Adult Primary Care
Read TMLT content exclusively curated for primary care physicians, including case studies and specialty news.
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Read ArticleFailure to treat suspected deep vein thrombosis
A man living in a nursing home and rehab center complained of right leg pain. The staff documented a 2+ edema in his right foot and notified the facility's consulting internal medicine physician.
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Read ArticleFailure to follow up on MRI test results
A 40-year-old man came to his family physician with complaints of left shoulder pain for two weeks. The physician ordered an MRI and administered an injection of methylprednisolone and lidocaine.
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Read ArticleMost common medical liability claims and costs: Internal medicine
A summary of internal medicine claims data from the MPL Association Data Sharing Project.
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Read ArticleFailure to diagnose and treat
On January 10, a 35-year-old man was transported by ambulance to a hospital’s emergency department (ED) reporting headache and dizziness. The patient had a history of hypertension and hypothyroidism.
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Read FlipbookReporter 2018 Adult Primary Care
Failure to monitor warfarin levels; Law requires Texas physicians to query PMP before prescribing opioids and other drugs
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Read ArticleFailure to monitor warfarin levels
A 70-year-old woman with a history of diabetes, hypercholesterolemia, and hypertension was taken to Hospital A, due to severe aortic stenosis.
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Read ArticleFailure to properly manage warfarin dose
An 89-year-old woman suffered a fractured right femur requiring surgical repair. She had a complicated history and comorbidities.
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Read ArticleFailure to monitor patient’s INR
In 2007, a 65-year-old man began seeing Family Physician A for treatment of high cholesterol and bronchitis. Over the next two years, the patient was seen for routine care.
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Failure to confirm diagnosis of polycythemia vera
In November 2007, a 40-year-old man was referred to an internal medicine physician by his primary care physician. The patient reported feeling weak and tired.
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Delay in diagnosing breast cancer
A 77-year-old woman with a history of cigarette smoking and COPD came to her family physician reporting a lump in her right breast.
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Read ArticleFailure to treat myocardial infarction
At 6:51 p.m., a 62-year-old man came to the emergency department (ED) of a local hospital reporting pain in the “chest wall area.”
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Read ArticleOverprescribing NSAIDs
A 50-year-old man came to the emergency department (ED) of a large medical center with symptoms that suggested cellulitis. He had a fever of 102.4 degrees, and his blood pressure was 163/92 mm Hg.
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Failure to report misplaced central line
On July 22, a 64-year-old woman came to the emergency department (ED) of a local hospital. The patient had undergone back surgery five days earlier, and she came to the ED for a possible overdose.
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Read FlipbookReporter 2017 Internal Medicine
Failure to properly manage warfarin dosage; Case closed: HIPAA and patient privacy
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Delay in detecting melanoma
A 58-year-old man came to his family physician for evaluation of a lesion on his back. The man was a long-time patient of this physician.
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Failure to insist on EMS transport
At 8:30 a.m., a patient’s wife called her husband’s family physician and requested an appointment because her husband was experiencing chest pain that began the previous evening.
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Read ArticleFailure to follow up on mammogram
A 54-year-old woman returned to her primary care physician, Family Physician A. The patient reported pain in her left arm, chest, and back that had continued for a week.
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Failure to restart anticoagulants
A 66-year-old man came to an internal medicine physician with a complaint of shuffling gait. He had a complex medical history, including a history of stroke.
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Failure to diagnose breast cancer
A 49-year-old African-American woman came to an internal medicine physician in August 2001. She continued to see this physician and his physician’s assistant for several years.
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Failure to diagnose Churg-Strauss Syndrome
A 44-year-old man came to the ED with swelling of the lower extremities and ecchymosis present for the past six days. He denied nausea, vomiting, or diarrhea.
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