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Evidence-based Physical Exam

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92 papers 100 to 500 followers JAMA collections for physical exam (Rational Clinical Examination series)
https://www.readbyqxmd.com/read/14506123/does-this-child-have-acute-otitis-media
#1
REVIEW
Russell Rothman, Thomas Owens, David L Simel
CONTEXT: Acute otitis media (AOM) is one of the most common problems in pediatrics. An accurate diagnosis of AOM can guide proper treatment and follow-up. OBJECTIVE: To systematically review the literature regarding precision and accuracy of history taking and physical examination in diagnosing AOM in children. DATA SOURCES: We searched MEDLINE for English-language articles published from 1966 through May 2002. Bibliographies of retrieved articles and textbooks were also searched...
September 24, 2003: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/18159059/does-this-child-have-a-urinary-tract-infection
#2
REVIEW
Nader Shaikh, Natalia E Morone, John Lopez, Jennifer Chianese, Shilpa Sangvai, Frank D'Amico, Alejandro Hoberman, Ellen R Wald
CONTEXT: Urinary tract infection (UTI) is a frequently occurring pediatric illness that, if left untreated, can lead to permanent renal injury. Accordingly, accurate diagnosis of UTI is important. OBJECTIVE: To review the diagnostic accuracy of symptoms and signs for the diagnosis of UTI in infants and children. DATA SOURCES: A search of MEDLINE and EMBASE databases was conducted for articles published between 1966 and October 2007, as well as a manual review of bibliographies of all articles meeting inclusion criteria, 1 previously published systematic review, 3 clinical skills textbooks, and 2 experts in the field, yielding 6988 potentially relevant articles...
December 26, 2007: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/17652298/does-this-child-have-appendicitis
#3
REVIEW
David G Bundy, Julie S Byerley, E Allen Liles, Eliana M Perrin, Jessica Katznelson, Henry E Rice
CONTEXT: Evaluation of abdominal pain in children can be difficult. Rapid, accurate diagnosis of appendicitis in children reduces the morbidity of this common cause of pediatric abdominal pain. Clinical evaluation may help identify (1) which children with abdominal pain and a likely diagnosis of appendicitis should undergo immediate surgical consultation for potential appendectomy and (2) which children with equivocal presentations of appendicitis should undergo further diagnostic evaluation...
July 25, 2007: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/7966928/does-this-patient-have-an-alcohol-problem
#4
J M Kitchens
No abstract text is available yet for this article.
December 14, 1994: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/8355389/does-this-patient-have-sinusitis-diagnosing-acute-sinusitis-by-history-and-physical-examination
#5
REVIEW
J W Williams, D L Simel
No abstract text is available yet for this article.
September 8, 1993: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/9546569/does-this-patient-have-deep-vein-thrombosis
#6
S S Anand, P S Wells, D Hunt, P Brill-Edwards, D Cook, J S Ginsberg
OBJECTIVE: To review the validity of the clinical assessment and diagnostic tests in patients with suspected deep vein thrombosis (DVT). METHODS: A comprehensive review of the literature was conducted by searching MEDLINE from 1966 to April 1997. RESULTS: Individual symptoms and signs alone do not reliably predict which patients have DVT. Overall, the diagnostic properties of the clinical examination are poor; the sensitivity of the clinical examination ranges from 60% to 96%, and the specificity ranges from 20% to 72%...
April 8, 1998: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/15507585/does-this-patient-have-an-instability-of-the-shoulder-or-a-labrum-lesion
#7
REVIEW
Jolanda J Luime, Arianne P Verhagen, Harald S Miedema, Judith I Kuiper, Alex Burdorf, Jan A N Verhaar, Bart W Koes
CONTEXT: History taking and clinical tests are commonly used to diagnose shoulder pain. Unclear is whether tests and history accurately diagnose instability or intra-articular pathology (IAP). OBJECTIVE: To analyze the accuracy of clinical tests and history taking for shoulder instability or IAP. DATA SOURCES: Relevant studies identified through PubMed, EMBASE, CINAHL, and bibliographies of known primary and review articles. STUDY SELECTION: Studies comparing the performance of history items or physical examination with a reference standard were included...
