Prospective evaluation of the sonographic murphy sign in suspected acute cholecystitis
The sonographic Murphy sign, the presence of maximal tenderness elicited over a sonographically localized gallbladder, has been considered useful in the evaluation of patients with suspected acute cholecystitis. We prospectively evaluated this sign in 427 consecutive patients referred for evaluation...
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| Veröffentlicht in: | Journal of clinical ultrasound 1982-03, Vol.10 (3), p.113-115 |
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| container_title | Journal of clinical ultrasound |
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| creator | Ralls, Philip W. Halls, James Lapin, Stewart A. Quinn, Michael F. Morris, Una L. Boswell, William |
| description | The sonographic Murphy sign, the presence of maximal tenderness elicited over a sonographically localized gallbladder, has been considered useful in the evaluation of patients with suspected acute cholecystitis. We prospectively evaluated this sign in 427 consecutive patients referred for evaluation of acute cholecystitis. The overall accuracy of the sonographic Murphy sign in the 219 patients with sufficient confirmation to be included in the statistical analysis was 87.2%. Sensitivity was 63% and specificity was 93.6%. The predictive value of a positive sign was 72.5%, while the predictive value of a negative sign was 90.5%. The sonographic Murphy sign is a useful, albeit imperfect, adjunct in the assessment of patients with suspected acute cholecystitis. |
| doi_str_mv | 10.1002/jcu.1870100305 |
| format | Article |
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We prospectively evaluated this sign in 427 consecutive patients referred for evaluation of acute cholecystitis. The overall accuracy of the sonographic Murphy sign in the 219 patients with sufficient confirmation to be included in the statistical analysis was 87.2%. Sensitivity was 63% and specificity was 93.6%. The predictive value of a positive sign was 72.5%, while the predictive value of a negative sign was 90.5%. The sonographic Murphy sign is a useful, albeit imperfect, adjunct in the assessment of patients with suspected acute cholecystitis.</description><identifier>ISSN: 0091-2751</identifier><identifier>EISSN: 1097-0096</identifier><identifier>DOI: 10.1002/jcu.1870100305</identifier><identifier>PMID: 6804512</identifier><language>eng</language><publisher>New York: Wiley Subscription Services, Inc., A Wiley Company</publisher><subject>Acute cholecystitis ; Acute Disease ; Cholecystitis - diagnosis ; Gallbladder ; Humans ; Prospective Studies ; Sonography ; Ultrasonography</subject><ispartof>Journal of clinical ultrasound, 1982-03, Vol.10 (3), p.113-115</ispartof><rights>Copyright © 1982 Wiley Periodicals, Inc., A Wiley Company</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4445-7203765a91c8a5b4306376fbfbb56f7267a28fbc22d74599ae7b1e1c31e6f333</citedby><cites>FETCH-LOGICAL-c4445-7203765a91c8a5b4306376fbfbb56f7267a28fbc22d74599ae7b1e1c31e6f333</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fjcu.1870100305$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fjcu.1870100305$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/6804512$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ralls, Philip W.</creatorcontrib><creatorcontrib>Halls, James</creatorcontrib><creatorcontrib>Lapin, Stewart A.</creatorcontrib><creatorcontrib>Quinn, Michael F.</creatorcontrib><creatorcontrib>Morris, Una L.</creatorcontrib><creatorcontrib>Boswell, William</creatorcontrib><title>Prospective evaluation of the sonographic murphy sign in suspected acute cholecystitis</title><title>Journal of clinical ultrasound</title><addtitle>J. Clin. Ultrasound</addtitle><description>The sonographic Murphy sign, the presence of maximal tenderness elicited over a sonographically localized gallbladder, has been considered useful in the evaluation of patients with suspected acute cholecystitis. We prospectively evaluated this sign in 427 consecutive patients referred for evaluation of acute cholecystitis. The overall accuracy of the sonographic Murphy sign in the 219 patients with sufficient confirmation to be included in the statistical analysis was 87.2%. Sensitivity was 63% and specificity was 93.6%. The predictive value of a positive sign was 72.5%, while the predictive value of a negative sign was 90.5%. The sonographic Murphy sign is a useful, albeit imperfect, adjunct in the assessment of patients with suspected acute cholecystitis.