Abstract

Achieving the Triple Aim Through Informed Consent for Computed Tomography.

Highlights

  • At the end of a busy shift, you meet Mary, a 24 year-old female with no past medical history, who presents with six hours of crampy, intermittent, periumbilical abdominal pain but no associated fever, nausea, vomiting, diarrhea or anorexia

  • You explain to the patient that you have a low suspicion for an intraabdominal emergency, but cannot be certain without a computed tomography (CT) scan

  • Extrapolating from data from atomic bomb survivors, Smith-Bindman, Brenner and others have calculated the risks of cancer development associated with CT and estimated that up to 2% of all cancers in the US are attributable to CT scans.[6,7]

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Summary

Introduction

At the end of a busy shift, you meet Mary, a 24 year-old female with no past medical history, who presents with six hours of crampy, intermittent, periumbilical abdominal pain but no associated fever, nausea, vomiting, diarrhea or anorexia. University of California, San Francisco, Department of Emergency Medicine, San Francisco, California

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