The Rational Clinical Examination
David L. Simel, Drummond Rennie
Hypovolemia, Adult
Steven McGee, William B. Abernethy III, David L. Simel
Two types of studies are presented. The first group (Table 24-1) investigated the postural vital...
Topics Discussed:
finding the evidence, hypovolemia
Excerpt:
"Using the MEDLINE database for articles from January 1966 to
November 1997, an author (S.M.) used 3 search strategies, all limited
to the English language and to humans 16 years or older, to retrieve
all relevant publications on the bedside diagnosis of hypovolemia.
The first strategy used the search terms "dehydration/di" or "hypotension, orthostatic" or "tilt
table test." The second strategy used "exp dehydration" or "exp
hypotension, orthostatic" or "exp heart rate" and "exp
physical examination" or "exp medical history
taking" or "exp professional competence" or "exp 'sensitivity
and specificity'" or "reproducibility
of results" or "observer variation" or "diagnostic
tests, routine" or "exp decision support techniques" or "Bayes
theorem." Finally, textword searches were completed for "skin
turgor" or "acute blood loss" or "orthostatic
vital signs or (postural and pulse)." According to review
of titles and abstracts, relevant publications were retrieved. To
complete the search, this author reviewed the bibliographies of these
articles and those of textbooks on physical diagnosis. Studies on
the physical diagnosis of hypovolemia in infants and children were
not included in this review.15-23..."
Log in to read the full chapter:
Get full access to JAMAevidence two ways:
Subscribe to JAMAevidence
JAMAevidence is a subscription-
based website dedicated to the learning, teaching, and practicing of evidence-based medicine.
Pay Per View
Timed access to all of JAMAevidence
24 hours for $29.95
48 hours for $49.95