The computerized synoptic operative report: a novel tool in surgical residency education.

Hypothesis: As opposed to the traditional dictated report, the use of a computer-based synoptic operative report will mandate that the surgical resident have a better understanding of all facets of the procedure.

Design: A prospective study over a 10-month period.

Setting: A 636-bed community teaching hospital.

Can computed tomography scan be performed effectively in the diagnosis of acute appendicitis without the added morbidity of rectal contrast?

The highest degrees of accuracy have been demonstrated for CT scans using rectal contrast in diagnosing appendicitis. However, the administration of rectal contrast is associated with patient discomfort and rarely, rectosigmoid perforation (0.04%).