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Successful Defence
Case report 24/05/2018

Criminal case dismissed – thanks to MPS discretion

Criminal case dismissed – thanks to MPS discretion

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A criminal investigation has been dismissed against a Medical Protection member, in a recent case that also underlined the value of our discretionary indemnity.

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Case report 26/10/2017

Undescended testis

Undescended testis

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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.

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Case report 26/10/2017

Lost in translation

Lost in translation

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Mrs S, a 27-year-old Romanian woman who lived with her husband in the UK, became pregnant and presented to her local GP surgery to commence antenatal care. Mrs S did not speak English and usually brought a family member with her to interpret.

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Case report 14/09/2014

High expectations

High expectations

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Mr O was a 24-year-old man who had just enjoyed a holiday overseas. On the return journey he started vomiting. The nausea and vomiting continued after he arrived home and he began to lose weight because of it. When his symptoms did not abate he made an appointment with his GP.

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Case report 14/09/2014

Who’s to blame?

Who’s to blame?

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Mrs B, 40 years old, was referred by her optician to see an ophthalmologist, Mr F, because of concerns about possible raised intraocular pressure and right-sided amblyopia. Mr F confirmed the diagnosis of right-sided amblyopia, found her to have normal intraocular pressure and documented some visual field loss in both eyes, which he considered was performance-related. He advised reassessment in six months but the patient did not attend for follow-up.

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Case report 15/05/2014

Headaches and hypertension

Headaches and hypertension

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Mr J was 43 and unemployed. He developed headaches and complained that sunshine hurt his eyes and he was bothered by noise. He made an appointment with his GP, Dr A, explaining that he had tried over-the-counter painkillers but that they did not help when he had one of his pounding headaches. Dr A documented Mr J had presented with headaches with some features of migraine and prescribed some tramadol...

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Case report 01/09/2010

A recognised complication

A recognised complication

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Mrs F was a 38-year-old secretary who was pregnant for the first time. She had no significant past medical history of note. Her pregnancy had been uneventful, but a glucose tolerance test at 28 weeks confirmed that she had gestational diabetes and was treated appropriately. She went into labour spontaneously at 37 weeks. The first stage of the labour progressed well; however, the second stage of labour was prolonged.

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Case report 01/05/2010

Unrealistic expectations

Unrealistic expectations

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Twenty-year-old Miss D was referred to orthopaedic consultant Mr A for assessment of an old clavicle fracture. Two years previously, Miss D had sustained a clavicle fracture after falling off her bike. This injury was treated in a different hospital in a conservative way, using a collar and cuff sling. In the early follow-up period, she moved to her current address and she was lost to further review.

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Case report 01/05/2010

Casting stones

Casting stones

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Mrs F was a 28-year-old teacher with two children. She had been fit and healthy for most of her life, but had seen her GP, Dr T, four times in two years with urinary symptoms. At each visit she complained of discomfort passing urine and of needing to pass urine with increased frequency. She had also noted that the urine had a “strong smell”. She had never felt particularly unwell with these symptoms and had not been feverish or suffered with loin problems...

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Case report 01/09/2009

Not just another headache

Not just another headache

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Mr Q, a 40-year-old man, booked an emergency appointment to see Dr A. He presented with a severe headache. He told Dr A that it had come on suddenly and was very worried as to the cause, as he had not experienced a headache like it before. He had a history of tension headaches and had been seen and investigated by a neurologist during the past year to rule out other causes of his recurrent headaches. Mr Q also had a long history of anxiety and panic attacks.

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Case report 05/01/2007

A nose for trouble

A nose for trouble

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Ms C, a 30-year-old hotel receptionist, went privately to see Mr T, a plastic surgeon to discuss surgery to change the appearance of her nose. She had been unhappy with its appearance for a number of years, and finally decided to have a rhinoplasty. Mr T explained the risks and benefits of the operation as well as the limitations of surgery.

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Case report 01/11/2005

Out on a limb

Out on a limb

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Mr A, a bricklayer in his forties, became unwell with a bout of vomiting and some chest pain. He went to the emergency department of his local hospital. He was diagnosed as suffering from musculo-skeletal chest pain caused by retching and discharged on diclofenac.

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Case report 01/08/2005

Arterial embolism

Arterial embolism

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Among the patients of Dr T and Dr U was a sixty-year-old man, Mr J, who was a heavy smoker. He first saw Dr T to complain of body aches and sickness. The examination proved unremarkable and, suspecting a viral infection, Dr T prescribed domperidone.

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Case report 01/05/2005

An aspiration to gain compensation

An aspiration to gain compensation

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Mr W, a 30-year-old unemployed factory worker, was admitted to hospital for an elective intra-oral surgical procedure. His preoperative anaesthetic questionnaire was unremarkable except for a history of chronic mood disorder treated with carbamazepine and lithium.

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Case report 01/05/2005

Scarred for life?

Scarred for life?

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Rachel broke her left clavicle when she was an infant. Unfortunately, it healed poorly and became a malunited pseudarthrosis. In 1997, aged 16, she was tired of the pain, swelling and unsightliness this caused her and she saw Mr C, specialist orthopaedic surgeon.

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Case report 01/02/2005

PE negligence not proven

PE negligence not proven

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Dr B had agreed to visit Mr G at his home one morning after hearing that he was experiencing body aches and feeling feverish. Upon her arrival, Dr B saw that Mr G was confined to his bed; she examined him and noted a congested throat, a runny nose and some crepitations and mild wheezing in the lower half of the chest. She diagnosed acute respiratory infection and prescribed oxytetracycline.

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