Case report 18/07/2019 Missed critical limb ischaemia Preview Article Missed critical limb ischaemia Time to read article: 3 mins () ★ Close Preview Mr S was a 60-year-old lorry driver. He was overweight and smoked, and couldn’t walk far because he suffered with pain in his calves. Read more Article contains Text Tagged in... Managing clinical risk Diagnosis GP locum Casebook Scotland Casebook Medical Records
Case report 27/11/2018 Video: Living up to expectations Preview Article Video: Living up to expectations Time to read article: 6 mins () ★ Close Preview Dealing with claims accounts for about 1/5 of the cases we handle. This video examines a claim made against a consultant surgeon because he left out critical information from a patient’s notes. Read more Article contains Video Tagged in... Managing clinical risk Casebook Scotland Casebook
Case report 27/11/2018 Video: Caught by consent Preview Article Video: Caught by consent Time to read article: 6 mins () ★ Close Preview A private neurosurgeon faces questions on consent, following a lumbar microdiscectomy sciatica and back pain. Read more Article contains Video Tagged in... Casebook Scotland Orthopaedics Consent Record keeping Casebook
Case report 16/04/2018 Delayed diagnosis Preview Article Delayed diagnosis Time to read article: 2 mins () ★ Close Preview Mrs F, a 30-year-old housewife, visited her GP, Dr O, with a four-week history of diarrhoea. Dr O arranged a stool sample for microscopy and culture (which was negative) and prescribed codeine. Four months later, Mrs F was still having diarrhoea, especially after meals, and she had started to notice some weight loss. She returned to the surgery and this time saw Dr P, who examined her and found nothing remarkable, but decided to refer her to gastroenterology in view of her persistent symptoms. Read more Article contains Text Tagged in... Casebook Scotland Gastroenterology Casebook
Case report 13/04/2018 Failure to review nitrofurantoin: hepatitis and rash Preview Article Failure to review nitrofurantoin: hepatitis and rash Time to read article: 2 mins () ★ Close Preview Read more Article contains Text Tagged in... Casebook Casebook Scotland Prescribing Claims Medical Records
Case report 13/04/2018 Delayed diagnosis of Achilles tendon rupture Preview Article Delayed diagnosis of Achilles tendon rupture Time to read article: 2 mins () ★ Close Preview Mr E, a 50-year-old accountant, was playing squash with a colleague after work and hurt his left ankle. He couldn’t keep playing but he was able to walk, so he went home. The next day his ankle became quite swollen, so Mr E kept it on ice and took some ibuprofen... Read more Article contains Text Tagged in... Casebook Scotland Casebook Medical Records Sports Medicine Diagnosis
Case report 13/04/2018 A missed diagnosis but no negligence Preview Article A missed diagnosis but no negligence Time to read article: 3 mins () ★ Close Preview Read more Article contains Text Tagged in... Casebook Scotland Casebook Complaints Negligence Dermatology
Case report 13/04/2018 Failure to monitor renal impairment Preview Article Failure to monitor renal impairment Time to read article: 3 mins () ★ Close Preview Read more Article contains Text Tagged in... Diagnosis Record keeping Casebook Scotland Casebook Renal Medicine
Case report 12/04/2018 Missed spinal arteriovenous malformation Preview Article Missed spinal arteriovenous malformation Time to read article: 3 mins () ★ Close Preview Read more Article contains Text Tagged in... Casebook Investigations Claims Casebook Scotland
Case report 12/04/2018 Sciatic nerve injury but no negligence Preview Article Sciatic nerve injury but no negligence Time to read article: 3 mins () ★ Close Preview Read more Article contains Text Tagged in... Record keeping Negligence Casebook Scotland Medical Records Casebook
Case report 12/04/2018 Strong record-keeping – strong defence Preview Article Strong record-keeping – strong defence Time to read article: 4 mins () ★ Close Preview Ms Q, 58 years old, consulted Dr G, a gastroenterologist, with a history of dyspepsia, early satiety and altered bowel habit. Clinical examination, including digital rectal examination, was recorded as normal... Read more Article contains Text Tagged in... Casebook Scotland Negligence Casebook Record keeping Gastroenterology
Case report 27/03/2018 Deskilled disciplinary proceedings Preview Article Deskilled disciplinary proceedings Time to read article: 3 mins () ★ Close Preview Mr H was a senior consultant general and breast surgeon who worked in a district general hospital. He was recognised by his colleagues as an expert in breast surgery and an informal arrangement was put in place to transfer all patients with breast problems to Mr H. This arrangement was endorsed by the hospital clinical director but was not formally agreed... Read more Article contains Text Tagged in... Casebook Casebook Scotland Cosmetic Surgery
