The Hypothesis-Driven Physical Examination
The Hypothesis-Driven Physical Examination
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DOI：
10.1016/j.mcna.2017.12.005
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发表时间：
2018-05-01
影响因子：
5.9
通讯作者：
Olson, Andrew P. J.
中科院分区：
文献类型：
--
作者：
Garibaldi, Brian T.;Olson, Andrew P. J.
体格检查仍然是临床诊疗的重要组成部分。然而，近年来体检技能有所下降，部分原因是床边时间减少。许多临床医生质疑技术时代体检的相关性。一个假设驱动的方法来教学和实践的身体检查强调演习的性能，可以改变疾病的可能性。似然比是诊断权重，允许临床医生估计疾病的后概率。这种假设驱动的体检方法增加了其价值和效率，同时保留了其在医患关系中的文化作用。
The physical examination remains a vital part of the clinical encounter. However, physical examination skills have declined in recent years, in part because of decreased time at the bedside. Many clinicians question the relevance of physical examinations in the age of technology. A hypothesis-driven approach to teaching and practicing the physical examination emphasizes the performance of maneuvers that can alter the likelihood of disease. Likelihood ratios are diagnostic weights that allow clinicians to estimate the postprobability of disease. This hypothesis driven approach to the physical examination increases its value and efficiency while preserving its cultural role in the patient-physician relationship.