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How good is clinical examination at detecting a significant patent ductus arteriosus in the preterm neonate?
  1. D S Urquhart1,
  2. R M Nicholl2
  1. 1Specialist Registrar in Paediatrics, Northwick Park Hospital, Watford Road, Harrow, Middlesex, UK
  2. 2Consultant Neonatologist, Northwick Park Hospital, Watford Road, Harrow, Middlesex, UK

https://doi.org/10.1136/adc.88.1.85

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    A 25 week gestation infant aged 30 days has a continuous murmur and easily palpable pulses. He has already received a course of indomethacin for a “clinically diagnosed” patent ductus arteriosus (PDA). The baby is ventilator dependent. How good (or bad) is clinical examination at diagnosing a clinically important PDA?

    Structured clinical question

    In a ventilator dependent neonate of very low birth weight (<1000 g) [patient], how good is clinical examination [intervention] at detecting patent ductus arteriosus [outcome]?

    Search strategy and outcome

    A search string of [patent arterial duct] AND [diagnostic test] was used.

    Search results

    PubMed—three papers.

    Cochrane database—nil.

    SUMSearch—nil other than PubMed articles.

    Search done independently by DU and RN retrieved same three articles. See table 3 …

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