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EM Evidence-based Physical Exam

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44 papers 0 to 25 followers
https://www.readbyqxmd.com/read/17652298/does-this-child-have-appendicitis
#1
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/22164402/diagnosis-and-management-of-carbon-monoxide-poisoning-in-the-emergency-department
#2
REVIEW
Heikki Nikkanen, Aaron Skolnik
An 89-year-old female is found by her family, lying unconscious on her kitchen floor after they had been unable to reach her by phone for several hours. EMS is activated and when the paramedics arrive, they note that the gas oven is on, and there is thin, gray smoke coming from around the door. The house gas supply is turned off, windows are opened, and the family and the patient are immediately evacuated from the home. En route to the hospital, the patient is placed on high-flow oxygen at 15 liters per minute by non-rebreather mask...
February 2011: Emergency Medicine Practice
https://www.readbyqxmd.com/read/16278968/evidence-based-emergency-medicine-systematic-review-abstract-to-dive-or-not-to-dive-use-of-hyperbaric-oxygen-therapy-to-prevent-neurologic-sequelae-in-patients-acutely-poisoned-with-carbon-monoxide
#3
https://www.readbyqxmd.com/read/18640432/does-this-patient-meet-the-criteria-for-emergency-severity-index-level-2
#4
COMMENT
David Eitel, Nicki Gilboy, Alexander M Rosenau, Paula Tanabe, Debbie Travers
No abstract text is available yet for this article.
August 2008: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
https://www.readbyqxmd.com/read/16637109/evidence-based-emergency-medicine-systematic-review-abstract-does-this-patient-have-a-torn-meniscus-or-ligament-of-the-knee
#5
Reuben J Strayer, Eddy S Lang
No abstract text is available yet for this article.
May 2006: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/20952101/evidence-based-emergency-medicine-does-this-patient-have-a-hemorrhagic-stroke
#6
EDITORIAL
Andrew Worster, Teresa Chan
No abstract text is available yet for this article.
May 2011: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/19282065/evidence-based-emergency-medicine-systematic-review-abstract-does-this-patient-have-irritable-bowel-syndrome
#7
COMMENT
Jonathan Sherbino
No abstract text is available yet for this article.
January 2010: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/20188441/evidence-based-emergency-medicine-clinical-synopsis-does-this-emergency-department-patient-have-a-penicillin-allergy
#8
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/22496266/does-this-adult-patient-have-a-blunt-intra-abdominal-injury
#9
Daniel K Nishijima, David L Simel, David H Wisner, James F Holmes
CONTEXT: Blunt abdominal trauma often presents a substantial diagnostic challenge. Well-informed clinical examination can identify patients who require further diagnostic evaluation for intra-abdominal injuries after blunt abdominal trauma. OBJECTIVE: To systematically assess the precision and accuracy of symptoms, signs, laboratory tests, and bedside imaging studies to identify intra-abdominal injuries in patients with blunt abdominal trauma. DATA SOURCES: We conducted a structured search of MEDLINE (1950-January 2012) and EMBASE (1980-January 2012) to identify English-language studies examining the identification of intra-abdominal injuries...
April 11, 2012: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/9032164/does-this-patient-have-an-abnormal-systolic-murmur
#10
REVIEW
E Etchells, C Bell, K Robb
Our objective was to review the available evidence of the precision and accuracy of the clinical examination for abnormal systolic murmurs. We conducted a MEDLINE search, manually reviewed all reference lists, and contacted authors of published studies. Each study was independently reviewed by 2 observers and graded for methodologic quality. We found that most studies were conducted using cardiologist examiners. In the clinical setting, the reliability of detecting systolic murmurs was fair (kappa, 0.30-0.48)...
February 19, 1997: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/8918857/does-this-patient-have-appendicitis
#11
J M Wagner, W P McKinney, J L Carpenter
Appendicitis is a common cause of abdominal pain for which prompt diagnosis is rewarded by a marked decrease in morbidity and mortality. The history and physical examination are at least as accurate as any laboratory modality in diagnosing or excluding appendicitis. Those signs and symptoms most helpful in diagnosing or excluding appendicitis are reviewed. The presence of a positive psoas sign, fever, or migratory pain to the right lower quadrant suggests an increased likelihood of appendicitis. Conversely, the presence of vomiting before pain makes appendicitis unlikely...
November 20, 1996: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/11980527/does-this-patient-have-an-acute-thoracic-aortic-dissection
#12
Michael Klompas
CONTEXT: The diagnosis of acute thoracic aortic dissection is difficult to make and often missed. OBJECTIVE: To review the accuracy of clinical history taking, physical examination, and plain chest radiograph in the diagnosis of acute thoracic aortic dissection. DATA SOURCES: A comprehensive review of the English-language literature was conducted using MEDLINE for the years 1966 through 2000. Additional sources were identified from the references of retrieved articles...
May 1, 2002: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/21397379/point-of-care-ultrasound-evaluation-of-pericardial-effusions-does-this-patient-have-cardiac-tamponade
#13
Arun Nagdev, Michael B Stone
Detection of pericardial effusions using point-of-care focused echocardiography is becoming a common application for clinicians who care for critical patients. Identification of tamponade physiology is of great utility, as these patients require urgent evaluation and management. We describe techniques that the point-of-care clinician sonographer can use to determine the presence or absence of echocardiographic evidence of cardiac tamponade.
June 2011: Resuscitation
https://www.readbyqxmd.com/read/25183574/does-this-patient-have-ebola-virus-disease
#14
REVIEW
Pierre Tattevin, Emanuele Durante-Mangoni, Moses Massaquoi
No abstract text is available yet for this article.
November 2014: Intensive Care Medicine
https://www.readbyqxmd.com/read/22387084/does-this-patient-with-minor-head-trauma-need-neuroimaging
#15
REVIEW
Dylan D Cooper, Rawle A Seupaul
No abstract text is available yet for this article.
September 2012: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/24486097/does-this-patient-have-acute-mesenteric-ischemia
#16
Brian Cohn
No abstract text is available yet for this article.
November 2014: 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
#17
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
#18
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
#19
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
#20
EDITORIAL
Stephen Emond
No abstract text is available yet for this article.
March 2009: Annals of Emergency Medicine
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