Case Archive

Barium Enema Leads to Perforation of Vagina

Case Overview Client is 79 yr old woman who was undergoing a barium enema administered by a technician. During procedure, the tech/nurse rolled her over to take an x-ray and the tube fell out of her rectum. The tech/nurse reinserted it, but in doing so perforated through her vagina and into the stomach cavity. Barium […]

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MEDQUEST NEUROLOGIST DISCUSSES CURRENT CRITERIA FOR 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 hours of onset […]

Untreated Decubitus Ulcer Leads To Sepsis and Death

Pt was an 80 year old woman with a past medical history of spinal stenosis, hypertension, atrial fibrillation, hyperlipidemia, chronic low back pain, hypothyroidism, heart murmur and macular degeneration. She was admitted to a rehab center on March 22, 2007 after a brief hospitalization that determined back surgery would not be appropriate. The admission notes […]

Radiologist’s Failure To Follow Up Leads To Death

Plaintiff was a 54 year old male experiencing shortness of breath, cough, fever and chills.The doctor ordering the chest x-ray left his office that Friday afternoon before the X-ray was read. The radiologist interprets the x-ray at 5:10 pm as follows: There is vascular congestion and perihilar infiltrates. Cardiomegaly with congestive changes underlying infiltrate/pneumonia cannot be […]

Stroke – Current Criteria for Dx and Treatment

MEDQUEST NEUROLOGIST DISCUSSES CURRENT CRITERIA FOR 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 […]