Obesidade e Covid 19
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Family Physicians’ Experiences of Physical Examination.
Annals of Family Medicine. 2019 jul; 17 (4) : 304-310. Martina Ann Kelly, Lisa Kathryn Freeman, Tim Dornan PMID: 31285207 PURPOSE: The increased availability of reliable diagnostic technologies has stimulated debate about the utility of physical examination in contemporary clinical practice. To reappraise its utility, we explored family physicians’ experiences. METHODS: Guided by principles of
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Physician Behavior and Patient Satisfaction: A Qualitative Review
Thomas L. Schwenk, MD reviewing Zulman DM et al. JAMA 2020 Jan 7 Healthcare experts evaluated physician–patient interactions and recommended five practices. Productivity demands and administrative tasks, particularly those associated with electronic medical records, often are blamed for detracting from the quality of physician–patient interactions and thereby lowering patients’ satisfaction with their healthcare. Stanford investigators attempted to identify
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Exame Físico Geral
Estão disponíveis as videoaulas sobre o exame físico geral para a semiologia 1
Exame Físico Geral Leia mais »
Review: The abilities of clinical symptoms to diagnose acute aortic dissection was assessed.
Ohle R, Kareemi HK, Wells G, et al. Clinical Examination for Acute Aortic Dissection: A Systematic Review and Meta-analysis. Acad Emerg Med. 2018 Apr;25(4):397-412. doi: 10.1111/acem.13360. Epub 2018 Jan 24. OBJECTIVES: Acute aortic dissection is a life-threatening condition due to a tear in the aortic wall. It is difficult to diagnose and if missed carries
What Happens When the History and Physical Exam Are Not Private?
Daniel J. Pallin, MD, MPH reviewing Stoklosa H et al. Emerg Med J 2018 Feb 3 Most emergency physicians reported altering the history and physical examination when they occurred in the hallway or in the presence of a patient’s companion. Although privacy is important in physician-patient interactions, there has been limited research on the effects of practicing medicine without
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Comparative Accuracy of Focused Cardiac Ultrasonography and Clinical Examination for Left Ventricular Dysfunction and Valvular Heart Disease: A Systematic Review and Meta-analysis
Marbach JA et al. Ann Intern Med 2019 Aug 6. Flint N and Siegel RJ. Ann Intern Med 2019 Aug 6 Background:Incorporating focused cardiac ultrasonography (FoCUS) into clinical examination could improve the diagnostic yield of bedside patient evaluation. Purpose:To compare the accuracy of FoCUS-assisted clinical assessment versus clinical assessment alone for diagnosing left ventricular dysfunction
Diagnosis of elevated intracranial pressure in critically ill adults: systematic review and meta-analysis.
Fernando SM, et al. BMJ. 2019. OBJECTIVES: To summarise and compare the accuracy of physical examination, computed tomography (CT), sonography of the optic nerve sheath diameter (ONSD), and transcranial Doppler pulsatility index (TCD-PI) for the diagnosis of elevated intracranial pressure (ICP) in critically ill patients. DESIGN: Systematic review and meta-analysis.DATA SOURCES: Six databases, including Medline,
Necrotizing Soft Tissue Infection: Diagnostic Accuracy of Physical Examination, Imaging, and LRINEC Score: A Systematic Review and Meta-Analysis.
Fernando SM, et al. Ann Surg. 2019. Abstract OBJECTIVE: We sought to summarize accuracy of physical examination, imaging, and Laboratory Risk Indicator for Necrotizing Fasciitis (LRINEC) score in diagnosis of necrotizing soft tissue infection (NSTI) in adults with a soft tissue infection clinically concerning for NSTI. SUMMARY OF BACKGROUND DATA: NSTI is a life-threatening diagnosis.
A Prospective Evaluation of the Diagnostic Accuracy of the Physical Examination for Pulmonary Hypertension.
Chest. 2019 mai; 155 (5) : 982-990. BACKGROUND: The usefulness of physical examination findings for pulmonary hypertension (PH) is not well established. The purpose of this study was to evaluate prospectively the diagnostic performance of the physical examination for detecting PH. METHODS: Consecutive patients undergoing right-sided heart catheterization (n = 116) were examined by an attending