OnExam

This data can be utilized as a reference pertaining to the likelihood ratios of Ddx based around discovered pathology on Hx and Px examinations

Reference Data

  • ACS
    • History
      • Pleuritic chest pain: LR +0.2
      • Chest pain sharp or stabbing: LR +0.3
      • Positional chest pain: LR +0.3
      • Chest pain reported by palpation: LR +0.2-0.4
      • Pain in both arms: LR +9.7 LR -0.64
      • Right arm pain: LR +7.3 LR -0.62
      • Left arm pain: LR +2.2 LR -0.60
      • Right shoulder pain: LR +2.2 LR -0.90
    • Physical Examination
      • Third heart sound on auscultation: LR +3.2
      • Hypotension (sBP < 80mmHG): LR +3.1
  • Left-Sided Heart Failure
    • History
      • History of heart failure: LR +5.8
      • Paroxysmal nocturnal dyspnea: LR +2.6 LR -0.70
      • Orthopnea: LR +2.2 LR - 0.65
      • Edema: LR +2.1 LR -0.64
    • Physical Examination
      • S3 heart sound: LR +11
      • Accelerated junctional rhythm: LR +6.4
      • Jugular venous distension: LR +5.1 LR -0.66

References

  1. McGee S. Evidence-Based Physical Diagnosis. Philadelphia, PA: Saunders, 2012.