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The Reporter May-June 2004

May 24, 2004

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Sticker shock: the high cost of legal defense; FDA update on the use of antidepressants; Duty to inform: a guide to informed consent (expired CME); Failure to diagnose meningitis; Risk management consult

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The Reporter July-August 2004

Failure to diagnose colorectal cancer; Shared patient/shared liability: Treating patients who see multiple ...

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Reporter 2004 Orthopedics

Failure to diagnose and transfer; Combating physician stress and burnout

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Failure to monitor thiamine levels

A 50-year-old woman consulted with a bariatric surgeon for weight reduction surgery. The patient was 5’ 4” and weighed 265 pounds.

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Failure to diagnose cornual pregnancy

A 33-year-old woman came to the emergency department (ED) complaining of bilateral abdominal pain, back pain, and shortness of breath.

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Failure to diagnose retained sponge

A 55-year-old woman was admitted to a hospital in New Mexico for a colostomy reversal.

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Failure to diagnose tuberculosis

A two-year-old boy with a five-day history of intermittent fever and stomachache was brought to his pediatrician. The child was diagnosed with a viral syndrome and treated with simethicone drops

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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 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 diagnose rhabdomyolysis

At 3:20 p.m., a 3-year-old girl was brought to the emergency department (ED) with complaints of fever, lethargy, sore throat, severe leg pain bilaterally with decreased sensation, and absent reflexes.

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