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 […]
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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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
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,
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.
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
Annals of Family Medicine. 2019 jul; 17 (4) : 304-310.Family Physicians’ Experiences of Physical Examination.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:
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