Workshop #3 Flashcards
Portion of patients with the diagnosis that have the physical sign (have the positive result)
Sensitivity
Portion of patients without the diagnosis that lack the physical sign (have the negative result).
Specificity
Physical signs with a high ___________, greatly increase the probability of the disease when signs are present
Specificity
Sppin =
A Specific test when Positive rules IN disease
SnNout =
A Sensitive test when Negative rules OUT disease
used for for determining if the symptom is a predictor of the hypotheses
LR(+), LR(-), and anything in between
how much a positive test result increases the probability of disease
positive likelihood ratio LR(+)
how much a negative test result decreases the probability of a disease
negative likelihood ratio LR(-)
Likelihood Ratios:
- 3 = ____%
- 0 = ____%
- 3= (-) -25%
3. 0= (+) 20%
Likelihood Ratios of ___ - ____ indicate poor likelihood data
0.4 - 2.9
LR of __________ = no likelihood of disease
0.3 or less
LR of _________ = high likelihood of disease
3.0 or more
Something you expect to see, and it is there
Something I expect to find that is there and supports my hypothesis
Significant Positive
Something you do not expect to see, and it supports that they do not have this hypothesis
(Rules out other hypothesis to try to get closer to the one you want them to have)
Significant Negative
The absence of __________ will support the hypothesis
Significant Negative
Both of these strengthen your diagnosis
Significant Positive and Negatives
SOAP Note Order
Subjective Data
Objective Data
-Evidence/Labs
Assessment (Diagnosis)
Plan (Orders + Follow Up if needed)Any Lab or Diagnostic that can be done at that visit, add it to the bottom of the _________ section
Objective
Evidence Grade ____:
Further research is very unlikely to change our confidence in the estimate of effect.
Several high-quality studies with consistent results
In special cases: one large, high-quality multi-centre trial
A
Evidence Grade _____:
Further research is likely to have an important impact on our confidence in the estimate of effect and may change the estimate.
One high-quality study
Several studies with some limitations
B
Evidence Grade _____:
Further research is very likely to have an important impact on our confidence in the estimate of effect and is likely to change the estimate.
One or more studies with severe limitations
C
Evidence Grade _____:
Any estimate of effect is very uncertain.
Expert opinion
No direct research evidence
One or more studies with very severe limitations
D
Consistent, good-quality patient-oriented evidence
Grade A
Inconsistent or limited-quality patient-oriented evidence
Grade B
Consensus, disease-oriented evidence *, usual practice, expert opinion, or case series for studies of diagnosis, treatment, prevention, or screening
Grade C
level of evidence thatrepresents research results that address clinical outcomes and meet an extensive set of quality criteria that minimizes bias.
Level I (Likely Reliable)
level of evidencethat represents research results that address clinical outcomes and demonstrate some method of scientific investigation but do not meet the quality criteria to achieve Level 1.
Level 2 (Mid-Level)
level of evidencerepresents either of the following:
Reports that are not based on scientific analysis of clinical outcomes (e.g., case series, case reports, conclusions extrapolated indirectly from scientific studies)
Research results that do not address clinical outcomes, regardless of the scientific rigor
Level 3 (Lacking Direct)
