Evidence map›Paper›PMID 40062118›Full record

ArticleCureus2025

Positive Murphy's Sign of Fitz-Hugh-Curtis Syndrome.

Kotaro Kunitomo, Yukinori Harada, Takahiro Tsuji, Taro Shimizu

Abstract readCase Reports
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Kotaro KunitomoGeneral Medicine, National Hospital Organization (NHO) Kumamoto Medical Center, Kumamoto, JPN.
Yukinori HaradaDiagnostic and Generalist Medicine, Dokkyo Medical University Hospital, Mibu, JPN.
Takahiro TsujiGeneral Medicine, National Hospital Organization (NHO) Kumamoto Medical Center, Kumamoto, JPN.
Taro ShimizuDiagnostic and Generalist Medicine, Dokkyo Medical University Hospital, Mibu, JPN.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A Japanese woman in her 30s presented to the emergency department at midnight with right upper quadrant pain that had lasted for a week. Without a definitive diagnosis, she was prescribed acetaminophen and levofloxacin and discharged. When her pain persisted the next morning, she visited her primary care physician and reported fever and right upper quadrant pain. She was referred back to the emergency department with suspected cholecystitis. The patient's vital signs were stable, including a temperature of 36.6°C. Physical examination revealed right upper abdominal tenderness and a positive Murphy's sign, but no other abdominal tenderness. Laboratory tests showed normal white blood cell count and liver enzymes and a slightly elevated C-reactive protein concentration (2.44 mg/dL). Abdominal ultrasound showed no abnormalities. Further questioning revealed a history of unprotected sex, lower abdominal pain before the right upper quadrant pain, and increased vaginal discharge. Urine polymerase chain reaction confirmed

Indexed as

availability biasbiliary diseasechlamydia trachomatisdiagnostic errorsfitz-hugh-curtis syndromemurphy's signpelvic inflammatory disease

Identifiers

PMID40062118
PMCPMC11888360

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.