Case report 15/03/2018 A case of mistaken haemorrhoids Preview Article A case of mistaken haemorrhoids Time to read article: 2 mins () ★ Close Preview A patient presents with symptoms of haemorrhoids but is it something more sinister? Read more Article contains Text Tagged in... Casebook Scotland Casebook Gastroenterology
Case report 15/03/2018 Antibiotic allegations Preview Article Antibiotic allegations Time to read article: 2 mins () ★ Close Preview A patient alleges her GP was negligent for failing to prescribe antibiotics Read more Article contains Text Tagged in... Casebook Casebook Scotland Prescribing General practice
Case report 12/12/2017 An elusive foreign body Preview Article An elusive foreign body Time to read article: 2 mins () ★ Close Preview Child H, a three-year-old boy, was brought into the Emergency Department (ED) of a private hospital by his mother, having inhaled or swallowed a little building brick. They brought a similar piece with them. Child H was seen by a doctor, Dr W, who documented that he appeared well, with no signs of respiratory distress and a normal auscultation. Dr W arranged for him to have a chest x-ray, which both Dr W and a radiologist considered normal. Read more Article contains Text Tagged in... Respiratory Medicine Casebook Scotland Casebook ENT Paediatrics
Case report 26/10/2017 Failure to diagnose pre-eclampsia Preview Article Failure to diagnose pre-eclampsia Time to read article: 2 mins () ★ Close Preview Read more Article contains Text Tagged in... Obstetrics & Gynaecology Diagnosis Record keeping Casebook Scotland General practice Casebook
Case report 26/10/2017 Lost opportunity Preview Article Lost opportunity Time to read article: 4 mins () ★ Close Preview Ms C, a 43-year-old smoker who was otherwise well, presented to her GP, Dr Q, complaining of a few days’ discoloration to the tip of her right index finger. She explained that her fingers had always felt cold and often turned white and went numb when she was outside. Read more Article contains Text Tagged in... General practice Casebook Casebook Scotland
Case report 26/10/2017 If it is not recorded Preview Article If it is not recorded Time to read article: 3 mins () ★ Close Preview Read more Article contains Text Tagged in... Prescribing General practice Casebook Casebook Scotland Neurology & Neurosurgery
Case report 26/10/2017 Stretch marks and steroids Preview Article Stretch marks and steroids Time to read article: 3 mins () ★ Close Preview Mr A was a 25-year-old man who was on lifelong steroid medication for congenital adrenal hyperplasia. He was under the care of Dr F, a consultant endocrinologist. Read more Article contains Text Tagged in... General practice Endocrinology Casebook Scotland Casebook Prescribing
Case report 26/10/2017 Tragic outcomes don't always equal negligence Preview Article Tragic outcomes don't always equal negligence Time to read article: 3 mins () ★ Close Preview JS, a four-month-old baby, was felt by his mother to be developing a cold and was given oral paracetamol solution, which was effective. The following day his mother noted he was warm and snuffly. Read more Article contains Text Tagged in... Casebook Scotland General practice Diagnosis Casebook
Case report 26/10/2017 Diagnosis pneumonia out of hours Preview Article Diagnosis pneumonia out of hours Time to read article: 3 mins () ★ Close Preview Mr B was a 31-year-old man with three children. His mother was staying with him over the weekend because he was in bed coughing and shivering. Read more Article contains Text Tagged in... Successful Defence General practice Casebook Scotland Casebook
Case report 26/10/2017 Undescended testis Preview Article Undescended testis Time to read article: 2 mins () ★ Close Preview Baby LM was taken to see his GP, Dr E, for his six-week check. During this examination Dr E noted that his left testis was in the scrotum but his right testis was palpable in the canal. He asked LM’s mother to bring him back for review in a month. Read more Article contains Text Tagged in... General practice Casebook Casebook Scotland Successful Defence
Case report 26/10/2017 Failure to follow specialist advice Preview Article Failure to follow specialist advice Time to read article: 2 mins () ★ Close Preview Following a hospital admission for status epilepticus, which was attributed to a previous cerebral insult, Mr G, a 35-year-old clerical officer, was started on an anticonvulsant regime of phenytoin and sodium valproate. Read more Article contains Text Tagged in... Casebook Scotland General practice Neurology & Neurosurgery Casebook Prescribing
Case report 26/10/2017 Problematic Anaesthetic Preview Article Problematic Anaesthetic Time to read article: 3 mins () ★ Close Preview Mrs B was a 57-year-old lady with a past history of breast cancer treated with mastectomy and adjuvant therapy. She re-presented to her consultant breast surgeon, Mr F, three years after the original surgery with a worrying 2cm lump in the vicinity of her mastectomy scar. Read more Article contains Text Tagged in... Anaesthetics Casebook Scotland Casebook Consent