October 27, 2004: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/16622114/assessing-risk-does-this-patient-have-prostate-cancer
#8
EDITORIAL
H Ballentine Carter
No abstract text is available yet for this article.
April 19, 2006: Journal of the National Cancer Institute
https://www.readbyqxmd.com/read/17551132/does-this-patient-have-dementia
#9
REVIEW
Tracey Holsinger, Janie Deveau, Malaz Boustani, John W Williams
CONTEXT: While as many as 5 million individuals in the United States have dementia, many others have memory complaints. Brief tests to screen for cognitive impairment could help guide dementia diagnosis. OBJECTIVE: To review the literature concerning the practicality and accuracy of brief cognitive screening instruments in primary care. DATA SOURCES: A search of MEDLINE (including data from AIDSLINE, BioethicsLine, and HealthSTAR) and psycINFO was conducted from January 2000 through April 2006 to update previous reviews...
June 6, 2007: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/25178306/does-my-patient-still-need-this-central-venous-catheter-a-teachable-moment
#10
Pratik Patel, Htin Aung, Jason Post
No abstract text is available yet for this article.
November 2014: JAMA Internal Medicine
https://www.readbyqxmd.com/read/22318282/does-this-patient-have-an-infection-of-a-chronic-wound
#11
Madhuri Reddy, Sudeep S Gill, Wei Wu, Sunila R Kalkar, Paula A Rochon
CONTEXT: Chronic wounds (those that have not undergone orderly healing) are commonly encountered, but determining whether wounds are infected is often difficult. The current reference standard for the diagnosis of infection of a chronic wound is a deep tissue biopsy culture, which is an invasive procedure. OBJECTIVES: To determine the accuracy of clinical symptoms and signs to diagnose infection in chronic wounds and to determine whether there is a preferred noninvasive method for culturing chronic wounds...
February 8, 2012: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/20188441/evidence-based-emergency-medicine-clinical-synopsis-does-this-emergency-department-patient-have-a-penicillin-allergy
#12
COMMENT
Jennifer Martin, Jennifer H Chao
No abstract text is available yet for this article.
May 2010: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/15598921/does-this-woman-have-osteoporosis
#13
REVIEW
Amanda D Green, Cathleen S Colón-Emeric, Lori Bastian, Matthew T Drake, Kenneth W Lyles
CONTEXT: Although recent US Preventive Services Task Force guidelines recommend bone densitometry for all women older than 65 years, identifying younger women at increased risk for osteoporosis and women with occult vertebral fractures remains a clinical challenge. We investigated whether physical signs are useful as a screening tool either for early referral to bone densitometry or for occult spinal fractures. OBJECTIVE: To review the accuracy and precision of physical examination findings for the diagnosis of osteopenia, osteoporosis, or spinal fracture...
December 15, 2004: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/12020306/does-this-woman-have-an-acute-uncomplicated-urinary-tract-infection
#14
REVIEW
Stephen Bent, Brahmajee K Nallamothu, David L Simel, Stephan D Fihn, Sanjay Saint
CONTEXT: Symptoms suggestive of acute urinary tract infection (UTI) constitute one of the most common reasons for women to visit clinicians. Although the clinical encounter typically involves taking a history and performing a physical examination, the diagnostic accuracy of the clinical assessment for UTI remains uncertain. OBJECTIVE: To review the accuracy and precision of history taking and physical examination for the diagnosis of UTI in women. DATA SOURCES: We conducted a MEDLINE search for articles published from 1966 through September 2001 and manually reviewed bibliographies, 3 commonly used clinical skills textbooks, and contacted experts in the field...
May 22, 2002: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/18364487/what-type-of-urinary-incontinence-does-this-woman-have
#15
REVIEW
Jayna M Holroyd-Leduc, Cara Tannenbaum, Kevin E Thorpe, Sharon E Straus
CONTEXT: Urinary incontinence is a prevalent condition and treatment options can depend on what type of incontinence is present. OBJECTIVE: To systematically review the evidence about the most accurate way to determine the type of urinary incontinence during an office assessment. DATA SOURCES: A search of MEDLINE using Ovid (1966-July 2007) and EMBASE (1980-July 2007), and the bibliographies of retrieved articles to identify relevant studies...
