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Computerized Reporting PackagesFrom: Rich Dempsey RDMS/RVT (ridem@msn.com)Fri Oct 24 19:14:12 2003
I had a patient today who was 39.5 weeks and "small for dates", to check amniotic fluid volume and fetal weight. The AFI was 6, which is considered "low-normal" here. Subjectively, it looked like oligohydramnos. I work at an off-site, there is no physician on-site, no TeleRad no PACS. The BPD and head circumference were in the 56% range, BUT the femur length and abdominal circumference were <5% for gestational age. (A full 3 weeks behind expected range). Patient had been scanned at 6 , 18, and 25 weeks. Previous interval growth parameters were normal. My question is this : the reporting package we use (OB/WIN) reported the estimated fetal weight at 6lbs / 9 oz- which is in the 47 th percentile with this software package. Obviously something is wrong here. How much trust do you place in automated reporting packages?
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