Quote:
Originally Posted by SupDock
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.
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Our department didn’t have a CT until recently so U/S was the go to otherwise the patient had to be shipped to another hospital, so I tried getting good at it.