</description><subject>Acute cholecystitis</subject><subject>Acute Disease</subject><subject>Cholecystitis - diagnosis</subject><subject>Gallbladder</subject><subject>Humans</subject><subject>Prospective Studies</subject><subject>Sonography</subject><subject>Ultrasonography</subject><issn>0091-2751</issn><issn>1097-0096</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1982</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkDlv20AQhRdGAkU-WncGtkpHefYmS0OILyhH4atbLFdDaR2KpLmkEv1705YgI1WqwcM7gPkIOWUwYQD8_Nn3E5YaGIQAdUDGDDKTAGT6ExkPhyXcKPaFHMb4DABaKTUiI52CVIyPycOvto4N-i6skeLalb3rQl3RuqDdEmmsq3rRumYZPF31bbPc0BgWFQ0Vjf17D-fU-b5D6pd1iX4Tu9CFeEw-F66MeLK7R-Tu8tvd9DqZ_by6mV7MEi-lVInhIIxWLmM-dSqXAvSgi7zIc6ULw7VxPC1yz_ncSJVlDk3OkHnBUBdCiCPydTvbtPVLj7GzqxA9lqWrsO6jNRIk6FQOwck26Id3Y4uFbdqwcu3GMrBvHO3A0X5wHApnu-U-X-F8H9-BG_xs6_8JJW7-s2Zvp_f_bCfbbogd_t13XfvbaiOMso8_rizXj7ffn2apBfEKBKaOyQ</recordid><startdate>198203</startdate><enddate>198203</enddate><creator>Ralls, Philip W.</creator><creator>Halls, James</creator><creator>Lapin, Stewart A.</creator><creator>Quinn, Michael F.</creator><creator>Morris, Una L.</creator><creator>Boswell, William</creator><general>Wiley Subscription Services, Inc., A Wiley Company</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>198203</creationdate><title>Prospective evaluation of the sonographic murphy sign in suspected acute cholecystitis</title><author>Ralls, Philip W. ; Halls, James ; Lapin, Stewart A. ; Quinn, Michael F. ; Morris, Una L. ; Boswell, William</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4445-7203765a91c8a5b4306376fbfbb56f7267a28fbc22d74599ae7b1e1c31e6f333</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1982</creationdate><topic>Acute cholecystitis</topic><topic>Acute Disease</topic><topic>Cholecystitis - diagnosis</topic><topic>Gallbladder</topic><topic>Humans</topic><topic>Prospective Studies</topic><topic>Sonography</topic><topic>Ultrasonography</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ralls, Philip W.</creatorcontrib><creatorcontrib>Halls, James</creatorcontrib><creatorcontrib>Lapin, Stewart A.</creatorcontrib><creatorcontrib>Quinn, Michael F.</creatorcontrib><creatorcontrib>Morris, Una L.</creatorcontrib><creatorcontrib>Boswell, William</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of clinical ultrasound</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ralls, Philip W.</au><au>Halls, James</au><au>Lapin, Stewart A.</au><au>Quinn, Michael F.</au><au>Morris, Una L.</au><au>Boswell, William</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prospective evaluation of the sonographic murphy sign in suspected acute cholecystitis</atitle><jtitle>Journal of clinical ultrasound</jtitle><addtitle>J. Clin. Ultrasound</addtitle><date>1982-03</date><risdate>1982</risdate><volume>10</volume><issue>3</issue><spage>113</spage><epage>115</epage><pages>113-115</pages><issn>0091-2751</issn><eissn>1097-0096</eissn><abstract>The sonographic Murphy sign, the presence of maximal tenderness elicited over a sonographically localized gallbladder, has been considered useful in the evaluation of patients with suspected acute cholecystitis. We prospectively evaluated this sign in 427 consecutive patients referred for evaluation of acute cholecystitis. The overall accuracy of the sonographic Murphy sign in the 219 patients with sufficient confirmation to be included in the statistical analysis was 87.2%. Sensitivity was 63% and specificity was 93.6%. The predictive value of a positive sign was 72.5%, while the predictive value of a negative sign was 90.5%. The sonographic Murphy sign is a useful, albeit imperfect, adjunct in the assessment of patients with suspected acute cholecystitis.</abstract><cop>New York</cop><pub>Wiley Subscription Services, Inc., A Wiley Company</pub><pmid>6804512</pmid><doi>10.1002/jcu.1870100305</doi><tpages>3</tpages></addata></record> |
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| language | eng |
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| source | MEDLINE; Wiley Blackwell Single Titles |
| subjects | Acute cholecystitis Acute Disease Cholecystitis - diagnosis Gallbladder Humans Prospective Studies Sonography Ultrasonography |
| title | Prospective evaluation of the sonographic murphy sign in suspected acute cholecystitis |
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