List Archives

Fri Aug 17 19:33:19 BST 2007

Dr. Mattox,

  it is my observations that physicians who can do a HX and PE without relying on radiology are becoming few and farther between. Infact, many of the physicians I worked under and my preceptors have reminded me that there is no diagnosis without radiology, irregardless of physical findings. It was shocking to see the comments about taking the pt to the OR so fast. I can count the number of patients I have seen taken to the OR from the ED in less than 45 minutes. The number I have seen go to surgury without a head/chest/abd/pelvis CT scan is even less. Of course I have a theory on this if you'd like, but I will spare the group from it.

  Mike

KMATTOX at aol.com wrote:

In a message dated 8/17/2007 10:10:47 A.M. Central Daylight Time, 
Krin135 at aol.com writes:

What was the patient doing in the "CT scan 2 hours after arrival " 
with a "systolic BP 0f 40-60" ??

What are MOST people that are in CT scans doing in them. I have been 
tabulating just how many CT scans that are done in medicine, surgical, pediatric , 
etc. patients actually produce data that alters decision making over and 
above what SHOULD HAVE been discovered on the history and physical, assuming a 
history and physical examination had been done at all, More often than not, 
such findings (HX & PE) are not recorded on the chart prior to the order of 
the CT scan. 

k

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