The Rational Clinical Examination
David L. Simel, Drummond Rennie
Splenomegaly
Alan N. Barkun, Steven A. Grover, Andrew Muir
Make the Diagnosis: Splenomegaly
Topics Discussed:
criterion standard comparisons (diagnostic tests), dullness to percussion over traube's space, likelihood ratio, make the diagnosis, prior probability, splenomegaly
Excerpt:
"During the general physical examination, patients should not be
evaluated for splenomegaly.The prevalence of palpable splenomegaly in an otherwise healthy
student population is low, approximating 3%8;
12% of normal postpartum women had palpable spleens.9 The
prevalence of splenomegaly increases significantly among other selected
populations, such as HIV patients (up to 66%10),
or in areas in which schistosomiasis is prevalent.11..."
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