Table 2 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
Age/sex | Physician-based Present Illness | Computer-based Present Illness | Diagnostic Outcome |
|---|---|---|---|
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 |