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The Rational Clinical Examination
David L. Simel, Drummond Rennie
Hypovolemia, Adult
David L. Simel, Kenneth Goldberg, Ali Raja
Make the Diagnosis: Hypovolemia, Adult


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

Excerpt: "Hypovolemia occurs for a variety of causes. There are no reasonable estimates for the prior probability that would be uniformly helpful. Clinicians should use their best judgment in assessing the probability of intravascular volume depletion according to the patient's medical history and findings that suggest the possibility of fluid losses...."
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