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The Rational Clinical Examination
David L. Simel, Drummond Rennie
Hepatomegaly
David L. Simel, Marisa D'Silva
Make the Diagnosis: Hepatomegaly


Topics Discussed: criterion standard comparisons (diagnostic tests), hepatomegaly, make the diagnosis, prior probability

Excerpt: "The probability that the liver edge can be felt below the right costal margin is about 50%. However, this does not correlate with the liver span in normal patients. Thus, the prior probability of hepatomegaly depends entirely on the possible underlying disease states...."
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