March 26, 2008: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/16234501/does-this-dyspneic-patient-in-the-emergency-department-have-congestive-heart-failure
#16
REVIEW
Charlie S Wang, J Mark FitzGerald, Michael Schulzer, Edwin Mak, Najib T Ayas
CONTEXT: Dyspnea is a common complaint in the emergency department where physicians must accurately make a rapid diagnosis. OBJECTIVE: To assess the usefulness of history, symptoms, and signs along with routine diagnostic studies (chest radiograph, electrocardiogram, and serum B-type natriuretic peptide [BNP]) that differentiate heart failure from other causes of dyspnea in the emergency department. DATA SOURCES: We searched MEDLINE (1966-July 2005) and the reference lists from retrieved articles, previous reviews, and physical examination textbooks...
October 19, 2005: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/17405973/does-this-adult-patient-have-septic-arthritis
#17
REVIEW
Mary E Margaretten, Jeffrey Kohlwes, Dan Moore, Stephen Bent
CONTEXT: In patients who present with an acutely painful and swollen joint, prompt identification and treatment of septic arthritis can substantially reduce morbidity and mortality. OBJECTIVE: To review the accuracy and precision of the clinical evaluation for the diagnosis of nongonococcal bacterial arthritis. DATA SOURCES: Structured PubMed and EMBASE searches (1966 through January 2007), limited to human, English-language articles and using the following Medical Subject Headings terms: arthritis, infectious, physical examination, medical history taking, diagnostic tests, and sensitivity and specificity...
April 4, 2007: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/20736473/does-this-coughing-adolescent-or-adult-patient-have-pertussis
#18
REVIEW
Paul B Cornia, Adam L Hersh, Benjamin A Lipsky, Thomas B Newman, Ralph Gonzales
CONTEXT: Pertussis is often overlooked as a cause of chronic cough, especially in adolescents and adults. Several symptoms are classically thought to be suggestive of pertussis, but the diagnostic value of each of them is uncertain. OBJECTIVE: To systematically review the evidence regarding the diagnostic value of 3 classically described symptoms of pertussis: paroxysmal cough, posttussive emesis, and inspiratory whoop. DATA SOURCES, STUDY SELECTION, AND DATA EXTRACTION: We searched MEDLINE (January 1966-April 2010), EMBASE (January 1969 to April 2010), and the bibliographies of pertinent articles to identify relevant English-language studies...
August 25, 2010: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/21156951/does-this-older-adult-with-lower-extremity-pain-have-the-clinical-syndrome-of-lumbar-spinal-stenosis
#19
REVIEW
Pradeep Suri, James Rainville, Leonid Kalichman, Jeffrey N Katz
CONTEXT: The clinical syndrome of lumbar spinal stenosis (LSS) is a common diagnosis in older adults presenting with lower extremity pain. OBJECTIVE: To systematically review the accuracy of the clinical examination for the diagnosis of the clinical syndrome of LSS. DATA SOURCES: MEDLINE, EMBASE, and CINAHL searches of articles published from January 1966 to September 2010. STUDY SELECTION: Studies were included if they contained adequate data on the accuracy of the history and physical examination for diagnosing the clinical syndrome of LSS, using a reference standard of expert opinion with radiographic or anatomic confirmation...
December 15, 2010: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/22851117/does-this-adult-patient-with-suspected-bacteremia-require-blood-cultures
#20
REVIEW
Bryan Coburn, Andrew M Morris, George Tomlinson, Allan S Detsky
CONTEXT: Clinicians order blood cultures liberally among patients in whom bacteremia is suspected, though a small proportion of blood cultures yield true-positive results. Ordering blood cultures inappropriately may be both wasteful and harmful. OBJECTIVE: To review the accuracy of easily obtained clinical and laboratory findings to inform the decision to obtain blood cultures in suspected bacteremia. DATA SOURCES AND STUDY SELECTION: A MEDLINE and EMBASE search (inception to April 2012) yielded 35 studies that met inclusion criteria for evaluating the accuracy of clinical variables for bacteremia in adult immunocompetent patients, representing 4566 bacteremia and 25,946 negative blood culture episodes...
August 1, 2012: JAMA: the Journal of the American Medical Association
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