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Failure to Diagnose an Abdominal Aortic Aneurysm in Florida: When Sudden Abdominal or Back Pain Signals a Life-Threatening Emergency

A 67-year-old man arrives at a Florida emergency department complaining of sudden pain in his lower back and abdomen. He is nauseated and sweating. He has smoked for decades and has a history of high blood pressure. Because the pain radiates toward his groin, kidney stones are suspected. Pain medication is administered while laboratory testing is performed. His symptoms temporarily improve. No vascular imaging is obtained. Several hours after returning home, he becomes weak and collapses. Paramedics find him profoundly hypotensive. Emergency physicians ultimately discover the true cause of his symptoms: a ruptured abdominal aortic aneurysm. He is rushed to...
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Failure to Diagnose Myocarditis in Florida: When a “Viral Illness” Is Actually Damaging the Heart

A healthy 32-year-old man develops what seems like an ordinary viral infection. He has a fever, body aches, and fatigue for several days. The fever eventually disappears, but he doesn't feel better. Instead, he begins experiencing chest discomfort. Walking upstairs leaves him unusually short of breath. His heart sometimes feels like it is racing, and he becomes lightheaded when standing. Concerned, he visits an emergency department. Because he is young, has no known history of heart disease, and recently had a viral illness, his symptoms are attributed to dehydration, anxiety, or lingering effects of the infection. He receives fluids and...
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Hospital Incident Reports and Medical Malpractice Claims: What Florida Patients Should Know

Hospital Incident Reports and Medical Malpractice Claims: What Florida Patients Should Know When patients experience an unexpected injury in a hospital, they often assume that everything surrounding the event will be documented in their medical records. While the medical chart is one of the most important sources of information in any medical malpractice investigation, it is not the only record that may exist. Hospitals frequently create internal documents following adverse events, patient injuries, medication errors, falls, equipment failures, or other incidents that require review. These documents are commonly referred to as incident reports. For patients considering a medical malpractice claim,...
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Failure to Diagnose Diabetic Ketoacidosis (DKA) in Florida: When High Blood Sugar Becomes a Medical Emergency

A 19-year-old college student visits an urgent care clinic complaining of nausea, vomiting, extreme thirst, and exhaustion. She has been running to the bathroom constantly for several days and has lost nearly ten pounds over the past two weeks. She assumes she has a stomach virus. The provider agrees. She is diagnosed with dehydration and gastroenteritis, prescribed medication for nausea, and told to drink plenty of fluids. That evening, her roommate finds her confused and struggling to breathe. She is rushed to the emergency department, where physicians diagnose diabetic ketoacidosis (DKA). She is admitted to the intensive care unit, but...
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Failure to Diagnose Compartment Syndrome in Florida: When a Broken Bone or Muscle Injury Becomes a Surgical Emergency

A 34-year-old construction worker falls from a ladder and fractures his lower leg. At the emergency department, X-rays confirm the fracture, his leg is placed in a splint, and he is discharged with pain medication and instructions to follow up with an orthopedic specialist. Over the next several hours, the pain becomes unbearable. He calls the hospital because the medication is not helping. He is told that severe pain is common after a broken bone. By the following morning, he cannot move his toes. When he returns to the hospital, orthopedic surgeons diagnose acute compartment syndrome. Emergency surgery is performed,...
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Failure to Diagnose Sepsis in Florida: When a Treatable Infection Becomes a Life-Threatening Medical Crisis

A 61-year-old woman visits the emergency department complaining of fever, chills, and pain while urinating. She has been feeling weak for two days, but she assumes it is a urinary tract infection that simply needs antibiotics. After several hours, she is diagnosed with a bladder infection, given oral medication, and discharged home. By the next morning, her husband cannot wake her. Paramedics rush her back to the hospital. This time, physicians diagnose septic shock. The infection has spread throughout her bloodstream, causing multiple organs to begin shutting down. She survives after weeks in the intensive care unit, but she never...
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Failure to Diagnose Bowel Perforation in Florida: When Severe Abdominal Pain Signals a Surgical Emergency

A 58-year-old woman arrives at the emergency department complaining of severe abdominal pain that began suddenly several hours earlier. She feels nauseated, her abdomen is becoming increasingly swollen, and every movement makes the pain worse. After an examination, she is told she probably has a stomach virus or food poisoning. She receives medication for nausea and pain before being discharged home. By the following morning, her husband calls 911 because she is confused, pale, and struggling to stay awake. At the hospital, a CT scan reveals a perforated bowel. Intestinal contents have leaked into her abdominal cavity, causing a widespread...
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Can Medical Records Be Changed After an Adverse Event? Understanding EHR Audit Trails

Can Medical Records Be Changed After an Adverse Event? Understanding EHR Audit Trails When something goes wrong during medical treatment, one of the first things many patients do is request a copy of their medical records. These records often provide the most detailed account of what happened before, during, and after an adverse medical event. They can include physician notes, nursing documentation, medication records, laboratory results, imaging reports, surgical records, discharge instructions, and communications between healthcare providers. Occasionally, however, patients notice something that causes concern. A note appears to have been added after the fact. Information they remember discussing is...
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Failure to Diagnose Pulmonary Embolism in Florida: When Shortness of Breath Is a Life-Threatening Emergency

A 43-year-old woman arrives at the emergency department complaining of sudden shortness of breath and sharp pain in her chest. She tells the physician that taking a deep breath makes the pain worse. Two weeks earlier, she underwent knee surgery and has spent much of her recovery resting at home. Her electrocardiogram is normal. A chest X-ray doesn't show pneumonia. She is told she is probably experiencing anxiety and is discharged home. Later that evening, she collapses in her kitchen. Paramedics begin CPR, but despite their efforts, she dies from a massive pulmonary embolism—a blood clot that traveled to her...
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Failure to Diagnose Meningitis in Florida: When Flu-Like Symptoms Become a Medical Emergency

A college freshman returns home from school complaining of a severe headache, fever, and body aches. His parents assume he has caught the flu that has been spreading around campus. When he begins vomiting later that evening, they take him to a local emergency department. He is diagnosed with a viral illness, given medication for nausea, and sent home. By sunrise, he is difficult to wake up. An ambulance rushes him back to the hospital, where doctors discover he has bacterial meningitis. He is admitted to the intensive care unit, but despite aggressive treatment, he suffers permanent hearing loss and...
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