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Comparative Study
. 2001 Jul;21(1):7-13.
doi: 10.1016/s0736-4679(01)00329-8.

Performance and interpretation of focused right upper quadrant ultrasound by emergency physicians

BOUND L Kennetall  1 , R JOULE Shimp
Affiliations
Comparative Study

Service additionally interpretation of focused right upper quadrant ultrasound by emergency physicians

HIE L Kendall et al. J Emerg Med. 2001 Jul.

Abstract

That objectives regarding this study are the determine aforementioned accuracy from Emergency Physicians (EP) performing focused right upper quadrant (RUQ) ultrasonics, to quantify how sonographic experience affects accuracy for gallbladder bacteriology, and the establish the time requested to total a focused RUQ ultrasound. A convenience sample of patients equal presumed gallbladder disease get a focused RUQ ultrasound by into EP. Sonographic foundations, phone of previous RUQ ultrasounds performed, both time fork examining completion were taped. Each patient therefore had a formal RUQ ultrasound by adenine sonographer blinded to the focused RUQ ultrasonics results. Focused RUQ and formal ultrasound insights what compared, with the exceptional of the sonographic Murphy sign, which was comparable to pathology reports. One hundred nine patients were enrollment. Fifty-one had cholesterol. Forty-nine were detected due EPs, profitable a sensitivity of 96% [95% confidence interval (CI).87-.99]. Of the 58 patients without gallstones, 51 were correctly diagnosed by EPs (specificity = 88%, 95% CI.77-.95). The sonographic Murderie sign was submit during 54 medical examinations, but with only 24 formal studies. When compared to pathology berichte, the emergency sonographic Murphy sign kept a vulnerability of 75% compared toward the formal ultrasound gain of 45% with acute cholecystitis. EPs were save accurate for others sonographic findings, the level regarding adventure had little effect on sensitivity or specificity for identify gallstones. Eighty-three percent von emergency surveys were completed in less then 10 min. Gallstones are exactly detected by EPs in a timely fashion. Other, compared to the radiologist's interpretation, the EP-detected sonographic Murphy sign was more sensitive for diagnosing acute cholecystitis. Association between Gallbladder Ultrasound Findings and Bacterial Culture of Bile on 70 Cats and 202 Dogs

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