Document Detail


Association of clinical and laboratory variables with ultrasound findings in right upper quadrant abdominal pain.
MedLine Citation:
PMID:  15759944     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The purpose of this study was to determine how laboratory values and physical examination findings correlate with ultrasound findings in the setting of right upper quadrant pain. METHODS: Patients undergoing emergent ultrasound for the evaluation of biliary disease between November 1999 and April 2000 were included. Physical examination findings, laboratory data, and ultrasound results were variables. Logistic regression was performed. Ultrasound diagnosis of acute cholecystitis, cholelithiasis, and normal biliary tract were end points. One hundred seventy-seven patients were enrolled. RESULTS: Forty-two percent were diagnosed with acute cholecystitis, 30.5% with cholelithiasis, and 27.1% with normal biliary tract. Alkaline phosphatase, Murphy sign, white blood cell count, and total bilirubin were statistically significant predictors of acute cholecystitis. A Murphy sign was defined as arrest of inspiration with pressure over the right upper quadrant. CONCLUSIONS: The findings from this study allow clinicians to apply objective significance to laboratory data and physical examination findings in patients with suspected gallstone disease. The data can be applied to create a predictive model.
Authors:
Lisa D Mills; Trevor Mills; Barbara Foster
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Southern medical journal     Volume:  98     ISSN:  0038-4348     ISO Abbreviation:  South. Med. J.     Publication Date:  2005 Feb 
Date Detail:
Created Date:  2005-03-11     Completed Date:  2005-05-18     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0404522     Medline TA:  South Med J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  155-61     Citation Subset:  AIM; IM    
Affiliation:
Division of Emergency Medicine, Louisiana State University at New Orleans, New Orleans, LA 70112, USA. LMORR1@lsuhsc.edu
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MeSH Terms
Descriptor/Qualifier:
Abdominal Pain / diagnosis*,  ultrasonography
Cholecystitis / diagnosis,  ultrasonography
Cholelithiasis / diagnosis,  ultrasonography
Emergency Service, Hospital
Female
Hospitals
Humans
Laboratory Techniques and Procedures
Logistic Models
Male
Physical Examination
Ultrasonography
Comments/Corrections
Comment In:
South Med J. 2005 Feb;98(2):138   [PMID:  15759940 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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