During a tubal ligation, patient sustained bowel perforation on December 10. Despite symptoms (abdominal pain, distention) that began the day after the procedure, the perforation was not diagnosed until December 13. By that time, patient had developed severe peritonitis, sepsis, pneumonia, and malnutrition. She subsequently underwent emergency repair on December 16, placement of a central [...]
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Curbside Case
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Nov 10, 2010 : Bowel Perforation During D & C
Nov 1, 2010 : C. difficile Cases Worth Pursuing
1- Inappropriate antibiotic use can cause this condition which can be fatal. 2- Use of anti-peristaltic Rx such as Imodium or Lomotil is contraindicated in C. diff and can lead to toxic megacolon and death or need for total colectomy. 3- Failure to treat long enough or to discontinue offending antibiotic therapy are also problematic. [...]
( 0 comments )Nov 1, 2010 : Endarterectomy with Nerve Transection
Issue: Is it a departure from the standard of surgical care to completely transect the hypoglossal nerve during endarterectomy. Operative report indicates that it was inadvertently divided along with a very high facial vein and thus its distribution was described as aberrant. Primary repair was accomplished intraoperatively. MEDQUEST EXPERT RESPONSES: It is a departure. This [...]
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