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Is Liver Function Testing Necessary Prior to Methotrexate Treatment for Ectopic Pregnancy? by W. Satz; P. Torres; J.W. Ufberg is a Medicine article available to read on EtoBox.

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accuracy 97% (95% CI 92% to 100%), sensitivity 94% (95% CI 89% to 99%), and specificity 98% (95% CI 93% to 100%). ED diagnosis of appendicitis with CT scan (n=243) was as follows: accuracy 90% (95% CI 86% to 94%), sensitivity 91% (95% CI 87% to 95%), and specificity 90% (95% CI 86% to 94%). Patients not scanned were more likely to be triaged to the most critical category, to have a fever, and to have a WBC count outside the 95% CI for age-specific norms. For patients who ultimately required operative treatment (n=120), ED diagnosis had 90% agreement with discharge diagnosis (95% CI 85% to 95%). ED appendicitis diagnosis in those who required surgery was as follows: accuracy 94% (95% CI 89% to 99%), sensitivity 96% (95% CI 91% to 100%), and specificity 90% (95% CI 85% to 95%). Conclusion: ED diagnosis and discharge diagnosis have higher concordance in right lower quadrant pain in male patients and in patients requiring surgery. There may be less agreement in female patients, especially with obstetric and gynecologic pathology.

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Author

W. Satz; P. Torres; J.W. Ufberg

Publisher

Elsevier Science; Elsevier ; Mosby Inc.; Elsevier BV (ISSN 1097-6760)

Published

2004

Language

EN

Field

Medicine (Health Sciences)