Case report 13/11/2020 Delayed diagnosis of renal disease leads to claim Preview Article Delayed diagnosis of renal disease leads to claim Time to read article: 6 mins () ★ Close Preview Patient facing kidney transplant or lifelong dialysis makes a negligence claim against GPs and hospital following delayed referral to nephrology and failure to recognise her underlying renal condition. This case report looks at where clinicians went wrong, and explains how MPS managed to settle the case for a moderate sum that was substantially less than the original request. Read more Article contains Text Tagged in... Renal Medicine Diagnosis Claims General practice Casebook
Articles and features 01/07/2020 Is all well with the Wells score? Preview Article Is all well with the Wells score? Time to read article: 2 mins () ★ Close Preview Dr Philip White, Medicolegal Consultant at Medical Protection, looks at a common cause of claims – missed diagnosis of deep vein thrombosis (DVT). Read more Article contains Text Tagged in... General practice Diagnosis
Articles and features 05/06/2020 Scaphoid injuries: pitfalls and pearls Preview Article Scaphoid injuries: pitfalls and pearls Time to read article: 5 mins () ★ Close Preview Read more Article contains Text Tagged in... Diagnosis Casebook
Case report 11/10/2019 A missed diagnosis of pneumonia? Preview Article A missed diagnosis of pneumonia? Time to read article: 3 mins () ★ Close Preview The quality record-keeping of a GP member is key to the defence of this claim. Read more Article contains Text Tagged in... Diagnosis General practice Casebook Record keeping
Case report 01/10/2019 A rare diagnosis that seemed common Preview Article A rare diagnosis that seemed common Time to read article: 4 mins () ★ Close Preview Read more Article contains Text Tagged in... Diagnosis Claims General practice
Case report 18/07/2019 An early presentation Preview Article An early presentation Time to read article: 2 mins () ★ Close Preview Baby T was eight weeks old when his mother brought him to his GP’s morning surgery. His mother had become increasingly concerned about his general irritability and frequent crying episodes, which lasted up to two hours. These had become apparent over the past three days, not settling with breast feeding. Read more Article contains Text Tagged in... Claims GP locum Diagnosis General practice Managing clinical risk
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 Casebook Scotland Medical Records Casebook General practice Negligence
Case report 18/07/2019 Back again with cauda equina syndrome Preview Article Back again with cauda equina syndrome Time to read article: 2 mins () ★ Close Preview When Mrs C, a keen golfer in her early forties, began to experience constant pain in her lower back, she consulted a GP at her local surgery. Dr P took a history of slow onset of pain with restricted mobility. He did not examine her, but prescribed an NSAID and advised Mrs C to return in two weeks if there was no improvement. Read more Article contains Text Tagged in... Managing clinical risk Orthopaedics GP locum Diagnosis General practice
Case report 20/06/2019 Delayed diagnosis of lung cancer Preview Article Delayed diagnosis of lung cancer Time to read article: 2 mins () ★ Close Preview Mr U has a hernia repair and is later diagnosed with lung cancer. He makes a claim against two surgeons involved, alleging it should have been identified sooner. Read more Article contains Text Tagged in... Casebook Claims Diagnosis
Case report 22/05/2019 A tale of two doctors: the junior and the consultant Preview Article A tale of two doctors: the junior and the consultant Time to read article: 3 mins () ★ Close Preview Dr Marika Davies, medicolegal consultant, looks at the recent case of GA v Greater Glasgow Health Board [2019] CSOH 31, where the death of a 77-year-old patient raised questions over where the liability for the negligence lay: the junior doctor or the consultant? Read more Article contains Text Tagged in... Diagnosis Claims Communicate
Articles and features 21/05/2019 A potted history of medicine Preview Article A potted history of medicine Time to read article: 2 mins () ★ Close Preview Throughout history, doctors have treated patients, and doctors have made mistakes. We delve deep into the past to see what doctors used to get away with Read more Article contains Text Tagged in... Diagnosis Complaints
Case report 09/04/2019 Video: Failure to act on lower back pain Preview Article Video: Failure to act on lower back pain Time to read article: 2 mins () ★ Close Preview In this video, we look at how red flags for cauda equina syndrome were missed by both GP and hospital, leading to a costly claim. Read more Article contains Video Tagged in... Complaints Diagnosis Claims Communicate
Case report 24/10/2018 Missed bowel perforation leads to complications and a large settlement Preview Article Missed bowel perforation leads to complications and a large settlement Time to read article: 1 mins () ★ Close Preview A woman is seen by a consultant gynaecologist, scheduled to have a diagnostic laparoscopy and her copper IUD removed. After the laparoscopy the woman is in pain, which worsens as a diagnosis is missed. Read more Article contains Text Tagged in... Diagnosis
Case report 23/10/2018 Wrongly reassured over benign cyst Preview Article Wrongly reassured over benign cyst Time to read article: 2 mins () ★ Close Preview Mrs D presents to her GP Dr N with a long-standing lesion on her scalp. Dr N removes it but what has he missed? Read more Article contains Text Tagged in... Claims Oncology Diagnosis
Case report 23/10/2018 Initial management of an itchy skin rash Preview Article Initial management of an itchy skin rash Time to read article: 2 mins () ★ Close Preview Treatment of an itchy rash leads to a claim against GP Dr U, but was he negligent? Read more Article contains Text Tagged in... Diagnosis Claims Record keeping Investigations
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... Sports Medicine Diagnosis Casebook Scotland Medical Records Casebook
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 Casebook Casebook Scotland Record keeping Renal Medicine
Case report 27/03/2018 A pain in the knee Preview Article A pain in the knee Time to read article: 3 mins () ★ Close Preview Miss F, an overweight 11-year-old, attended her GP, Dr A, complaining of knee pain and clicking for two months following a twisting injury whilst playing football... Read more Article contains Text Tagged in... Paediatrics Competence Casebook Diagnosis
Case report 14/11/2017 HIV diagnosis Preview Article HIV diagnosis Time to read article: 1 mins () ★ Close Preview A female patient at a medical centre consulted GP Dr F and was subsequently sent for further treatment at another department within the building. Read more Article contains Text Tagged in... Diagnosis Record keeping
Case report 14/11/2017 Claim confusion Preview Article Claim confusion Time to read article: 1 mins () ★ Close Preview A man made a claim against his GP for a missed diagnosis. An expert witness was instructed to provide advice on the case... Read more Article contains Text Tagged in... Decision Making Diagnosis
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... Casebook Casebook Scotland Diagnosis Obstetrics & Gynaecology General practice Record keeping
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 Casebook General practice Diagnosis
Case report 09/11/2015 Childhood brain cancer Preview Article Childhood brain cancer Time to read article: 2 mins () ★ Close Preview At presentation, Peter was 14 years old and had presented with migraines since the age of 8. He was taking Pizotifen and his headaches were well controlled. Over the past four weeks he had started getting headaches again. They were in a similar location to his migraines, but were different in nature – he couldn’t put his finger on exactly how. Read more Article contains Text Tagged in... GP locum Neurology & Neurosurgery Complaints Diagnosis Paediatrics Managing clinical risk
Case report 05/05/2015 The swollen knee Preview Article The swollen knee Time to read article: 3 mins () ★ Close Preview Forty-four-year-old Ms M presented to her GP with pain and swelling of her right knee. She had experienced similar symptoms three years earlier whilst pregnant but had not undergone any investigations at the time Read more Article contains Text Tagged in... Casebook Diagnosis Radiology Casebook Scotland Managing clinical risk Review Documentation