Clinicians constantly use probabilities in their evaluation of patients to determine the need for testing and treatment. But what constitutes the threshold in terms of making these decisions?
Evidence-Based Physical Exam
Carnett’s sign is an exam maneuver that suggests that pain originates from the abdominal wall rather than from the abdominal viscera.
Stop going in circles and get comfortable with your exam skills on orthostasis, nystagmus, the Dix-Hallpike maneuver, the Epley maneuver, and the HINTS exam.
Time to boost your confidence in measuring JVP, HJR, and, wait for it, the Valsalva response!
Time to get comfortable with your favorite monofilament.
It seems like we all learn Tinel and Phalen’s tests in evaluating patients for carpal tunnel syndrome, but what’s the evidence? Are there other maneuvers that could make us more confident in our assessment of these patients?
What are likelihood ratios? How do we use them to better understand the utility of exam maneuvers?