Case Archive

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 […]

TESTICULAR TORSION POST HERNIA REPAIR

48 year old male underwent open repair of large left inguinal hernia at ambulatory surgery center in 2007 performed by a general surgeon “specializing in minimally invasive surgical techniques.” Patient experienced post-op pain and sense of swelling in scrotum in PACU before same-day discharge. Wife called surgeon’s office next morning (1st post-op day) to report […]

HEMIPLEGIA POST ACOUSTIC NEUROMA RESECTION

The plaintiff age 45 was diagnosed with acoustic neuroma and underwent microsurgical right sub occipital craniectomy and tumor resection. Symptoms prior to surgery were hearing loss in the right ear , dizziness and headache. Prior history hypertension, anxiety. MRI and CT showed 2.7 C-P angle tumor. Surgery was elective. Surgery was performed using facial nerve […]

medQuest Experts Discuss Cardiac Cath
& Cataract Cases Worth Pursuing

INDICATIONS FOR THE PROCEDURE: The possibility for complications resulting from this procedure are significant; a clear indication and consent are necessary to justify a cardiac catheterization. INDICATIONS INCLUDE: 1. acute myocardial infarction, or recurrent angina following a heart attack 2. markedly abnormal stress test results 3. angina that is poorly controlled with medication 4. congestive […]

ERCP CASES WORTH PURSUING

1 – INDICATION FOR THE PROCEDURE: As there are significant possible complications for this procedure, a clear indication is necessary to justify the procedure and any subsequent complications. INDICATIONS INCLUDE: a. Abnormal liver function tests with dilated common bile duct b. Gallstones and pancreatitis c. Positive magnetic resonance cholangio-pancreatogram for a biliary stone d. Mass […]