Signs and Evidence

Making clinical sense of scientific data

SEARCH

Vomiting

Acute coronary syndrome
 Positive likelihood ratio
1.32 ( Rudi Bruyninckx et al. )
(average) 1.32
Negative likelihood ratio
0.93 ( Rudi Bruyninckx et al. )
(average) 0.93
Cholecystitis
 Positive likelihood ratio
1.50 ( Trowbridge RL et al. )
(average) 1.5
Negative likelihood ratio
0.60 ( Trowbridge RL et al. )
(average) 0.6
Small bowel obstruction
 Positive likelihood ratio
2.20 ( Bohner H et al. )
(average) 2.2
Negative likelihood ratio
0.40 ( Bohner H et al. )
(average) 0.4
Diverticulitis
 Positive likelihood ratio
1.40 ( Wilkins T et al. )
(average) 1.4
Negative likelihood ratio
0.20 ( Wilkins T et al. )
(average) 0.2
HIV infection
 Positive likelihood ratio
4.60 ( Wood E et al. )
(average) 4.6
Negative likelihood ratio
0.90 ( Wood E et al. )
(average) 0.9
Appendicitis
 Positive likelihood ratio
1.31 ( Idris SA et al. )
1.09 ( Al-gaithy Zuhoor K et )
(average) 1.2
Negative likelihood ratio
0.56 ( Idris SA et al. )
0.38 ( Al-gaithy Zuhoor K et )
(average) 0.47
Cluster headache
 Positive likelihood ratio
1.85 ( Uluduz D et al. )
(average) 1.85
Negative likelihood ratio
0.90 ( Uluduz D et al. )
(average) 0.9


Sources used:

1.Rudi Bruyninckx et al. Signs and symptoms in diagnosing acute myocardial infarction and acute coronary syndrome: a diagnostic meta-analysis. Br J Gen Pract 2008; 58 (547): e1-e8.
2.Trowbridge RL et al. Does This Patient Have Acute Cholecystitis? JAMA, January 1, 2003—Vol 289, No. 1 80-86
3.Bohner H et al. Simple data from history and physical examination help to exclude bowel obstruction and to avoid radiographic studies in patients with acute abdominal pain. Eur J Surg. 1998 Oct;164(10):777-84
4.Wilkins T et al. Diagnosis and Management of Acute Diverticulitis. Am Fam Physician. 2013 May 1;87(9):612-620
5.Wood E et al. Does this adult patient have early HIV infection?: The Rational Clinical Examination systematic review. JAMA. 2014 Jul 16;312(3):278-85
6.Idris SA et al. The sensitivity and specificity of the conventional symptoms and signs in making adiagnosis of acute appendicitis. Sudan journal of medical sciences. 4. 55-61
7.Uluduz D et al. Cranial autonomic features in migraine and migrainous features in cluster headache. Arch Neuropsychiatr 2016; 53
8.Al-gaithy Zuhoor K et al. Clinical value of total white blood cells and neutrophil counts in patients with suspected appendicitis: retrospective study. World Journal of Emergency Surgery : WJES. 2012;7:32