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Re: Computerized Reporting Packages From: Wolfgang Moroder, M.D. (wolfgang.moroder@tin.it) Sat Oct 25 04:56:17 2003 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Terry J DuBose: "Re: Computerized Reporting Packages" Previous message: Rich Dempsey RDMS/RVT : "Computerized Reporting Packages" In reply to: Rich Dempsey RDMS/RVT : "Computerized Reporting Packages" Next in thread: Terry J DuBose: "Re: Computerized Reporting Packages" Hi! This baby looks quite disproportionate to me. I use always computerized software for reporting, since 14 years, but to tell you the truth I look first at the womb and never forget clinical judgment. Still, those packages sometimes have flaws and somtimes I miss a comma etc. In those cases I resort to manual charts (I love jeanty's and Romero's blue book). Now could you write us the real measurements? and sorry, but around here we cannot imagine anything by " 6lbs / 9 oz- ". Ciao Wolfgang At Fri, 24 Oct 2003, Rich Dempsey RDMS/RVT wrote: > >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? -- Wolfgang Moroder, MD Prenatal Unit Bolzano General Hospital Italy Next message: Terry J DuBose: "Re: Computerized Reporting Packages" Previous message: Rich Dempsey RDMS/RVT : "Computerized Reporting Packages" In reply to: Rich Dempsey RDMS/RVT : "Computerized Reporting Packages" Next in thread: Terry J DuBose: "Re: Computerized Reporting Packages"

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