Table 2 |
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|
Comparison of findings reported by physician histories and computer histories for 8 patients presenting to their physicians with a chief complaint of chest pain and for whom there were significant discrepancies between physician and computer histories of the present illness |
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|
Age/sex |
Physician-based Present Illness |
Computer-based Present Illness |
Diagnostic Outcome |
|
|
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|
76/f |
Angina |
No acute disease |
Negative cardiac cath |
|
39/m |
Exercise-induced angina |
Progressive chest pain for 6 months radiating to L. shoulder, L. elbow and palpitations with emotional upset not effort. Patient also had effort-induced tightness of the chest and shortness of breath. ?Atypical angina and reactive airway disease |
Negative cardiac cath; negative stress test. |
|
50/f |
Atypical angina |
6 months SOB and tightness of chest with exercise and strong odors. No acute changes. |
No diagnosis. No treatment. |
|
49/m |
Pleuritic chest pain; fatigue; 2 days fever and chills: pneumonia. |
DOE progressive to dyspnea at rest at admission: heart failure |
Pericarditis |
|
54/m |
Chest pain ? angina |
No acute disease. Denied chest pain |
No work up. Discharged in 1 day |
|
85/f |
New onset recurrent angina |
DOE with daily chores. Old MI and denied recurrent chest pain. |
Negative cardiac cath |
|
77/m |
Effort-induced chest pressure lasting 2 to 3 minutes and not relieved by NTG |
No acute disease |
Documented CAD by angiogram |
|
76/m |
2 years "angina" and dyspnea relieved by NTG |
No acute disease |
Documented CAD by angiogram |
|
24/f |
Acute UTI |
No acute GU history |
Pyelonephritis |
|
|
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Zakim et al. BMC Medical Informatics and Decision Making 2008 8:50 doi:10.1186/1472-6947-8-50 |
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