Gut Ache

Gut Ache

The Gut Ache and the Blame Game In this month’s case, the monster reflects both the claim and the issue of joint and several liability during the course of what I term the “multiple provider event” or MPE. The exact details of the substantial settlements associated...
Puzzling Paroxysm

Puzzling Paroxysm

Puzzling Paroxysm: From Simple Febrile Seizure to Encephalitis This month’s case involves a toddler who presented with a common every day history but that quickly went off the rails. This little girl’s run-of-the-mill recent history, likely lulled the physician into...
Pain in the Neck

Pain in the Neck

A Pain in the Neck Becomes a Pain in the Pocketbook A man presented to the emergency department complaining of debilitating neck pain that radiated to his shoulders. He denied history of injury. This patient had a history of diabetes, and said that the pain was worse...
Fever Pitch

Fever Pitch

Fever Pitch The three scariest words uttered in emergency medicine are undoubtedly, “Remember the patient…?” Those three words can make your heart skip a beat, can cause your stomach to churn, or can bring tears to your eyes. In this case, here’s how the sentence...
Monster Bellyache

Monster Bellyache

MONSTER Bellyache This month’s monster case involves a 29-year-old woman who initially saw her primary care physician early in the day and who complained of abdominal pain, nausea, vomiting, diarrhea, and fever. Her PCP examined her and diagnosed her as having...

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