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givepositivecomments Archive

View 0 posts and 5 comments by givepositivecomments on TheRedPill subreddit and various other subreddits related to The Red Pill community.
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2

You don't decide how good a test is based on sensitivity, you decide how good it is based on positive predictive value, which depends on your a priori assumption. Yes, if your suspicion for aortic dissection is high, a negative CXR shouldn't stop you, get that CT. If your suspicion is pretty low, a negative CXR is pretty good, for the love of God don't kill the patient's kidneys and give them cancer just because you want to be the guy who diagnoses the one aortic dissection that comes in that ye…
/r/TheRedPill16/08/16 06:03 PM
0

Yes. 65% for a rare diagnosis is pretty good, esp. when the findings of dissection have really good specificity. Unless you're seriously suggesting we CT PE protocol every single patient with chest pain that comes into the ED, we will never have the level of sensitivity that you want. And if you do think we need to do a triple rule out of every single CP patient who comes through the ED, you are part of the problem. I'm not saying we rely on a CXR to make or break the diagnosis, if you have high…
/r/TheRedPill16/08/16 05:32 PM
0

http://bestbets.org/bets/bet.php?id=569 Most of these numbers are 60-70%. You're right that you would miss a lot of cases, but "incredibly poor" is an overstatement.
/r/TheRedPill16/08/16 05:19 PM
0

If someone comes in with chest pain and ALL you get is an ECG and trop without a CXR, then I've got bad news for you son. That being said, certainly more than one aortic dissection has been noted on a cath for a supposed STEMI... something like 1% of aortic dissections present as STEMI, usually RCA territory.
/r/TheRedPill16/08/16 01:36 AM
3

More like a "weed out the immigrants who haven't bothered learning English" test.
/r/TheRedPill16/08/16 01:34 AM
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