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https://www.readbyqxmd.com/read/27115266/does-this-patient-have-infectious-mononucleosis-the-rational-clinical-examination-systematic-review
#1
REVIEW
Mark H Ebell, Marlene Call, JoAnna Shinholser, Jack Gardner
IMPORTANCE: Early, accurate diagnosis of infectious mononucleosis can help clinicians target treatment, avoid antibiotics, and provide an accurate prognosis. OBJECTIVE: To systematically review the literature regarding the value of the clinical examination and white blood cell count for the diagnosis of mononucleosis. DATA SOURCES: The databases of PubMed (from 1966-2016) and EMBASE (from 1947-2015) were searched and a total of 670 articles and abstracts were reviewed for eligibility...
April 12, 2016: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/26717031/will-neuroimaging-reveal-a-severe-intracranial-injury-in-this-adult-with-minor-head-trauma-the-rational-clinical-examination-systematic-review
#2
REVIEW
Joshua S Easter, Jason S Haukoos, William P Meehan, Victor Novack, Jonathan A Edlow
IMPORTANCE: Adults with apparently minor head trauma (Glasgow Coma Scale [GCS] scores ā‰„13 who appear well on examination) may have severe intracranial injuries requiring prompt intervention. Findings from clinical examination can aid in determining which adults with minor trauma have severe intracranial injuries visible on computed tomography (CT). OBJECTIVE: To assess systematically the accuracy of symptoms and signs in adults with minor head trauma in order to identify those with severe intracranial injuries...
December 22, 2015: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/26547467/does-this-patient-with-chest-pain-have-acute-coronary-syndrome-the-rational-clinical-examination-systematic-review
#3
REVIEW
Alexander C Fanaroff, Jennifer A Rymer, Sarah A Goldstein, David L Simel, L Kristin Newby
IMPORTANCE: About 10% of patients with acute chest pain are ultimately diagnosed with acute coronary syndrome (ACS). Early, accurate estimation of the probability of ACS in these patients using the clinical examination could prevent many hospital admissions among low-risk patients and ensure that high-risk patients are promptly treated. OBJECTIVE: To review systematically the accuracy of the initial history, physical examination, electrocardiogram, and risk scores incorporating these elements with the first cardiac-specific troponin...
November 10, 2015: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/26241601/does-this-patient-have-posttraumatic-stress-disorder-rational-clinical-examination-systematic-review
#4
REVIEW
Michele R Spoont, John W Williams, Shannon Kehle-Forbes, Jason A Nieuwsma, Monica C Mann-Wrobel, Raz Gross
IMPORTANCE: Posttraumatic stress disorder (PTSD) is a relatively common mental health condition frequently seen, though often unrecognized, in primary care settings. Identifying and treating PTSD can greatly improve patient health and well-being. OBJECTIVE: To systematically review the utility of self-report screening instruments for PTSD among primary care and high-risk populations. EVIDENCE REVIEW: We searched MEDLINE and the National Center for PTSD's Published International Literature on Traumatic Stress (PILOTS) databases for articles published on screening instruments for PTSD published from January 1981 through March 2015...
August 4, 2015: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/25523678/re-does-this-man-with-lower-urinary-tract-symptoms-have-bladder-outlet-obstruction-the-rational-clinical-examination-a-systematic-review
#5
EDITORIAL
Steven A Kaplan
No abstract text is available yet for this article.
January 2015: Journal of Urology
https://www.readbyqxmd.com/read/25096693/does-this-man-with-lower-urinary-tract-symptoms-have-bladder-outlet-obstruction-the-rational-clinical-examination-a-systematic-review
#6
REVIEW
Karen A D'Silva, Philipp Dahm, Camilla L Wong
IMPORTANCE: Early, accurate diagnosis of bladder outlet obstruction in men with lower urinary tract symptoms may reduce the need for invasive testing (ie, catheter placement, urodynamics), and prompt early treatment to provide symptomatic relief and avoid complications. OBJECTIVES: To systematically review the evidence on (1) the diagnostic accuracy of office-based tests for bladder outlet obstruction in men with lower urinary tract symptoms; and (2) the accuracy of the bladder scan as a measure of urine volume because management decisions rely on measuring postvoid bladder residual volumes...
August 6, 2014: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/25058220/does-this-patient-have-generalized-anxiety-or-panic-disorder-the-rational-clinical-examination-systematic-review
#7
REVIEW
Nathaniel R Herr, John W Williams, Sophiya Benjamin, Jennifer McDuffie
IMPORTANCE: In primary care settings, generalized anxiety disorder (GAD) and panic disorder are common but underrecognized illnesses. Identifying accurate and feasible screening instruments for GAD and panic disorder has the potential to improve detection and facilitate treatment. OBJECTIVE: To systematically review the accuracy of self-report screening instruments in diagnosing GAD and panic disorder in adults. DATA SOURCES: We searched MEDLINE, PsycINFO, and the Cochrane Library for relevant articles published from 1980 through April 2014...
