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Keywords "the rational clinical examina...

"the rational clinical examination"

https://read.qxmd.com/read/23982370/does-this-patient-with-shoulder-pain-have-rotator-cuff-disease-the-rational-clinical-examination-systematic-review
#21
REVIEW
Job Hermans, Jolanda J Luime, Duncan E Meuffels, Max Reijman, David L Simel, Sita M A Bierma-Zeinstra
IMPORTANCE: Rotator cuff disease (RCD) is the most common cause of shoulder pain seen by physicians. OBJECTIVE: To perform a meta-analysis to identify the most accurate clinical examination findings for RCD. DATA SOURCES: Structured search in MEDLINE, EMBASE, and CINAHL from their inception through May 2013. STUDY SELECTION: For inclusion, a study must have met the following criteria: (1) description of history taking, physical examination, or clinical tests concerning RCD; (2) detailing of sensitivity and specificity; (3) use of a reference standard with diagnostic criteria prespecified; (4) presentation of original data, or original data could be obtained from the authors; and (5) publication in a language mastered by one of the authors (Danish, Dutch, English, French, German, Norwegian, Spanish, Swedish)...
August 28, 2013: JAMA
https://read.qxmd.com/read/23677315/do-findings-on-routine-examination-identify-patients-at-risk-for-primary-open-angle-glaucoma-the-rational-clinical-examination-systematic-review
#22
REVIEW
Hussein Hollands, Davin Johnson, Simon Hollands, David L Simel, Delan Jinapriya, Sanjay Sharma
IMPORTANCE: Glaucoma is the second leading cause of blindness worldwide, and its insidious onset is often associated with diagnostic delay. Since glaucoma progression can often be effectively diminished when treated, identifying individuals at risk for glaucoma could potentially lead to earlier detection and prevent associated vision loss. OBJECTIVE: To quantify the diagnostic accuracy of examination findings and relevant risk factors in identifying individuals with primary open-angle glaucoma (POAG), the most common form of glaucoma in North America...
May 15, 2013: JAMA
https://read.qxmd.com/read/23613077/does-this-woman-have-an-ectopic-pregnancy-the-rational-clinical-examination-systematic-review
#23
REVIEW
John R Crochet, Lori A Bastian, Monique V Chireau
IMPORTANCE: The rapid identification and accurate diagnosis of women who may have an ectopic pregnancy is critically important for reducing the maternal morbidity and mortality associated with this condition. OBJECTIVE: To systematically review the accuracy and precision of the patient history, clinical examination, readily available laboratory values, and sonography in the diagnosis of ectopic pregnancy in women with abdominal pain or vaginal bleeding during early pregnancy...
April 24, 2013: JAMA
https://read.qxmd.com/read/19074943/the-rational-clinical-examination-in-emergency-care
#24
EDITORIAL
Kevin Mackway-Jones
No abstract text is available yet for this article.
December 15, 2008: BMJ: British Medical Journal
https://read.qxmd.com/read/17032990/do-opiates-affect-the-clinical-evaluation-of-patients-with-acute-abdominal-pain
#25
REVIEW
Sumant R Ranji, L Elizabeth Goldman, David L Simel, Kaveh G Shojania
CONTEXT: Clinicians have traditionally withheld opiate analgesia from patients with acute abdominal pain until after evaluation by a surgeon, out of concern that analgesia may alter the physical findings and interfere with diagnosis. OBJECTIVE: To determine the impact of opiate analgesics on the rational clinical examination and operative decision for patients with acute abdominal pain. DATA SOURCES AND STUDY SELECTION: MEDLINE (through May 2006), EMBASE, and hand searches of article bibliographies to identify placebo-controlled randomized trials of opiate analgesia reporting changes in the history, physical examination findings, or diagnostic errors (those resulting in "management errors," defined as the performance of unnecessary surgery or failure to perform necessary surgery in a timely fashion)...
October 11, 2006: JAMA
https://read.qxmd.com/read/11585485/the-rational-clinical-examination-does-this-patient-have-a-torn-meniscus-or-ligament-of-the-knee-value-of-the-physical-examination
#26
REVIEW
D H Solomon, D L Simel, D W Bates, J N Katz, J L Schaffer
CONTEXT: While most meniscal or ligamentous knee injuries heal with nonoperative treatments, a subset should be treated with arthroscopic or open surgery. OBJECTIVE: To analyze the accuracy of the clinical examination for meniscal or ligamentous knee injuries. DATA SOURCES: MEDLINE (1966-December 31, 2000) and HealthSTAR (1975-December 31, 2000) databases were searched for English-language articles describing the diagnostic accuracy of individual examination items for the knee and a combination of physical examination items (composite examination)...
