Quote:
Originally Posted by 'Hamas' Jenkins
I'm too lazy to remote in to work to check UpToDate right now. Does that article list the negative predictive value of US? Just curious.
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Just checked. Went to the source article and it wasn’t in the abstract.
I brief lit review indicates 60-80 percent negative predictive value.
My opinion is that even with a higher negative predictive value you are still left with no diagnosis.
I am thinking of a patient in the ED with flank pain and hematuria. CT just makes more sense to me.
Your point about cumulative radiation exposure is a good one though. A major bias in medicine is worrying more about a missed diagnosis than the risk of the test or procedure.