The Rational Clinical Examination
David L. Simel, Drummond Rennie
David L. Simel
Make the Diagnosis: Does This Patient With Epigastric Discomfort Have Organic or Functional Dyspepsia?
barrett's esophagus, computer simulation, criterion standard comparisons (diagnostic tests), diagnosis, dyspepsia, endoscopy, epigastric pain, esophagitis, gastroesophageal reflux disease, likelihood ratio, make the diagnosis, peptic ulcer, prior probability
"About 40% of adults experience some sort of upper gastrointestinal
symptoms during any 6-month period, but only about half of these
patients tell their physicians about the symptoms.1 Clinicians
use clinical judgment and/or response to empirical treatment
to make the majority of their diagnoses in patients with dyspepsia.
Among those who seek care for their symptoms, only about 5% are
referred to gastroenterologists where the prevalence of underlying
conditions can be determined (Table 69-1).2..."
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