A pejorative (also called a derogatory term ,  a slur , a term of abuse , or a term of disparagement ) is a word or grammatical form expressing a negative connotation or a low opinion of someone or something, showing a lack of respect for someone or something.  It is also used as criticism, hostility, disregard or disrespect. A term can be regarded as pejorative in some social or cultural groups but not in others. Sometimes, a term may begin as a pejorative and eventually be adopted in a non-pejorative sense (or vice versa) in some or all contexts.
DURKAN’S CARPAL COMPRESSION TEST - this relies upon direct pressure applied externally by the examiner over the carpal tunnel to increase the pressure. It can performed by pressing with the examiners thumbs ( Durkan 1991 ) or with a device designed to apply a standard amount of pressure ( Durkan 1994 ). The former method is difficult to standardise, the latter requires the instrument thus limiting its easy applicability in the ordinary clinic. Neither version has been extensively evaluated against other ways of confirming the diagnosis.