The Rational Clinical Examination
David L. Simel, Drummond Rennie
Otitis Media, Child
David L. Simel, Russell Rothman, Sheri Keitz
Make the Diagnosis: Otitis Media, Child
Topics Discussed:
criterion standard comparisons (diagnostic tests), likelihood ratio, make the diagnosis, otitis, otitis media, otitis media, acute, pediatrics, prior probability, tympanostomy
Excerpt:
"The prevalence of clinically diagnosed otitis media is high,
with a rate of 17.4% for all visits to US pediatricians
for 0- to 24-month-old children, 18% for 2- to 5-year-old
children, 10% for 6- to 10-year-old children, and 5.2% for
11- to 15-year-old children. A baseline prevalence of 20% is
a reasonable anchor for child visits to the emergency department...."
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