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Appendecitis and CT

trauma-list@trauma.org trauma-list@trauma.org
Sun, 13 Apr 2003 10:44:24 EDT


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Dr. Khattar:   That you have an opinion that the CT has helped you in the 
evaluation of lower abdominal pain is of NO consequence, unless, the value of 
that evaluation (CT Scanning) by you, complete with the criteria you have 
used to assess its value is shared with the rest of the world, including 
those of us on this web site.  

Where is the data to support your premise?   Just what did you see on the CT 
that changed your treatment plan?   Would your treatment plan have changed 
anyway with a bit more time or with a detailed history and physicial 
examination.    I have found that many non-surgeons and even some surgeons 
order a CT of the abdomen by reflex, even before the patient is examined.    

Please, since you have found it to be "effective" share with those of us who 
are slow learners, and have been unable to find a real value in patient 
decision making, please share with us the tricks which alter your care.  

k

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<HTML><FONT FACE=3Darial,helvetica><FONT  SIZE=3D2 FAMILY=3D"SANSSERIF" FACE=
=3D"Arial" LANG=3D"0">Dr. Khattar:&nbsp;&nbsp; That you have an opinion that=
 the CT has helped you in the evaluation of lower abdominal pain is of NO co=
nsequence, unless, the value of that evaluation (CT Scanning) by you, comple=
te with the criteria you have used to assess its value is shared with the re=
st of the world, including those of us on this web site.&nbsp; <BR>
<BR>
Where is the data to support your premise?&nbsp;&nbsp; Just what did you see=
 on the CT that changed your treatment plan?&nbsp;&nbsp; Would your treatmen=
t plan have changed anyway with a bit more time or with a detailed history a=
nd physicial examination.&nbsp;&nbsp;&nbsp; I have found that many non-surge=
ons and even some surgeons order a CT of the abdomen by reflex, even before=20=
the patient is examined.&nbsp;&nbsp;&nbsp; <BR>
<BR>
Please, since you have found it to be "effective" share with those of us who=
 are slow learners, and have been unable to find a real value in patient dec=
ision making, please share with us the tricks which alter your care.&nbsp; <=
BR>
<BR>
k</FONT></HTML>

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