2013
Does This Woman Have an Ectopic Pregnancy?: The Rational Clinical Examination Systematic Review
Crochet JR, Bastian LA, Chireau MV. Does This Woman Have an Ectopic Pregnancy?: The Rational Clinical Examination Systematic Review. JAMA 2013, 309: 1722-1729. PMID: 23613077, DOI: 10.1001/jama.2013.3914.Peer-Reviewed Original ResearchConceptsEctopic pregnancyAbdominal painVaginal bleedingTransvaginal sonographyPatient historyEarly pregnancyAdnexal massesLaboratory valuesRational Clinical Examination Systematic ReviewSerum human chorionic gonadotropin levelsHuman chorionic gonadotropin levelsAvailable laboratory valuesCervical motion tendernessChorionic gonadotropin levelsBest diagnostic modalityPhysical examination findingsDirect surgical visualizationEnglish-language articlesPositive likelihood ratioAdnexal tendernessHCG testingIntrauterine pregnancyMaternal morbidityTransvaginal sonogramsGonadotropin levels
2004
Does This Woman Have Osteoporosis?
Green AD, Colón-Emeric CS, Bastian L, Drake MT, Lyles KW. Does This Woman Have Osteoporosis? JAMA 2004, 292: 2890-2900. PMID: 15598921, DOI: 10.1001/jama.292.23.2890.Peer-Reviewed Original ResearchMeSH KeywordsAbsorptiometry, PhotonAgedBone Diseases, MetabolicFemaleHumansMiddle AgedOsteoporosisPhysical ExaminationRisk AssessmentSpinal FracturesConceptsSpinal fracturesWall-occiput distanceBone densitometryUS Preventive Services Task Force guidelinesGreatest positive likelihood ratioOccult vertebral fracturesPhysical examination findingsTask Force guidelinesDiagnosis of osteopeniaPositive likelihood ratioEarly referralScreening recommendationsVertebral fracturesExamination findingsPhysical examinationPretest probabilityInclusion criteriaClinical challengeMEDLINE searchExamination maneuversPhysical signsFinger breadthsOsteoporosisEarly screeningYoung women
2003
Is This Woman Perimenopausal?
Bastian LA, Smith CM, Nanda K. Is This Woman Perimenopausal? JAMA 2003, 289: 895-902. PMID: 12588275, DOI: 10.1001/jama.289.7.895.Peer-Reviewed Original ResearchConceptsHigh follicle-stimulating hormone levelsGreatest positive likelihood ratioLower inhibin B levelsFollicle-stimulating hormone levelsMonths of amenorrheaPremenopausal control groupInhibin B levelsClinical examination findingsEnglish-language articlesPositive likelihood ratioNight sweatsVaginal drynessClimacteric symptomsPerimenopausal womenExamination findingsHot flashesMenstrual historyClinical examinationPerimenopausal statusHormone levelsMEDLINE searchWomen's agePerimenopauseControl groupSymptoms
1997
Is this patient pregnant? Can you reliably rule in or rule out early pregnancy by clinical examination? .
Bastian L, Piscitelli J. Is this patient pregnant? Can you reliably rule in or rule out early pregnancy by clinical examination? . JAMA 1997, 278: 586-91. PMID: 9268281, DOI: 10.1001/jama.278.7.586.Peer-Reviewed Original ResearchConceptsEarly pregnancyGestational ageClinical examinationClinical examination findingsWeeks gestational agePregnancy test resultsPhysical examination featuresIndicator of pregnancyHome pregnancy testsEnlarged uterusExamination findingsExamination featuresPregnancy testMorning sicknessSoft cervixPregnancyAvailable evidenceCliniciansLaboratory testsCommon problemExaminationAmenorrheaCervixPatientsUterus