October 3, 2001: JAMA
https://read.qxmd.com/read/11466101/the-rational-clinical-examination-does-this-patient-have-clubbing
#27
REVIEW
K A Myers, D R Farquhar
CONTEXT: The association between digital clubbing and a host of diseases has been recognized since the time of Hippocrates. Although the features of advanced clubbing are familiar to most clinicians, the presence of early clubbing is often a source of debate. OBJECTIVE: To perform a systematic review of the literature for information on the precision and accuracy of clinical examination for clubbing. DATA SOURCES: The MEDLINE database from January 1966 to April 1999 was searched for English-language articles related to clubbing...
July 18, 2001: JAMA
https://read.qxmd.com/read/11368703/the-rational-clinical-examination-is-this-patient-allergic-to-penicillin-an-evidence-based-analysis-of-the-likelihood-of-penicillin-allergy
#28
REVIEW
A R Salkind, P G Cuddy, J W Foxworth
CONTEXT: Clinicians frequently withhold antibiotics that contain penicillin based on patients' self-reported clinical history of an adverse reaction to penicillin and the clinicians' own misunderstandings about the characteristics of a true penicillin allergy. OBJECTIVES: To determine the likelihood of true penicillin allergy with consideration of clinical history and to evaluate the diagnostic value added by appropriate skin testing. DATA SOURCES: MEDLINE was searched for relevant English-language articles dated 1966 to October 2000...
May 16, 2001: JAMA
https://read.qxmd.com/read/11147989/the-rational-clinical-examination-does-this-patient-have-strep-throat
#29
JOURNAL ARTICLE
M H Ebell, M A Smith, H C Barry, K Ives, M Carey
CONTEXT: Sore throat is a common complaint, and identifying patients with group A beta-hemolytic streptococcal pharyngitis (strep throat) is an important task for clinicians. Previous reviews have not systematically reviewed and synthesized the evidence. OBJECTIVE: To review the precision and accuracy of the clinical examination in diagnosing strep throat. DATA SOURCE: MEDLINE search for articles about diagnosis of strep throat using history-taking and physical examination...
December 13, 2000: JAMA
https://read.qxmd.com/read/10865306/the-rational-clinical-examination-does-this-patient-have-carpal-tunnel-syndrome
#30
REVIEW
C A D'Arcy, S McGee
CONTEXT: History taking and physical examination maneuvers, including Tinel and Phalen signs, are widely used for the diagnosis of carpal tunnel syndrome (CTS). OBJECTIVE: To systematically review the precision and accuracy of history taking and physical examination in diagnosing CTS in adults. DATA SOURCES: English-language literature was searched using MEDLINE (January 1966-February 2000) as well as bibliographies of relevant articles. STUDY SELECTION: Studies of patients presenting to clinicians with symptoms suggestive of CTS in which findings from clearly described physical examination maneuvers were independently compared with electrodiagnostic testing...
June 21, 2000: JAMA
https://read.qxmd.com/read/10517431/the-rational-clinical-examination-does-this-patient-have-breast-cancer-the-screening-clinical-breast-examination-should-it-be-done-how
#31
JOURNAL ARTICLE
M B Barton, R Harris, S W Fletcher
CONTEXT: The clinical breast examination (CBE) is widely recommended and practiced as a tool for breast cancer screening; however, its effectiveness is dependent on its precision and accuracy. OBJECTIVE: To collect evidence on the effectiveness of CBE in screening for breast cancer and information on the best technique to use. DATA SOURCES: We searched the English-language literature using the MEDLINE database (1966-1997) and manual review of all reference lists, as well as contacting investigators of several published studies for clarifications and unpublished data...
October 6, 1999: JAMA
https://read.qxmd.com/read/10411200/the-rational-clinical-examination-does-this-adult-patient-have-acute-meningitis
#32
JOURNAL ARTICLE
J Attia, R Hatala, D J Cook, J G Wong
CONTEXT: Early clinical recognition of meningitis is imperative to allow clinicians to efficiently complete further tests and initiate appropriate therapy. OBJECTIVE: To review the accuracy and precision of the clinical examination in the diagnosis of adult meningitis. DATA SOURCES: A comprehensive review of English- and French-language literature was conducted by searching MEDLINE for 1966 to July 1997, using a structured search strategy...
July 14, 1999: JAMA
https://read.qxmd.com/read/10376577/the-rational-clinical-examination-does-this-patient-have-aortic-regurgitation
#33
JOURNAL ARTICLE
N K Choudhry, E E Etchells
OBJECTIVE: To review evidence as to the precision and accuracy of clinical examination for aortic regurgitation (AR). METHODS: We conducted a structured MEDLINE search of English-language articles (January 1966-July 1997), manually reviewed all reference lists of potentially relevant articles, and contacted authors of relevant studies for additional information. Each study (n = 16) was independently reviewed by both authors and graded for methodological quality...
