Case Archive

PREGNANCY FOLLOWING TUBAL LIGATION

40 year old female had her left ovary and fallopian tube removed. She then had a tubal ligation to her right fallopian tube as she did not want to get pregnant. She then got pregnant. There are some serious health problems with the child unrelated to any malpractice. The child was delivered C-section and at […]

DIAGNOSING AND TREATING STROKE

The major liability issues regarding stroke revolve around the use of tPA (tissue plasminogen activator…clot busting drug). Not administering the drug for a qualified patient may likely constitute a departure from good and accepted practice. There are published criteria for the use of tPA ( American Heart Association ). tPA can be initiated within 3 […]

INADEQUATE POLYP RESECTION LEADS TO COLON CANCER

56 year old female underwent multiple colonoscopies beginning 8/29/05. 8/29/05 diagnostic colonoscopy found a sessile polyp at 8-10 cm, partial removal, pathology confirmed Tubulovillous Adenoma. Recommended 3 month follow-up. 11/21/05 Repeat colonoscopy, removed more but not the entire sessile polyp at 10 cm. Pathology confirmed Tubulovillous Adenoma. Recommended 3 year follow-up. 11/24/08 Repeat colonoscopy. Patient […]

CATARACT SURGERY CASES WORTH PURSUING

Endophthalmitis – infection inside the eye is a common complication requiring early recognition, and immediate referral to a retina specialist. Failure to refer out patients with pain and/or decreased vision up to 10 days after surgery is a departure often resulting in significant vision loss. Dropped Nucleus – the central dense part of cataract may […]

FAILURE TO ANTICOAGULATE PATIENT LEADS TO DVT

I have a case where a 24-year-old male with a Leiden Factor V deficiency undergoes knee surgery on (a Fulkerson procedure with tibial tubercle osteotomy same-day procedure). He is not placed on anti-coagulants postoperatively. Ten days later, he develops swelling of his right leg and chest pain and goes to the ER. Doppler studies show […]

FAILURE TO DX APPENDICITIS IN A 2 YO

11/14 brought to ped. Fever, vomiting, lethargy. No Physical exam noted. BP, HR, RR, pulse oximetry all unchecked. Fever 103. Only diagnosis made was viral gastroenteritis and pt was sent home. No differential was made. 11/15 parents called ped for persistent high fever. Ped said watch the fever and manage it with tylenol. Did not […]