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diagnosis management clinical differential algorithm treatment physicalexam cardiology video neurology pocus pharmacology comparison causes ekg pathophysiology table laboratory nephrology workup
Pronator Drift Testing for Stroke Subtle extensor weakness - Sign of Upper motor neuron lesion In detecting CT/MRI
Pronator Drift Testing ... Specificity 90% • LR ... + 9.2, LR- 0.09 ... Pronator #Drift #Testing
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 ... or blue striae LR
The value of point-of-care ultrasound for detecting nail bed injury in [the] ED American Journal of Emergency
sens (CI 80-99), -LR ... (CI 74-100), +LR ... (CI 79-100), -LR ... (CI 91-100), +LR ... #Specificity #Testing
Community Acquired Pneumonia (CAP) - Diagnosis and Management Pneumonia Signs/Symptoms: • Confusion/disorientation (LR + 1.9) • Cough
disorientation (LR ... • Cachexia (LR ... C or < 35.1°C (LR ... min or greater (LR ... + 2.8) Testing
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 ... sternal border - LR
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 ... ankle swelling - LR
Likelihood Ratios - Probability Remember 2/5/10 and 15/30/45: • LR of 2 increases the probability by 15%
and 15/30/45: • LR ... probability by 15% • LR ... probability by 30% • LR ... 5, and 1/10 • LR ... probability by 15% • LR
POUND Mnemonic for Diagnosis of Migraine Headache P Is the headache Pulsatile in quality? O Is the duration
≥ 4 features LR ... 3 features LR ... 3.5 ≤2 features LR ... Pound #Mnemonic #LR
Physical Exam Findings Predicting Thyroid Carcinoma - Likelihood Ratios If goiter is present: • Cervical adenopathy -
Cervical adenopathy - LR ... surrounding tissues - LR ... cord paralysis - LR ... Cervical adenopathy - LR ... cord paralysis - LR
Thyroid Goiter on Physical Exam - Likelihood Ratios by Finding • No goiter by palpation or
or inspection - LR ... normal position - LR ... PhysicalExam #diagnosis #LR
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