By Lynn S Bickley; Peter G Szilagyi; Barbara Bates
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Extra resources for Bates' pocket guide to physical examination and history taking
She is concerned that they interfere with her work and make her irritable with her family. She eats three meals a day and drinks three cups of coffee per day; cola at night. Medications. Aspirin, 1 to 2 tablets every 4 to 6 hours as needed. “Water pill” in the past for ankle swelling, none recently. *Allergies. Ampicillin causes rash. Tobacco. About 1 pack of cigarettes per day since age 18 (36 pack-years). Alcohol/drugs. Wine on rare occasions. No illicit drugs. Past History Childhood Illnesses.
321 for grading system). Cerebellar: Rapid alternating movements (RAMs), point-to-point movements intact. Gait stable, fluid. Sensory: Pinprick, light touch, position sense, vibration, and stereognosis intact. Romberg negative. Reflexes: RT LT Biceps Triceps Brachioradialis Patellar Achilles Plantar 2+ 2+ 2+ 2+ 2+ 2+ 2+ 2+/2+ 1+ 1+ ↓ ↓ OR ++ ++ ++ ++ + + +_+ +_+ + + ++ ++ ++ ++ + Laboratory Data None Currently. See Plan. qxd 26 9/3/08 2:29 PM Page 26 Clinical Reasoning, Assessment, and Recording Your Findings A SSESSMENT AND P LAN 1.
In other words, compared with a group of patients with DVT confirmed by phlebogram, a much better test, only 50% will have a positive Homan’s sign, so this sign, if absent, is not helpful, because 50% of patients may have DVT. Specificity: Identifies the proportion of people who test negative in a group known to be without a given disease or condition, or the proportion of people who are true negatives compared with the total number of people without the disease. When the observation or test is positive in people without the disease, the result is termed false positive.