       Document 0485
 DOCN  M9440485
 TI    Rapid clinical diagnosis of pulmonary abnormalities in HIV-seropositive
       patients by auscultatory percussion.
 DT    9404
 AU    Nelson RS; Rickman LS; Mathews WC; Beeson SC; Fullerton SC; University
       of California, School of Medicine, San Diego.
 SO    Chest. 1994 Feb;105(2):402-7. Unique Identifier : AIDSLINE MED/94139392
 AB    A prospective, blinded study of pulmonary findings in hospitalized
       patients with HIV infection compared auscultatory percussion (AusP) with
       conventional percussion (ConP) and conventional auscultation (ConA)
       using chest radiographs as the gold standard. Sixty-three patients had
       chest radiographs and were examined by one to three examiners. Seventy
       of the 126 lungs had radiographic abnormalities (55.6 percent).
       Auscultatory percussion proved to be the most sensitive of all
       techniques for each examiner (range, 51.0 to 69.6 percent) for detecting
       radiographic abnormalities and also had higher likelihood ratios for two
       of the three examiners; AusP also had the highest likelihood ratio
       pooled across examiners. Of the 166 abnormal results of lung
       examinations, the combination of AusP and ConA detected 31 more
       abnormalities than ConP and ConA combined, with 14 of these being
       diagnosed with Pneumocystis carinii pneumonia. No abnormalities were
       detected by ConP that were not detected by AusP. These findings suggest
       that AusP, a rapid clinical maneuver, is more sensitive and specific
       than ConA and ConP in determining pulmonary abnormalities in
       HIV-infected inpatients.
 DE    Adult  *Auscultation  Comparative Study  Female  Hospitalization  Human
       *HIV Seropositivity/COMPLICATIONS  Likelihood Functions  Lung
       Diseases/COMPLICATIONS/*DIAGNOSIS/RADIOGRAPHY  Male  Middle Age
       Observer Variation  *Percussion  Prevalence  Prospective Studies  ROC
       Curve  Sensitivity and Specificity  Single-Blind Method  Support, U.S.
       Gov't, P.H.S.  Thoracic Radiography  JOURNAL ARTICLE

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).

