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The Rational Clinical Examination
David L. Simel, Drummond Rennie
Pleural Effusion
David L. Simel
Make the Diagnosis: Pleural Effusion


Topics Discussed: criterion standard comparisons (diagnostic tests), diagnosis, likelihood ratio, make the diagnosis, pleural effusion, prior probability, reference standards

Excerpt: "The prevalence of pleural effusion depends on the underlying conditions or the clinical setting. For example, in patients with pneumonia, 20%-57% have parapneumonic effusions while decompensated congestive heart failure (CHF) creates pleural effusions in the majority of patients (87%).1 Among medical intensive care unit patients, about 8.4% have effusions, whereas pleural effusions exist in 17% of dyspneic emergency department patients.2..."
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