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Is Listening for Abdominal Bruits Useful in the Evaluation of Hypertension Presented by James Ratliff, M.D. April 18, 2008
Outline for Today’s Talk ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Anatomic and Physiologic Origins of an Abdominal Bruit ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Abdominal Bruits - Examination ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Abdominal Bruits - Examination ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Abdominal Bruits - Prevalence
Abdominal Bruits - Prevalence
Abdominal Bruits  Prevalence
Abdominal Bruits - Precision ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Statistics Review Accuracy  =  TRUE POSITIVES + TRUE NEGATIVES True Positives+False Positives+False Negatives+True Negatives Accuracy ↓ Specificity ↓ Sensitivity ->  Negative Predictive Value True Negative False Negative Negative ->  Positive Predictive Value False Positive True Positive Positive Test False True Condition  (e.g. Disease) As determined by "Gold" standard
Abdominal Bruits - Accuracy
Abdominal Bruits - Accuracy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],RV HTN+  RV HTN-  Sys/Dia Bruit + Sys/Dia Bruit - Sensitivity  Specificity  197 39 2 25
Abdominal Bruits - Accuracy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],RV HTN+  RV HTN-  ANY Bruit + ANY Bruit - Sensitivity  Specificity  82 10 9 17
Abdominal Bruits – Accuracy Continued ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Abdominal Bruits – Accuracy Continued ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Abdominal Bruits  Auscultatory Characteristics ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Abdominal Bruits   Auscultatory Characteristics ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Abdominal Bruits  Prognosis ,[object Object],[object Object],[object Object]
Abdominal Bruits  The Bottom Line ,[object Object],[object Object],[object Object],[object Object],[object Object]
Abdominal Bruits  The Bottom Line ,[object Object],[object Object],[object Object]
Abdominal Bruits  The Bottom Line Summary ,[object Object]
Questions and Answers
References ,[object Object],[object Object],[object Object]

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Abdominal Bruit Preso 2

  • 1. Is Listening for Abdominal Bruits Useful in the Evaluation of Hypertension Presented by James Ratliff, M.D. April 18, 2008
  • 2.
  • 3.
  • 4.
  • 5.
  • 6. Abdominal Bruits - Prevalence
  • 7. Abdominal Bruits - Prevalence
  • 8. Abdominal Bruits Prevalence
  • 9.
  • 10. Statistics Review Accuracy = TRUE POSITIVES + TRUE NEGATIVES True Positives+False Positives+False Negatives+True Negatives Accuracy ↓ Specificity ↓ Sensitivity -> Negative Predictive Value True Negative False Negative Negative -> Positive Predictive Value False Positive True Positive Positive Test False True Condition (e.g. Disease) As determined by "Gold" standard
  • 11. Abdominal Bruits - Accuracy
  • 12.
  • 13.
  • 14.
  • 15.
  • 16.
  • 17.
  • 18.
  • 19.
  • 20.
  • 21.
  • 23.