Primary Survey
| The first 150 words of the full text of this article appear below. |
The EMJ is pleased to publish negative studies. With an ever-increasing array of diagnostic tests available, it is useful to have evidence to tell us not to waste our time with unhelpful tests. Hogg et al have shown that lower limb computerised strain-gauge plethysmography adds nothing to the diagnostic work-up of suspected pulmonary embolus. This well-written article also shows how diagnostic data should be reported, with an excellent example of a STARD flow chart.
See p 94
Patients presenting to the emergency department with non-specific chest pain often have anxiety disorder, but this problem is frequently missed. Demiryoguran and colleagues followed-up 157 patients with non-specific chest pain and suggest that atypical pain, recurrent emergency department presentations, and associated symptoms, such as dizziness, chills, hot flushes, or fear of dying, are associated with a diagnosis of anxiety disorder and could be used to improve recognition.
See p 99
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