Site Search
Trauma-List Subscription


Would you like to receive list emails batched into one daily digest?
No Yes
Modify Your Subscription


Home > List Archives

Appendicitis & CT

Varcelotti MD, Jorge trauma-list@trauma.org
Mon, 14 Apr 2003 13:21:27 -0400

Agree with Ronald. 

> -----Original Message-----
> From:	Ronald Simon [SMTP:Traumamd@nyc.rr.com]
> Sent:	Monday, April 14, 2003 11:44 AM
> To:	trauma-list@trauma.org
> Subject:	Re: Appendicitis & CT
> I don't get this. There are clearly some cases where the diagnosis is a 
> slam dunk and no further studies necessary. But there are times when it 
> is not. This is where 10-20% neg AP rate comes from. If you can do a 
> test that will significantly reduce this negative rate why not use it? I 
> would personally rather have a CT than a neg exploration as i assume my 
> patients feel the same way.
> Ron
> Douglas Geehan wrote:
> >>  To say the use of all CTs in acute AP is wrong is an overstatement.
> >> Ron Simon
> >> Dir of Trauma
> >> Jacobi Medical Center
> >
> >
> >
> > I would agree with this statement; howver, we have been discussing the 
> > use of CT for appendicitis (kind of neat since we're on the trauma-L; 
> > I guess that answers the question about segregated trauma/ gen surgery 
> > call...) specifically.  My personal view is that you request a CT when 
> > you think the patient does not have appendicitis.  As I tell my 
> > residents, "If you are confident enough to put appendicitis as the 
> > reason for the CT on the requisition form, the patient just needs an 
> > operation".
> >
> > Doug
> >
> --
> trauma-list : TRAUMA.ORG
> To change your settings or unsubscribe visit:
> http://www.trauma.org/traumalist.html
Please NOTE:  This message contains confidential information and is intended
only for the individual named. If you are not the named addressee you should
not distribute, copy or use this e-mail in any way. Please notify the sender
immediately by e-mail if you have received this e-mail by mistake and delete
this e-mail from your system. E-mail transmission cannot be guaranteed to be
secure or error-free as information could be intercepted, corrupted, lost,
destroyed, arrive late or incomplete, or contain viruses. The sender
therefore does not accept liability for any errors or omissions in the
contents of this message, which arise as a result of e-mail transmission. If
verification is required please request a hard-copy version. Pittsburgh
Mercy Health System, 1400 Locust Street, Pittsburgh, PA 15219  Attn:  Chief
Information Officer