Case Archive

Robotic Prostatectomy Causes Bowel Perforation

Case Overview 60 year old had a robotic prostatectomy with bilateral pelvic node dissection and lysis of intra abdominal adhesions on 8/12/1012. He had elevated PSA, biopsy with Gleason 7 and 8 adenocarcinoma with no metastases on bone scan. He had previously had upper abdominal surgery. Following the procedure, pt was found to have a […]

MEDQUEST OPHTHALMOLOGY EXPERT IDENTIFIES 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 […]

CARDIAC CATH CASES WORTH PURSUING

INDICATIONS INCLUDE: acute myocardial infarction, or recurrent angina following a heart attack markedly abnormal stress test results angina that is poorly controlled with medication congestive heart failure due to cardiac valve recurring chest pain of unidentified cause defects, coronary artery disease, or suspected cardiomyopathy monitoring of rejection in heart transplant patients evaluation of congenital heart […]

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 […]