1937 results
Cushing Syndrome - Likelihood Ratios of Physical Exam Findings
Moon facies LR +1.6
Central obesity LR +3.0
Generalized obesity
Central obesity LR ... Thin skinfold LR ... 115.6 Plethora LR ... +NS Ecchymoses LR ... #Ratios #LRs #PhysicalExam
COPD Physical Exam Likelihood Ratios
Barrel Chest - LR 1.5
Pursed Lip Breathing - LR 2.7
Reduced breath sounds
Barrel Chest - LR ... Lip Breathing - LR ... breath sounds - LR ... cardiac impulse - LR ... SatyaPatelMD #COPD #PhysicalExam
Physical Exam Findings Predicting Thyroid Carcinoma - Likelihood Ratios
If goiter is present:
 • Cervical adenopathy -
Cervical adenopathy - LR ... surrounding tissues - LR ... cord paralysis - LR ... cord paralysis - LR ... Thyroid #Carcinoma #PhysicalExam
Physical Exam findings in Lower Extremity DVT - Likelihood Ratios
 - Asymmetric calf swelling, ≥2 cm
cm difference - LR ... venous dilation - LR ... of entire leg - LR ... skin warmth - LR ... Likelihood #Ratios #PhysicalExam
Thyroid Goiter on Physical Exam - Likelihood Ratios by Finding
 • No goiter by palpation or
or inspection - LR ... normal position - LR ... Thyroid #Goiter #PhysicalExam ... #diagnosis #LR
Acute Heart Failure Exacerbation - Diagnostic Likelihood Ratios
+LR > 3.5:
 • Overall judgement of ED physician
Likelihood Ratios +LR ... S3 • AFib -LR ... #heartfailure #physicalexam
Pronator Drift Testing for Stroke
Subtle extensor weakness - Sign of Upper motor neuron lesion
In detecting CT/MRI
Specificity 90% • LR ... + 9.2, LR- 0.09 ... Testing #Stroke #physicalexam
Likelihood ratios for different physical findings in anemia:
Conjunctival rim pallor LR: 16.7
Palmar crease pallor LR: 7.9
Palmar
Conjunctival rim pallor LR ... crease pallor LR ... Palmar pallor LR ... conjunctival rim pallor) LR ... 4.7 #anemia #physicalexam
Hypovolemia on Physical Exam - Likelihood Ratios
 - Sunken eyes
 - Abnormal skin turgor (subclavicular area)
has the highest +LR ... show us that the LR ... #Hypovolemia #PhysicalExam
Ice-pack Test for Myasthenia Gravis - Likelihood Ratio (LR) +24 / -0.16
Ice pack's can be used
Likelihood Ratio (LR ... Myasthenia #Gravis #physicalexam