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Massouh's Sign
Massouh's sign is a clinical sign for acute localised appendicitis, named after General Surgeon Farouk Massouh from Frimley Park Hospital in Frimley (Surrey, the United Kingdom). The sign describes a firm swish of the examiner’s index and middle finger across the patient’s abdomen from xiphoid sternum to first the left and then the right iliac fossa. A positive Massouh sign is a grimace of the patient upon a right sided (and not left) sweep. The explanation for the reliability of this diagnostic tool is based on the fact that appendicitis in the initial stage usually causes localised irritation of the peritoneum. The well innervated peritoneum is very sensitive to pain and therefore sensitive to jouncing movements. Similarly this is the explanation for other signs of localised peritonitis such as Murphy's sign, Rovsing's sign or psoas sign The psoas sign, also known as Cope's sign (or Cope's psoas test) or Obraztsova's sign, is a medical sign that indicates irritation to th ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Appendicitis
Appendicitis is inflammation of the Appendix (anatomy), appendix. Symptoms commonly include right lower abdominal pain, nausea, vomiting, fever and anorexia (symptom), decreased appetite. However, approximately 40% of people do not have these typical symptoms. Severe complications of a ruptured appendix include widespread, agonising and awful peritonitis, inflammation of the inner lining of the abdominal wall and sepsis. Appendicitis is primarily caused by a blockage of the Lumen (anatomy), hollow portion in the appendix. This blockage typically results from a Fecalith, faecolith, a calcified "stone" made of feces. Some studies show a correlation between appendicoliths and disease severity. Other factors such as inflamed Mucosa-associated lymphoid tissue, lymphoid tissue from a viral infection, Human parasite, intestinal parasites, gallstone, or Neoplasm, tumors may also lead to this blockage. When the appendix becomes blocked, it experiences increased pressure, reduced blood f ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Frimley Park Hospital
Frimley Park Hospital is a large general hospital in Frimley, Surrey. It is managed by Frimley Health NHS Foundation Trust, and houses a private wing. History Frimley Park Hospital was opened to provide a full range of acute services to patients North East Hampshire and West Surrey in 1974. After Cambridge Military Hospital in Aldershot closed in 1996, the hospital was selected by the Ministry of Defence to host one of the Ministry of Defence Hospital Units. The hospital was built with reinforced autoclaved aerated concrete beams which were the subject of a safety alert in 2019. In 2022 it was announced that operating theatres would be taken out of use to allow for urgent work on their roofs. This would reduce the capacity for operations by around 2,000. Emergency work would also affect its ability to admit elective patients to beds. The reinforcement works, which are temporary, would cost £8.1 million in 2022-23, and around £10 million in subsequent years. On 25 May 2 ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Frimley
Frimley is a town in the Borough of Surrey Heath, in Surrey, England. It lies approximately south-west of central London. The town is of Anglo-Saxon settlement of Britain, Saxon origin, although it is not listed in Domesday Book of 1086. History The name ''Frimley'' is derived from the Anglo-Saxons, Saxon name ''Fremma's Lea'', which means "Fremma's clearing". The land was owned by Chertsey Abbey from 673 to 1537 and was a farming village. More recently, it was a coach stop on a road between London and Portsmouth and Southampton for about four hundred years. Frimley was not listed in Domesday Book of 1086, but is shown on the map as ''Fremely'', its spelling in 933 AD. Frimley Lunatic Asylum was opened in 1799; it catered for both male and female patients, and received four patients from Great Fosters, Egham. Magistrates visited in 1807 and ordered the proprietors to stop chaining the patients. An 1811 inventory from Frimley Workhouse can be seen on the Surrey County Co ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Surrey
Surrey () is a Ceremonial counties of England, ceremonial county in South East England. It is bordered by Greater London to the northeast, Kent to the east, East Sussex, East and West Sussex to the south, and Hampshire and Berkshire to the west. The largest settlement is Woking. The county has an area of and a population of 1,214,540. Much of the north of the county forms part of the Greater London Built-up Area, which includes the Suburb, suburbs within the M25 motorway as well as Woking (103,900), Guildford (77,057), and Leatherhead (32,522). The west of the county contains part of Farnborough/Aldershot built-up area, built-up area which includes Camberley, Farnham, and Frimley and which extends into Hampshire and Berkshire. The south of the county is rural, and its largest settlements are Horley (22,693) and Godalming (22,689). For Local government in England, local government purposes Surrey is a non-metropolitan county with eleven districts. The county historically includ ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Peritoneum
