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This finding was not significantly different among operators with different levels of experience, or between adults and children. The authors recommended against the use of biomarkers or clinical symptoms stand-alone tests to diagnose bacterial pneumonia given the poor test characteristics. N Engl J Med. DOI: 10.1097/CCM.0b013e3181c98d21
Jeff: Perhaps most importantly, no history or physical alone can rule in or out an ectopic pregnancy, for that you’ll need testing and imaging or operative findings. Jeff: Up first is the urine pregnancy test. A 2010 Meta-Analysis found a NPV of 99.96% when an er doc identified an IUP on bedside ultrasound.
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