理性的临床检查. 这个病人有俱乐部吗?
1Queen's University, Hotel Dieu Hospital, 166 Brock St, Kingston, Ontario, Canada K7L 5G2. myersk@hdh.kari.net
JAMA
|July 24, 2001
概括
数字俱乐部,各种疾病的标志,可以使用特定的测量来识别. 轮角和角深度比为准确的临床评估的推定量指数.
科学领域:
- 医学诊断 医学诊断 医学诊断
- 临床检查 临床检查
- 肺部病理学 肺部病理学
背景情况:
- 自古以来,数字俱乐部与许多疾病有关.
- 虽然先进的俱乐部是可以识别的,但早期的俱乐部往往会带来诊断挑战.
研究的目的:
- 系统地审查有关数字俱乐部临床检查精度和准确性的文献.
- 确定可靠的定量指数来诊断俱乐部活动.
主要方法:
- 从1966年到1999年进行了MEDLINE的系统文献综述和书目.
- 包括16项研究,对患者的俱乐部活动进行了定量或定性评估.
- 提取了关于定量指数,检查精度和疾病关联准确性的数据.
主要成果:
- 轮角 (>176°),下角 (>192°) 和角深度比 (>1.0) 作为俱乐部的定量指数.
- 对俱乐部活动的临床评估的观察者间协议是可变的 (kappa 0.390.90).
- 俱乐部活动是肺癌 (LR 3.9) 和炎症性肠道疾病 (LR 2.83.7) 的标志物.
结论:
- 建议在识别数字俱乐部时使用轮角和角深度比.
- 当指数分别超过180°和1.0时,强调进一步调查的临床判断.
相关概念视频
01:21Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation
580
Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...
580
01:25Assessment of apical radial pulse
1.5K
Apical-Radial (A-R) Pulse Assessment
The A-R pulse assessment involves simultaneous evaluation of the apical and radial pulses. When the apical and radial pulse rates vary, this assessment helps identify a pulse deficit.
Pre-Procedural Preparation
The A-R pulse assessment involves simultaneous evaluation of the apical and radial pulses. When the apical and radial pulse rates vary, this assessment helps identify a pulse deficit.
Pre-Procedural Preparation
1.5K
01:11Assessment of radial pulse
1.7K
Assessment of Radial Pulse
The radial pulse, located at the wrist, is often the preferred site for assessing peripheral pulse because of its accessibility and dependability. The process of determining the radial pulse involves several steps:
The radial pulse, located at the wrist, is often the preferred site for assessing peripheral pulse because of its accessibility and dependability. The process of determining the radial pulse involves several steps:
1.7K
01:29Cardiovascular System Abnormal Findings I: Inspection and Palpation
1.1K
In a cardiovascular examination, inspection and palpation are crucial for identifying abnormalities.
Abnormal findings observed during an inspection
Abnormal findings observed during an inspection
1.1K
01:27Assessment of the Cardiovascular System III: Palpation
1.4K
Palpation involves feeling the body to evaluate texture, size, consistency, and tenderness for assessing cardiovascular health. The following steps are organized in a head-to-toe order:
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above...
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above...
1.4K
01:17Assessment of apical pulse
2.5K
Assessing the Apical Pulse
Assessing the apical pulse is a critical nursing procedure, particularly indicated for:
Assessing the apical pulse is a critical nursing procedure, particularly indicated for:
2.5K