Briefings

14. Asthma: School-Based Self-Management Interventions for Children and Adolescents with Asthma

Interventions may also provide instruction on the following: Monitoring asthma signs and symptoms Stress management Implementing an asthma action plan Interventions may be delivered to students with asthma in group or individual sessions. Trained facilitators may include nurses, teachers, health educators, or peers, and sessions may be provided at school during or outside of regular school hours. Self-management interventions may be combined with additional asthma control activities directed at school staff (...) adolescents with asthma. A controlled trial. American Journal of Respiratory and Critical Care Medicine 2011;183(8):998–1006. Cicutto L, Murphy S, Coutts D, O’Rourke J, Lang G, Chapman C, et al. Breaking the access barrier: evaluating an asthma center’s efforts to provide education to children with asthma in schools. Chest 2005;128(4):1928–35. Cicutto L, To T, Murphy S. A randomized controlled trial of a public health nurse-delivered asthma program to elementary schools. Journal of School Health 2013;83

2020 Community Preventive Services Task Force

15. Rapid Expert Consultation on Data Elements and Systems Design for Modeling and Decision Making for the COVID-19 Pandemic

information to feed into models to forecast disease rates and subsequent clinical and logistic needs and the effectiveness of mitigation plans. All three contribute to the public health, clinical and logistic response to an epidemic. Useful community patient data precede specific diagnoses of a COVID-19 infection. Available systems illustrate the richness of current data gathering and the opportunity for integration and inter-operability. At a syndromic level (symptoms and signs prior to a final diagnosis (...) Information Network,3 the Patient-Centered Outcomes Research Institute’s Clinical Data Research Network4 and the Observational Health Data Sciences and Informatics’ 2 For additional information on NSSP please see https://www.cdc.gov/nssp/images/nsspinfo/Final_NSSP- Infographic.pdf 3 McMurry AJ, Murphy SN, MacFadden D, Weber G, Simons WW, et al. (2013) SHRINE: Enabling Nationally Scalable Multi-Site Disease Studies. PLoS One 8(3): e55811. Doi:10.1371/journal.pone.0055811 4 https://www.pcori.org

2020 Covid-19 Ad hoc papers

16. 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

17. Assisted Vaginal Birth

Assisted Vaginal Birth Assisted Vaginal Birth - Murphy - - BJOG: An International Journal of Obstetrics & Gynaecology - Wiley Online Library COVID-19 campus closures: see options for to subscribed content. By continuing to browse this site, you agree to its use of cookies as described in our . Search within Search term Search term Search term RCOG Green‐top Guidelines Free Access Assisted Vaginal Birth Green‐top Guideline No. 26 on behalf of Corresponding Author E-mail address (...) there is any uncertainty about successful assisted vaginal birth, an experienced operator should assess the patient to ensure that the correct decision has been made to attempt assisted vaginal birth and that this is being conducted with the most appropriate instrument in the most appropriate setting. For a trial of assisted vaginal birth in theatre, an experienced operator should attend in person or should be immediately available if the trainee on duty has not been assessed and signed‐off as competent

2020 Royal College of Obstetricians and Gynaecologists

18. Interventions for anxiety in mainstream school-aged children with autism spectrum disorder (ASD) Full Text available with Trip Pro

, adapting activities, and worksheets to the specific strengths and weaknesses of the clients or incorporating clients’ special interests into treatment where appropriate (NICE, ). 3.5 Why it is important to do the review Since children spend a significant portion of their day at school, teachers and clinicians working in the education sector have significant responsibility for recognizing signs of ASD and anxiety, and in implementing interventions and supports that are evidence‐based and tailored (...) ) IT v WL/TAU ADIS‐C CBT: Exploring Feelings, inclusion of additional introductory session Group Yes Face to face 6 months and 9 months WLC: 100.7 (12.0) SCAS‐P SCAS‐C McNally Keehn, Lincoln, Brown, and Chavira ( ) 22 (21, 1) 8–14 years (11.3, 1.5) Yes, ADIS Yes, WASI (FIQ ≥ 70) IT: 108.42 (17.7) IT v WLC/TAU ADIS‐P CBT: Coping Cat, with modifications for ASD Group Yes Face to face 2 months WLC: 110.40 (17.39) SCAS‐P SCAS‐C Murphy et al. ( ) 36 (22, 14) 12–18 years (15.3, 1.8) Yes, ADIS No, required

2020 Campbell Collaboration

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