Re: accuracy of V/E findings

From: Paul Prior MD (pprior@clover.net)
Sun May 27 12:49:58 2001


On Sun, 27 May 2001 10:26:51 -0500, Eberhard Lisse <el@ac.lisse.na> wrote:

>In message <200105271453.JAA17023@mail.medispecialty.com>, art fougner, md writ
>es:
>> the predictive value of the bimanual exam is somewhat less than
>> exemplary.
>
>Though, the consulatant is usually right.

They may not be accurate, but they are correct :)

We had an attending when I was a resident that was notorious for being inaccurate on vag exams. Basically the residents subtracted about 1.5 cm from whatever we were told by that particular attending to correct for what the "real" dilation was. We would just smile and say "ok." It got complicated though when she was making decisions on CPD - because if we had reported accurately the dilation then she would think the patient hadn't progressed in the last 2 hours when really she had....

Lesson learned: trust your own fingers.

--
Paul Prior MD   They that can give up essential liberty to obtain a little
Coshocton, OH   temporary safety deserve neither liberty nor safety.
Solo Practice           - Benjamin Franklin, 1759.
OB/GYN, FACOG




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