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POCUS Stewardship
Right Indication - Right Interpretation -Right Integration
Indication → Pre-test Probability → Spectrum of Disease →

Spectrum of Disease → Sensitivity ... Ratio Step 1: Clinical ... with a focused clinical ... Step 4: Sensitivity ... to known scan sensitivity

POCUS for diagnosing the source of Sepsis - Visual Abstract
What is the accuracy of using point-of-care

- POCUS: Sensitivity ... Specificity - 95% - Clinical ... Standard: Sensitivity

Ohle R et al. Clinical Examination for Acute Aortic Dissection: A Systematic Review and Meta-analysis. AEM

Clinical Examination ... Signs #Accuracy #Sensitivity

Abdominojugular (Hepatojugular) Reflux

Described by Pasteur in 1885 as a physical sign of TR. Still useful for

with reasonable sensitivity ... #PhysicalExam #Clinical

X-ray limitations
It’s important to know the limitations of X-rays so we can correctly interpret them in

interpret them in clinical ... ChestXRay #KUB #CXR #Sensitivity

Carpal Tunnel Syndrome: Pathogenesis and clinical findings
• Dysthesias - Tingling, burning, or painful sensation at

Pathogenesis and clinical ... Hypalgesia - Diminished sensitivity

Lung POCUS for Diagnosis of CHF - Visual Abstract
What is the accuracy of combined Lung Ultrasound

Ultrasound (LUS) and clinical ... - AUC: 94.5 - Sensitivity ... - AUC: 87.2 - Sensitivity

Dermatomes of the Upper and Lower Limbs (Modified, after Keegan, J. J., and Garrett, F. D.)

According

According to the clinical ... diminution of sensitivity ... of diminished sensitivity

Bandemia Overview

Normal: < 1%
Clinically significant: > 10%

Band neutrophils are slightly less mature than segmented neutrophils and

Normal: < 1% Clinically ... likelihood of negative clinical ... hyperthermia) had a sensitivity ... WBC count had a sensitivity ... Bandemia had a sensitivity

Traditionally, we have been taught to examine for Kernig’s and Brudzinski’s signs when examining patients with

JAMA rational clinical ... evidence and low sensitivity

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