Case Studies

Case Study: Stroke & tPA

Case Study: Stroke & tPA
This case involved a 51 year-old man with a history of multiple myeloma, amyloidosis, hypertension, and hypercalcemia who awoke around 2:30 am unable to speak or hold himself up on his right side. His wife reported he had gone to bed at 11 pm the previous night after having a headache all day and, at that time, had been acting… read more →

Case Study: Cancer

Case Study: Cancer
This case involved a middle-aged male patient diagnosed with carcinoma in situ of the bladder. At the time of diagnosis, doctors found no signs of metastasis. Further complicating the patient’s course was a long-standing history of severe kidney disease preventing use of any contrast for radiology studies. (more…) read more →

Case Study: Hernia Repair

Case Study: Hernia Repair
This case involved a middle-aged male patient with bilateral inguinal hernias. The right side had both direct and indirect hernia, so the defendant repaired it with pre-cut mesh. The left side had smaller direct and indirect hernias, as well as an incarceration of a loop of the sigmoid. (more…) read more →

Case Study: Carpal Tunnel Syndrome

Case Study: Carpal Tunnel Syndrome
This case involved a patient who underwent an endoscopic carpal tunnel surgery. During the procedure, the patient’s hand was dropped during transfer. Postoperatively he experienced transient neuropraxia. The defense in this case hinged on the jury’s ability to understand the anatomy of the carpal tunnel so that they could also understand how the neuropraxia could have occurred independent of the… read more →

Case Study: Total Hip Replacement

This case involved a 45 year-old woman who had undergone a transvaginal tape suspension (TVT) and rectocele repair in February 2004. Postoperatively she complained of left groin pain and tests revealed a small cortical cyst in the left femoral head so she was sent for an orthopedic evaluation. Her EMG was normal and physical therapy had good results. She returned… read more →

Case Study: Lumbar Nerve Root Compression

Case Study: Lumbar Nerve Root Compression
This case involved a 19 year-old male patient who had a history of low back pain for about a year and was reporting severe, constant, and aching lower back pain of 8-9 on a scale of 10, as well as radicular right leg pain, decreased sensation on the right, difficulty straightening his right leg making it difficult to walk. An… read more →

Case Study: Retained Foreign Body

Case Study: Retained Foreign Body
The female plaintiff presented to the defendant with abdominal pain and after a sonogram indicated a pelvic mass, the defendant performed an exploratory laparotomy. Intraoperatively, as the defendant entered the abdominal cavity, he used moistened lap pads to position the small bowel up and away from the operative site. The incision was held open with an adjustable retractor in order… read more →

Case Study: Gastric Bypass

Case Study: Gastric Bypass
This case involved a morbidly obese woman who underwent a vertical banded gastroplasty with Roux-en-Y.  The procedure was performed through an open incision because the patient was undergoing a cholecystectomy and a ventral hernia repair during the same surgery.  The bypass was uneventful, a gastrostomy tube was placed, and there were no apparent complications to any of the procedures. (more…) read more →

Case Study: Porcelain v. PFM Crowns

Case Study: Porcelain v. PFM Crowns
This case involved a female patient who presented for evaluation of a chipped tooth. The defendant recommended veneers on teeth #8 and #9. She prepared the patient’s teeth by grinding down and performing root canals on #8 and #9, but after completion of the root canals, the defendant opted to crown the teeth rather than place veneers. (more…) read more →
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