Spontaneous bacterial peritonitis: Difference between revisions
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imported>Robert Badgett (New page: {{subpages}} In medicine, spontaneous bacterial peritonitis is a form of peritonitis that occurs in patient with ascites.<ref>ICD9: {{ICD9|567.23}}</ref> ==Diagnosis== The...) |
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==Diagnosis== | ==Diagnosis== | ||
The impression of the | On [[physical examination]], most patients have mild abdominal pain.<ref name="pmid18433932">{{cite journal |author=Chinnock B, Afarian H, Minnigan H, Butler J, Hendey GW |title=Physician clinical impression does not rule out spontaneous bacterial peritonitis in patients undergoing emergency department paracentesis |journal=Ann Emerg Med |volume=52 |issue=3 |pages=268–73 |year=2008 |month=September |pmid=18433932 |doi=10.1016/j.annemergmed.2008.02.016 |url=http://linkinghub.elsevier.com/retrieve/pii/S0196-0644(08)00552-0 |issn=}}</ref> | ||
The impression of the physician performing the [[physical examination]] may not be accurate:<ref name="pmid18433932">{{cite journal |author=Chinnock B, Afarian H, Minnigan H, Butler J, Hendey GW |title=Physician clinical impression does not rule out spontaneous bacterial peritonitis in patients undergoing emergency department paracentesis |journal=Ann Emerg Med |volume=52 |issue=3 |pages=268–73 |year=2008 |month=September |pmid=18433932 |doi=10.1016/j.annemergmed.2008.02.016 |url=http://linkinghub.elsevier.com/retrieve/pii/S0196-0644(08)00552-0 |issn=}}</ref> | |||
* [[sensitivity (tests)|sensitivity]] = 76% | * [[sensitivity (tests)|sensitivity]] = 76% | ||
* [[specificity (tests)|specificity]] = 34% | * [[specificity (tests)|specificity]] = 34% | ||
Regarding individual [[medical sign]]s and [[symptoms]]: | |||
* [[Fever]] over 100.4°on [[physical examination]] | |||
** [[sensitivity (tests)|sensitivity]] = 18% | |||
** [[specificity (tests)|specificity]] = 90% | |||
* "Any abdominal pain or tenderness" on [[physical examination]] | |||
** [[sensitivity (tests)|sensitivity]] = 94% | |||
** [[specificity (tests)|specificity]] = 15% | |||
==References== | ==References== | ||
<references/> | <references/> | ||
Revision as of 10:44, 30 September 2008
In medicine, spontaneous bacterial peritonitis is a form of peritonitis that occurs in patient with ascites.[1]
Diagnosis
On physical examination, most patients have mild abdominal pain.[2]
The impression of the physician performing the physical examination may not be accurate:[2]
- sensitivity = 76%
- specificity = 34%
Regarding individual medical signs and symptoms:
- Fever over 100.4°on physical examination
- sensitivity = 18%
- specificity = 90%
- "Any abdominal pain or tenderness" on physical examination
- sensitivity = 94%
- specificity = 15%
References
- ↑ ICD9: 567.23
- ↑ 2.0 2.1 Chinnock B, Afarian H, Minnigan H, Butler J, Hendey GW (September 2008). "Physician clinical impression does not rule out spontaneous bacterial peritonitis in patients undergoing emergency department paracentesis". Ann Emerg Med 52 (3): 268–73. DOI:10.1016/j.annemergmed.2008.02.016. PMID 18433932. Research Blogging.