July 2, 2014: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/25027143/does-this-adult-patient-have-early-hiv-infection-the-rational-clinical-examination-systematic-review
#8
REVIEW
Evan Wood, Thomas Kerr, Greg Rowell, Julio S G Montaner, Peter Phillips, P Todd Korthuis, David L Simel
IMPORTANCE: Timely identification of human immunodeficiency virus (HIV) infection in adults can contribute to reduced mortality and likelihood of further HIV transmission. During the first 6 months after infection, known as early HIV infection, patients often report a well-described constellation of symptoms and signs. However, the literature examining utility of the clinical examination in identifying early infection has not been systematically assessed. OBJECTIVE: To assess the accuracy of symptoms and signs in identifying early HIV infection among adults...
July 16, 2014: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/24938565/does-this-patient-have-an-exudative-pleural-effusion-the-rational-clinical-examination-systematic-review
#9
REVIEW
M Elizabeth Wilcox, Christopher A K Y Chong, Matthew B Stanbrook, Andrea C Tricco, Camilla Wong, Sharon E Straus
IMPORTANCE: Thoracentesis is performed to identify the cause of a pleural effusion. Although generally safe, thoracentesis may be complicated by transient hypoxemia, bleeding, patient discomfort, reexpansion pulmonary edema, and pneumothorax. OBJECTIVE: To identify the best means for differentiating between transudative and exudative effusions and also to identify thoracentesis techniques for minimizing the risk of complications by performing a systematic review the evidence...
June 18, 2014: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/23989984/does-this-patient-have-obstructive-sleep-apnea-the-rational-clinical-examination-systematic-review
#10
REVIEW
Kathryn A Myers, Marko Mrkobrada, David L Simel
IMPORTANCE: Obstructive sleep apnea is a common disease, responsible for daytime sleepiness. Prior to referring patients for definitive testing, the likelihood of obstructive sleep apnea should be established in the clinical examination. OBJECTIVE: To systematically review the clinical examination accuracy in diagnosing obstructive sleep apnea. DATA SOURCES: MEDLINE and reference lists from articles were searched from 1966 to June 2013. Titles and abstracts (nā€‰=ā€‰4449) were reviewed for eligibility and appraised for evidence levels...
August 21, 2013: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/23982370/does-this-patient-with-shoulder-pain-have-rotator-cuff-disease-the-rational-clinical-examination-systematic-review
#11
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: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/23677315/do-findings-on-routine-examination-identify-patients-at-risk-for-primary-open-angle-glaucoma-the-rational-clinical-examination-systematic-review
#12
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: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/23613077/does-this-woman-have-an-ectopic-pregnancy-the-rational-clinical-examination-systematic-review
#13
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: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/19380042/evidence-based-emergency-medicine-rational-clinical-examination-abstract-does-this-child-have-a-urinary-tract-infection
#14
COMMENT
Rupinder Singh Sahsi, Christopher R Carpenter
No abstract text is available yet for this article.
May 2009: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/19380041/evidence-based-emergency-medicine-rational-clinical-examination-abstract-does-this-patient-with-diabetes-have-osteomyelitis-of-the-lower-extremity
#15
COMMENT
William Kenneth Milne, Christopher R Carpenter
No abstract text is available yet for this article.
May 2009: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/19380040/evidence-based-emergency-medicine-rational-clinical-examination-abstract-is-this-patient-clinically-depressed
#16
COMMENT
Jonathan Wassermann
No abstract text is available yet for this article.
May 2009: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/19231669/evidence-based-emergency-medicine-rational-clinical-examination-abstract-will-my-patient-fall
#17
EDITORIAL
Christopher R Carpenter
No abstract text is available yet for this article.
March 2009: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/19231668/evidence-based-emergency-medicine-rational-clinical-examination-abstract-dehydration-in-infants-and-young-children
#18
EDITORIAL
Stephen Emond
No abstract text is available yet for this article.
March 2009: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/19231666/evidence-based-emergency-medicine-rational-clinical-examination-abstract-does-this-patient-with-a-pericardial-effusion-have-cardiac-tamponade
#19
EDITORIAL
Jonathan Sherbino
No abstract text is available yet for this article.
March 2009: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/19185391/evidence-based-emergency-medicine-rational-clinical-examination-abstract-does-the-clinical-examination-predict-lower-extremity-peripheral-arterial-disease
#20
EDITORIAL
William Kenneth Milne, Andrew Worster
No abstract text is available yet for this article.
November 2009: Annals of Emergency Medicine
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