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Advice centre articles
Strong record-keeping – strong defence
Time to read article: 4 mins
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...
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Deskilled disciplinary proceedings
Time to read article: 3 mins
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...
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A pain in the knee
Time to read article: 3 mins
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...
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A case of mistaken haemorrhoids
Time to read article: 2 mins
A patient presents with symptoms of haemorrhoids but is it something more sinister?
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Antibiotic allegations
Time to read article: 2 mins
A patient alleges her GP was negligent for failing to prescribe antibiotics
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An elusive foreign body
Time to read article: 2 mins
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.
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Failure to diagnose pre-eclampsia
Time to read article: 2 mins
Lost opportunity
Lost opportunity
Time to read article: 4 mins
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.
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If it is not recorded
Time to read article: 3 mins