Abstract
The prognostic value of an erect and supine abdominal X-ray was studied prospectively in 97 patients with an acute abdomen. Although 64 (66%) of the radiographs showed an abnormality, the surgical registrar altered his clinical diagnosis on only seven occasions and changed his management on four. A consultant radiologist was the most accurate at reporting the X-rays even without seeing the patient, whilst junior surgical and radiological staff were as accurate as each other. A surgical registrar, however, was more accurate than junior radiologists in making a diagnosis. The investigation was of immediate clinical value in only 4% of the patients, and its use could probably be limited without detriment to patients.
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Selected References
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- Eisenberg R. L., Heineken P., Hedgcock M. W., Federle M., Goldberg H. I. Evaluation of plain abdominal radiographs in the diagnosis of abdominal pain. Ann Intern Med. 1982 Aug;97(2):257–261. doi: 10.7326/0003-4819-97-2-257. [DOI] [PubMed] [Google Scholar]
- Golberg B. Department of inappropriate investigations. Br Med J. 1977 Nov 12;2(6097):1274–1275. doi: 10.1136/bmj.2.6097.1274. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Lee P. W. The plain X-ray in the acute abdomen: a surgeon's evaluation. Br J Surg. 1976 Oct;63(10):763–766. doi: 10.1002/bjs.1800631009. [DOI] [PubMed] [Google Scholar]
- McCook T. A., Ravin C. E., Rice R. P. Abdominal radiography in the emergency department: a prospective analysis. Ann Emerg Med. 1982 Jan;11(1):7–8. doi: 10.1016/s0196-0644(82)80004-8. [DOI] [PubMed] [Google Scholar]
- de Lacey G. J., Wignall B. K., Bradbrooke S., Reidy J., Hussain S., Cramer B. Rationalising abdominal radiography in the accident and emergency department. Clin Radiol. 1980 Jul;31(4):453–455. doi: 10.1016/s0009-9260(80)80191-7. [DOI] [PubMed] [Google Scholar]