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Correspondence
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Volume 338:1847-1848 June 18, 1998 Number 25
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Computed Tomography of the Appendix

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 by Rao, P. M.
To the Editor: Rao et al. (Jan. 15 issue)1 found that computed tomography (CT) was very accurate for the diagnosis of appendicitis and that clinical diagnosis was very inaccurate. The clinical diagnoses were inaccurate because they were the surgeon's first estimates of the probability of appendicitis in patients in the emergency department. It is well known that the diagnostic accuracy increases on reexamination after a short period of observation. A planned exploration is not necessarily carried out on admission, as assumed by Rao et al. These points alter the calculated cost savings due to the use of CT.

The histologic . . . [Full Text of this Article]

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