Ruling a diagnosis in or out with “SpPIn” and “SnNOut”: a note of caution
- 22 July 2004
- Vol. 329 (7459), 209-213
- https://doi.org/10.1136/bmj.329.7459.209
Abstract
Dr Y had applied the Ottawa ankle rules—decision rules designed to exclude fractures of the malleolus and the midfoot—and found no bone tenderness.1 He had previously visited the website of a centre for evidence based medicine2 and printed out a list of diagnostic tests that can rule out, or rule in, the condition in question without requiring further investigations.This publication has 22 references indexed in Scilit:
- Systematic reviews in laboratory medicine: principles, processes and practical considerationsClinica Chimica Acta; International Journal of Clinical Chemistry, 2004
- Medical students' application of published evidence: randomised trialBMJ, 2003
- Accuracy of Ottawa ankle rules to exclude fractures of the ankle and mid-foot: systematic reviewBMJ, 2003
- One hundred years ago: Art and natureBMJ, 2003
- Evaluation of the NINCDS-ADRDA criteria in the differentiation of Alzheimer's disease and frontotemporal dementiaJournal of Neurology, Neurosurgery & Psychiatry, 1999
- Assessing diagnosis in heart failure: which features are any use?QJM: An International Journal of Medicine, 1997
- Ethnic Differences in Performance of Screening Instruments for Identifying Harmful Drinking and Alcohol Dependence in the Emergency RoomAlcohol: Clinical and Experimental Research, 1995
- The rational clinical examination. Does this patient have ascites? How to divine fluid in the abdomenJAMA, 1992
- A study to develop clinical decision rules for the use of radiography in acute ankle injuriesAnnals of Emergency Medicine, 1992
- Clinical diagnosis of Alzheimer's diseaseNeurology, 1984