Table 1.

Guidelines, Key History and Physical Measures, Management Decision, and Number of Visits by Condition

Condition	Guidelines	Completeness of History and Physical	Recommended Management	Number of Visits N=599 (%)
Ankle Pain	Ottawa Ankle Rules	•Ability to Walk •Tenderness at Lateral Malleolus	Order Ankle X-ray	102 (17%)
Streptococcal Pharyngitis	Modified Centor Criteria	•Fever •Tonsilar Exudates •Absence of Cough •Tender Cervical Adenopathy	Order Strep Test or Prescribe antibiotics	97 (16%)
Viral Pharyngitis	Modified Centor Criteria	•Fever •Tonsillar Exudates •Absence of Cough •Tender Cervical Adenopathy	Order Strep Test or Do Not Prescribe Antibiotics	82 (14%)
Rhinosinusitis	American Academy of Family Physicians Diagnostic Guidelines	•Fever •Facial Pain •Tooth Pain •Nasal Discharge •Symptom Time Course	Do Not Prescribe Antibiotics	105 (18%)
Low Back Pain	American College of Physicians Diagnostic Guidelines	•Symptom Duration •History of Pain/Trauma •Location/Radiation of Pain •Bowel or Bladder Changes •Myelopathy/Radiculopathy	Do Not Order Imaging or Other Diagnostic Tests	92 (15%)
Recurrent Female Urinary Tract Infection	Infectious Diseases Society of America	•Fever •History of UTIs •Urinary Symptoms •Duration of Symptoms •Prior Testing/Treatment •Suprapubic/Flank/Back Pain	Order Urine Culture	121 (20%)