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Cautionary Tales

Cautionary Tales 2017

These case studies, based on MDU files, provide a valuable opportunity for shared learning across a wide range of specialties and situations, as well as illustrating how we offer assistance to our members when they need it most.

Delayed diagnosis of torn quadriceps

Delayed diagnosis of torn quadriceps

A patient brought a claim against an MDU GP member alleging failure to assess and refer her for an injury to her thigh, leading in turn to a delayed diagnosis of a partial tear of her right quadriceps.

Pedicle screw replacement in spinal surgery

Pedicle screw replacement in spinal surgery

A patient in his 40s with a long history of low back pain was referred to a highly experienced orthopaedic spinal surgeon, an MDU member.

Limb threatening ischaemia

Limb threatening ischaemia

A patient with a long history of ischaemic heart disease, renal failure and diabetes presented to his GP with symptoms of chronic peripheral vascular disease.

Managing a patient

Managing a patient's behaviour

A consultant member contacted the MDU’s advice line about a female patient she had operated on some months earlier.

DVT in a post-operative patient

DVT in a post-operative patient

A woman in her 70s underwent a total right hip replacement, and was discharged two days after surgery with surgical stockings and a prescription for rivaroxaban.

Extent of responsibility in DVLA assessment

Extent of responsibility in DVLA assessment

A patient in his late 40s saw an independent MDU GP member for a DVLA assessment in 2002.

Retaining records after retirement

Retaining records after retirement

A consultant surgeon called the MDU advice line. She intended to retire in several months.

Accidental nerve damage

Accidental nerve damage

A patient attended a practice phlebotomist for a blood test for rubella antibodies.

Alleged delay of diagnosis

Alleged delay of diagnosis

A patient attended his GP complaining of rectal bleeding, which he’d been experiencing on and off for the past year.

Ruptured Achilles tendon

Ruptured Achilles tendon

A patient developed a pre-Achilles tendon bursitis and was referred for a steroid injection.

Acute menisal tear

Acute meniscal tear

A 58-year old man brought a claim against his GP for failings in the management of his right knee injury, resulting in the delayed diagnosis of an acute meniscal tear.

Hearing loss alleged from delay in referral

Hearing loss alleged from delay in referral

A GP member received a letter from solicitors instructed by a patient who had attended the surgery three years earlier.

Post-mortem consent

Post-mortem consent

A consultant in elderly care medicine contacted the MDU advice line.

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