In the second case, pyelonephritis was suspected when renal sonopalpation was performed, but the patient's tenderness to standard examination techniques did not localize to the usual costovertebral angle area alone.
Establishing the diagnosis in part by eliciting costovertebral angle tenderness is a standard physical examination maneuver, first described in 1884 by American surgeon Murphy [1].
What the records are clear on is that Muhammad and Aisha had a loving and egalitarian relationship, which set the standard for reciprocity, tenderness and respect enjoined by the Qur'an.
Bottom: Mean values and standard errors of pericranial tenderness scores in primary headache groups.
Healthy control subjects had no symptoms or signs of joint disease including pain, swelling, tenderness, or restriction of movement, and standard X-rays of the knee joints confirmed no signs of OA.
Healthy control subjects had no signs or symptoms of joint disease (pain, swelling, tenderness, or restriction of movement) and standard x-rays of the knee joints confirmed an absence of OA.
Some published work suggests that pelvic tenderness, a fixed retroverted uterus, tender uterosacral ligaments or enlarged ovaries identified during a standard pelvic exam are suggestive of endometriosis [ 3, 18, 32].
After Stef Penney topped the first book category in the 2006 Costa with The Tenderness of Wolves, Tremain told the Evening Standard that she "eventually gave up on Penney's slushy, meandering narrative".
Currently, standard diagnosis relies on clinical symptoms such as tenderness, stiffness, swelling and pain.
A second analysis using standard multiple regression was conducted to determine how tenderness and pain, uniquely and together, predicted total pain site scores in the FM and RA/SLE groups separately.
