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Emergency Tehran 4 1 :1— Thorax 72 1 Download references. The funder had no role in the design, data collection and analysis, decision to publish, or preparation of the manuscript. Michael H. Walsh, Christopher J. Kang X. Zhang, Justin M. You can also search for this author in PubMed Google Scholar. MHW, KXZ contributed to the conception and design of the work; acquisition and interpretation of data; and drafted and substantively revised the work.
EJC contributed to the analysis and interpretation of data; drafted and substantively revised the work, and creation of the figures. IWYM contributed to the conception and design of the work; acquisition, analysis, and interpretation of data; and drafted and substantively revised the work.
All authors read and approved the final manuscript. Correspondence to Irene W. All participants provided informed consent prior to participation. The other authors have no conflicts of interest to report.
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Skip to main content. Search all SpringerOpen articles Search. Download PDF. Original article Open Access Published: 06 September Comparing accuracy of bedside ultrasound examination with physical examination for detection of pleural effusion Michael H. Walsh 1 , Kang X. Zhang 2 , Emily J. Cox 3 , Justin M. Chen 2 , Nicholas G. Cowley 2 , Christopher J. Oleynick 1 , Leo M. Abstract Background In detecting pleural effusion, bedside ultrasound US has been shown to be more accurate than auscultation.
Methods This study included a convenience sample of 34 medical inpatients from Calgary, Canada and Spokane, USA, with chest imaging performed within 24 h of recruitment. Results Physical examination was less accurate than US sensitivity of Conclusions US examination for pleural effusion was more accurate than the physical examination, conferred higher confidence, and required less time to complete. Background Pleural effusions are common in general medical patients and may be caused by pathological states such as congestive heart failure, infections, cirrhosis, and malignancy [ 1 , 2 ].
Aim This study seeks to compare the diagnostic accuracy of a PE with that of bedside US in medical inpatients. Physical examination PE protocol With the patient in a sitting position, the researcher inspected the posterior thorax for asymmetry, and performed percussion, tactile fremitus, auscultation, and egophony. Ultrasound examination protocol A different researcher, blinded to the PE results, performed the US exam.
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