OK Rowley,
I will assume that your question 'and how will CT scan diagnose those....'
to be rhetorical. Let me advance my argument a little further, and quote
your previous post......
"Make a CLINICAL diagnosis and a clinical decision, guys! I had quite enough
information in that posting from
Steve to know the prognosis was appalling. Counsel family, drip up, quiet
side room."
My interpretation of your posts is that you seem to be advocating a 'non
investigation' policy for these patients, in which they are basically put in
a side room and ignored.
You pose the questions of why scan, and what the alternate diagnoses are,
and I posed a few.
If you read my post, I never suggested that these conditions are diagnosed
on CT (and I am not sure how you could have interpreted it this way)- I
simply suggested a few possible alternative diagnoses. The beauty of
medicine is recognising that we do not all approach the same clinical
problem in the same way - and that other people's approaches can be equally
valid.
I, for one, find that establishing a firm diagnosis, where possible, is very
helpful in the management of the unconscious elderly patient.
Regards
Paul Bailey MB BS FACEM
----- Original Message -----
From: Rowley Cottingham <[log in to unmask]>
To: <[log in to unmask]>
Sent: Monday, June 11, 2001 3:59 PM
Subject: Re: scanning without tubing
> > In response to why scan, what are the alternate diagnoses.....
> >
> > Well, how about
> > Post seizure - get better
> Yes, simply putting them in a side room will allow that to happen.
> > Toxic / metabolic causes - hyponatraemia, hypoglycaemia, intoxication
> And how will a CT Scan diagnose those?
>
> Best wishes,
>
>
> Rowley Cottingham
>
> [log in to unmask]
>
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