June 16, 1999: JAMA
https://read.qxmd.com/read/10086438/the-rational-clinical-examination-is-this-patient-hypovolemic
#34
JOURNAL ARTICLE
S McGee, W B Abernethy, D L Simel
OBJECTIVE: To review, systematically, the physical diagnosis of hypovolemia in adults. METHODS: We searched MEDLINE (January 1966-November 1997), personal files, and bibliographies of textbooks on physical diagnosis and identified 10 studies investigating postural vital signs or the capillary refill time of healthy volunteers, some of whom underwent phlebotomy of up to 1150 mL of blood, and 4 studies of patients presenting to emergency departments with suspected hypovolemia, usually due to vomiting, diarrhea, or decreased oral intake...
March 17, 1999: JAMA
https://read.qxmd.com/read/9892455/the-rational-clinical-examination-does-this-patient-have-abdominal-aortic-aneurysm
#35
JOURNAL ARTICLE
F A Lederle, D L Simel
In the physical examination of abdominal aortic aneurysm (AAA), the only maneuver of demonstrated value is abdominal palpation to detect abnormal widening of the aortic pulsation. Palpation of AAA appears to be safe and has not been reported to precipitate rupture. The best evidence on the accuracy of abdominal palpation comes from 15 studies of patients not previously known to have AAA who were screened with both abdominal palpation and ultrasound. When results from these studies are pooled, the sensitivity of abdominal palpation increases significantly with AAA diameter (P<...
January 6, 1999: JAMA
https://read.qxmd.com/read/9786377/the-rational-clinical-examination-is-this-patient-having-a-myocardial-infarction
#36
JOURNAL ARTICLE
A A Panju, B R Hemmelgarn, G H Guyatt, D L Simel
When faced with a patient with acute chest pain, clinicians must distinguish myocardial infarction (MI) from all other causes of acute chest pain. If MI is suspected, current therapeutic practice includes deciding whether to administer thrombolysis or primary percutaneous transluminal coronary angioplasty and whether to admit patients to a coronary care unit. The former decision is based on electrocardiographic (ECG) changes, including ST-segment elevation or left bundle-branch block, the latter on the likelihood of the patient's having unstable high-risk ischemia or MI without ECG changes...
October 14, 1998: JAMA
https://read.qxmd.com/read/9496989/the-rational-clinical-examination-does-this-patient-have-a-mole-or-a-melanoma
#37
JOURNAL ARTICLE
J D Whited, J M Grichnik
Lifetime risk for malignant melanoma has increased from 1 in 1500 in the United States in 1930 to 1 in 75 projected for the year 2000. Because the tumor's thickness at excision is the primary prognostic determinant, early detection through the history and physical examination can play an important role in the patient's clinical course. Two checklists have been developed as diagnostic aids, the ABCD (A indicates asymmetry; B, border irregularity; C, irregular color; and D, diameter >6 mm) and the revised 7-point checklists...
March 4, 1998: JAMA
https://read.qxmd.com/read/9450716/the-rational-clinical-examination-does-this-infant-have-pneumonia
#38
REVIEW
P Margolis, A Gadomski
Acute lower respiratory tract illness is common among children seen in primary care. We reviewed the accuracy and precision of the clinical examination in detecting pneumonia in children. Although most cases are viral, it is important to identify bacterial pneumonia to provide appropriate therapy. Studies were identified by searching MEDLINE from 1982 to 1995, reviewing reference lists, reviewing a published compendium of studies of the clinical examination, and consulting experts. Observer agreement is good for most signs on the clinical examination...
January 28, 1998: JAMA
https://read.qxmd.com/read/9100141/quantitative-assessments-from-the-clinical-examination-how-should-clinicians-integrate-the-numerous-results
#39
JOURNAL ARTICLE
D R Holleman, D L Simel
OBJECTIVE: To describe strategies for using multiple clinical examination items to estimate disease probabilities; and to evaluate the diagnostic accuracy of each strategy. DESIGN: Prospective observational study. SETTING: Medical preoperative evaluation clinic at a university-affiliated Veterans Affairs Medical Center. PATIENTS: Previously reported consecutive series of patients referred for outpatient medical preoperative risk assessment...
March 1997: Journal of General Internal Medicine
https://read.qxmd.com/read/8594245/the-rational-clinical-examination-does-this-patient-have-abnormal-central-venous-pressure
#40
JOURNAL ARTICLE
D J Cook, D L Simel
No abstract text is available yet for this article.
February 28, 1996: JAMA
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