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The Rational Clinical Examination
David L. Simel, Drummond Rennie
Pertussis, Adult or Adolescent
David L. Simel
Make the Diagnosis: Pertussis, Adult or Adolescent


Topics Discussed: bordetella pertussis bacterium, criterion standard comparisons (diagnostic tests), inspiratory whoop, make the diagnosis, paroxysmal cough, pertussis, posttussive emesis, prior probability

Excerpt: "In the absence of known pertussis outbreaks, adolescents and adults with persistent cough for more than 3 weeks have a 12%-32% prior probability of pertussis.1 During outbreaks, the prior probability would be higher...."
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