Clinical paradigms revisited

Mendelson, Richard M

doi:10.5694/j.1326-5377.2007.tb00950.x

Topics

To the Editor: Like Schattner, I am appalled by the attitude to diagnosis displayed by Wong regarding the use of computed tomography (CT) scanning in preference to initial history-taking and physical examination in abdominal pain.1 Unfortunately, this approach is becoming increasingly more prevalent among junior staff (and even among some senior staff).

Department of Diagnostic and Interventional Radiology, Royal Perth Hospital, Perth, WA.

Correspondence: richard.mendelson@health.wa.gov.au

1. Wong K. Clinical paradigms revisited [letter; with reply by A Schattner]. Med J Aust 2006; 185: 671-672. <MJA full text>
2. Leslie A, Jones A, Goddard P. The influence of clinical information on the reporting of CT by radiologists. Br J Radiol 2000; 73: 1052-1055.
3. 1990 Recommendations of the International Commission on Radiological Protection. Annals of the ICRP. Oxford: Pergamon Press, 1991. (ICRP Publication No. 60.)
4. Berrington de Gonzalez A, Darby S. Risk of cancer from diagnostic x-rays: estimates for the UK and 14 other countries. Lancet 2004; 363: 345-351.
5. Lambert M, Villa M. Gynecologic ultrasound in emergency medicine. Emerg Med Clin North Am 2004; 22: 683-696.

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