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Case Studies
A Less-Than-Thorough Work-Up for Chest Pain
Attending Needed at Bedside for Emergency Abdominal DX
Boy Dies after Missed Ischemic Bowel
Breast Lump Complaint Wrongly Followed With Screening Test
Communication Gaps Hinder Preventative Measures
Decreased Fetal Activity and Inaction Prior to Stillbirth
Delay in Post-op Hematoma Diagnosis Causes Paralysis
Delayed Heart Care Due to Lack of Expertise, Hospital Capability
Discharged from ED Before MI Death
Failure to Rule Out Bacterial Meningitis
Girl Loses Ovary After Repeated Visits, Delayed Diagnosis
Inattention to Allergy
Incidental Finding Not Followed
Late X-ray Review Slowed Infection DX
Lost Vision After DX Delay
Miscommunication Leads to Retained Foreign Body
Missed Follow-up, Missed Cancer
Missed MI and Failure to Connect the Dots During Multiple Visits
Missed MI Despite Family History
Missed Opportunities in the ED
Missed Opportunities to Diagnose Pancreatitis
Mixed Symptoms, Narrow Focus Contribute to PE Death
Multiple Complaints and Non-compliance
Multiple MDs ID Chronic Origin for Headaches Before Brain Aneurysm Death
Narrow Diagnostic Focus in the ED
Narrow Focus Obscures Cancer Diagnosis
No Screening Discussion, Then Prostate Cancer
Not Offered Screening Test Before Colorectal Cancer
PCP Didn’t Verify Prior Colorectal Screening
PCP/Specialist Communication Undermines Prostate Cancer Defense
Physicians Unaware of Nodule on Routine X-ray
Primary Complaint Masks Breast Cancer
Rare Blood Disease Fatal after Slow Labs Review, Narrow Focus
Reliance on Patient’s Self Diagnosis Obscures Fatal Condition
The Best Laid Plans: Delayed Diagnosis of Colorectal Cancer
Undetected Med Toxicity in Child Seen by Multiple MDs
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> Case Studies
A Less-Than-Thorough Work-Up for Chest Pain
Attending Needed at Bedside for Emergency Abdominal DX
Boy Dies after Missed Ischemic Bowel
Breast Lump Complaint Wrongly Followed With Screening Test
Communication Gaps Hinder Preventative Measures
Decreased Fetal Activity and Inaction Prior to Stillbirth
Delay in Post-op Hematoma Diagnosis Causes Paralysis
Delayed Heart Care Due to Lack of Expertise, Hospital Capability
Discharged from ED Before MI Death
Failure to Rule Out Bacterial Meningitis
Girl Loses Ovary After Repeated Visits, Delayed Diagnosis
Inattention to Allergy
Incidental Finding Not Followed
Late X-ray Review Slowed Infection DX
Lost Vision After DX Delay
Miscommunication Leads to Retained Foreign Body
Missed Follow-up, Missed Cancer
Missed MI and Failure to Connect the Dots During Multiple Visits
Missed MI Despite Family History
Missed Opportunities in the ED
Missed Opportunities to Diagnose Pancreatitis
Mixed Symptoms, Narrow Focus Contribute to PE Death
Multiple Complaints and Non-compliance
Multiple MDs ID Chronic Origin for Headaches Before Brain Aneurysm Death
Narrow Diagnostic Focus in the ED
Narrow Focus Obscures Cancer Diagnosis
No Screening Discussion, Then Prostate Cancer
Not Offered Screening Test Before Colorectal Cancer
PCP Didn’t Verify Prior Colorectal Screening
PCP/Specialist Communication Undermines Prostate Cancer Defense
Physicians Unaware of Nodule on Routine X-ray
Primary Complaint Masks Breast Cancer
Rare Blood Disease Fatal after Slow Labs Review, Narrow Focus
Reliance on Patient’s Self Diagnosis Obscures Fatal Condition
The Best Laid Plans: Delayed Diagnosis of Colorectal Cancer
Undetected Med Toxicity in Child Seen by Multiple MDs
