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...