The peritoneum is the serous membrane forming the lining of the abdominal cavity or coelom in amniotes and some invertebrates, such as annelids. It covers most of the intra-abdominal (or coelomic) organs, and is composed of a layer of mesothelium supported by a thin layer of connective tissue. This peritoneal lining of the cavity supports many of the abdomen#Contents, abdominal organs and serves as a conduit for their blood vessels, lymphatic vessels, and nerves. The abdominal cavity (the space bounded by the vertebrae, abdominal muscles, Thoracic diaphragm, diaphragm, and pelvic floor) is different from the intraperitoneal space (located within the abdominal cavity but wrapped in peritoneum). The structures within the intraperitoneal space are called "intraperitoneal" (e.g., the stomach and intestines), the structures in the abdominal cavity that are located behind the intraperitoneal space are called "retroperitoneal" (e.g., the kidneys), and those structures below the intrape ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Murphy's Sign
In medicine, Murphy's sign (also known as Sweeney’s sign) is a maneuver during a physical examination as part of the abdominal examination. It is useful for differentiating pain in the right upper quadrant. Typically, it is positive in cholecystitis, but negative in choledocholithiasis, pyelonephritis, and ascending cholangitis. During physical examination Classically, Murphy's sign is tested for during an abdominal examination in supine position; it is performed by asking the patient to breathe out and then gently placing the hand below the costal margin on the right side at the mid- clavicular line (the approximate location of the gallbladder). The patient is then instructed to breathe in. Normally, during inspiration, the abdominal contents are pushed downward as the diaphragm moves down (and lungs expand). If the patient stops breathing in (as the gallbladder is tender and, in moving downward, comes in contact with the examiner's fingers) and winces with a "catch" in br ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Rovsing's Sign
Rovsing's sign, named after the Danish surgeon Niels Thorkild Rovsing (1862–1927), is a sign of appendicitis. If palpation of the left lower quadrant of a person's abdomen increases the pain felt in the right lower quadrant, the patient is said to have a positive Rovsing's sign and may have appendicitis. The phenomenon was first described by Swedish surgeon Emil Samuel Perman (1856–1945) writing in the journal ''Hygiea'' in 1904. In acute appendicitis, palpation in the left iliac fossa may produce pain in the right iliac fossa. Referral of pain This anomaly occurs because the pain nerves deep in the intestines do not localize well to an exact spot on the abdominal wall, unlike pain nerves in muscles. Pain from a stomach ulcer or gallstone can be interpreted by the brain as pain from the stomach, liver, gall bladder, duodenum, or first part of the small intestine. It will "refer" pain often to the mid upper abdomen, the epigastrum. Because the appendix is a piece of ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Psoas Sign
The psoas sign, also known as Cope's sign (or Cope's psoas test) or Obraztsova's sign, is a medical sign that indicates irritation to the iliopsoas group of hip flexors in the abdomen, and consequently indicates that the inflamed appendix is retrocaecal in orientation (as the iliopsoas muscle is retroperitoneal). There are two techniques for detecting the psoas sign. One method is to have the patient lie in the supine position and lift their leg straight up while the physician places pressure on the patient's thigh. The second method is carried out by having the patient lie on his/her left side with the knees extended. The examiner holds the patient's right thigh and passively extends the hip. Alternatively, the patient lies on their back, and the examiner asks the patient to actively flex the right hip against the examiner's hand. If abdominal pain results, it is a "positive psoas sign". The pain results because the psoas borders the peritoneal cavity, so stretching (by hyperex ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Diseases Of Appendix
A disease is a particular abnormal condition that adversely affects the structure or function of all or part of an organism and is not immediately due to any external injury. Diseases are often known to be medical conditions that are associated with specific signs and symptoms. A disease may be caused by external factors such as pathogens or by internal dysfunctions. For example, internal dysfunctions of the immune system can produce a variety of different diseases, including various forms of immunodeficiency, hypersensitivity, allergies, and autoimmune disorders. In humans, ''disease'' is often used more broadly to refer to any condition that causes pain, dysfunction, distress, social problems, or death to the person affected, or similar problems for those in contact with the person. In this broader sense, it sometimes includes injuries, disabilities, disorders, syndromes, infections, isolated symptoms, deviant behaviors, and atypical variations of structure and f ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Symptoms And Signs: Digestive System And Abdomen
Signs and symptoms are diagnostic indications of an illness, injury, or condition. Signs are objective and externally observable; symptoms are a person's reported subjective experiences. A sign for example may be a higher or lower temperature than normal, raised or lowered blood pressure or an abnormality showing on a medical scan. A symptom is something out of the ordinary that is experienced by an individual such as feeling feverish, a headache or other pains in the body, which occur as the body's immune system fights off an infection. Signs and symptoms Signs A medical sign is an objective observable indication of a disease, injury, or medical condition that may be detected during a physical examination. These signs may be visible, such as a rash or bruise, or otherwise detectable such as by using a stethoscope or taking blood pressure. Medical signs, along with symptoms, help in forming a diagnosis. Some examples of signs are nail clubbing of either the fingernails or toe ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
