Failure to Diagnose Pulmonary Embolism
Case of Missed Life-Saving Intervention
A patient presented to a medical office with left-sided chest, shoulder, and back pain that began in her lower left side. A nurse practitioner (NP) assessed her, noting that although she denied shortness of breath, she reported pain with deep breathing and had significant discomfort impacting her ability to sleep and move.
/ / / / / / / /
The NP performed a physical exam and found the patient had high blood pressure (150/90) and tachycardia (pulse of 120). An EKG confirmed sinus tachycardia (a heart rate above 100 beats per minute). The NP diagnosed the patient with diffuse myalgia and prescribed Naprosyn. The supervising physician co-signed the NP's notes, indicating agreement with the NP's findings and treatment plan. No additional tests were performed.
Two days later, the patient was found in respiratory distress at home with critically low blood pressure. She was transported to the hospital, where an emergency echocardiogram revealed massive pulmonary emboli. Despite immediate intervention, she quickly deteriorated, experiencing cardiac arrest and was pronounced dead.
The plaintiff argued that the patient’s complaints of chest pain, coupled with her rapid heart rate, should have raised concerns about pulmonary embolism (PE). Expert witnesses indicated that proper evaluation, including diagnostic tests such as D-dimer or CT pulmonary angiography, could have identified smaller emboli, allowing for timely treatment with anticoagulants, which would likely have saved her life. The case settled for $1,700,000 shortly before trial.
Pulmonary Embolism: Symptoms and Diagnostic Oversights
Pulmonary embolism occurs when a blood clot travels to the lungs, blocking blood flow and leading to severe respiratory and circulatory issues. Common symptoms include chest pain, rapid heart rate, pain with breathing, and in some cases, back or shoulder pain. Risk factors for PE include recent immobilization, surgery, smoking, obesity, and known blood clotting disorders.
Key Failures in Pulmonary Embolism Misdiagnosis
In cases where PE is misdiagnosed, common oversights involve:
- Failure to Recognize PE Symptoms and Risk Factors
Symptoms like chest pain and tachycardia, particularly in patients with risk factors, warrant careful evaluation for PE.
- Omission of Appropriate Testing
When PE is suspected, standard testing options include D-dimer blood tests and CT pulmonary angiography to detect blood clots in the lungs.
- Inadequate Follow-Up for High-Risk Patients
Close monitoring and follow-up are critical in cases with high-risk symptoms to prevent further progression.
- Co-Signing Without Independent Assessment
Physicians who co-sign NP notes without a secondary review may contribute to diagnostic oversights, especially in complex cases.
Legal Implications of PE Misdiagnosis
Failure to diagnose or misdiagnosis of PE can have severe legal and medical consequences, with damages often reflecting loss of life, financial burdens on the family, and emotional suffering. PE misdiagnosis claims are frequently among the highest compensation cases due to the catastrophic outcome, as shown by this case's $1.7 million settlement.
How Malpraq Can Support Your Case
At Malpraq, we understand the dire impact of pulmonary embolism misdiagnosis and the importance of thorough evaluation in high-risk cases. If you or a loved one experienced harm due to failure in diagnosing PE, our team is here to assess your claim and connect you with skilled legal support to seek the justice and compensation you deserve.
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A Missed Opportunity for Intervention
Oct 29, 2024
14:34
Failure to Treat Breast Cancer
The Consequences of Delayed Diagnosis and Malpractice
Oct 29, 2024
07:37
Failure to Diagnose Heart Attack
The Impact of Misdiagnosis on Patient Health
Oct 29, 2024
07:35
Failure to Diagnose Cerebrovascular Disease or Stroke
A Missed Diagnosis with Lasting Impacts
Oct 29, 2024
06:55
Failure to Diagnose Diabetic Ketoacidosis
A Critical Oversight in Pediatric Care
Oct 29, 2024
06:53
Failure to Diagnose or Treat Deep Venous Thrombosis (DVT)
A Critical Oversight in Patient Care
Oct 29, 2024
06:50
Failure to Diagnose or Treat Sepsis
A Case of Missed Early Intervention
Oct 29, 2024
06:48
Dripping Oxygen
Dropping Oxygen Levels Leading to Respiratory Failure
Oct 23, 2024
10:12
Mislabeling Medications
Administering the Wrong Drug Due to Incorrect Labeling
Oct 23, 2024
08:01
Failure to Monitor for Side Effects
Internal Bleeding from Blood Thinners Due to Lack of Monitoring
Oct 22, 2024
11:59
Wrong Time of Administration
Administering Medication Too Early or Too Late, Reducing Efficacy
Oct 22, 2024
10:22
Giving Expired Medication
Administering Expired Antibiotics Due to Negligence
Oct 22, 2024
09:53
Omission of Medication
Forgetting to Administer Critical Heart Medication Leading to a Cardiac Event
Oct 22, 2024
09:43
Administering Medication
Giving Oral Medication Intravenously, Leading to Toxicity
Oct 14, 2024
07:19
Incorrect IV Fluid Rate
Administering IV Fluids Too Quickly, Leading to Fluid Overload and Respiratory Distress
Oct 15, 2024
19:33
Failure to Check for Allergies
Administering Penicillin to a Patient with a Known Allergy, Causing Anaphylaxis
Oct 18, 2024
09:13
Wrong Medication
Nurse Gives Medication Meant for Another Patient
Oct 9, 2024
16:20
Wrong Dosage
Wrong Dosage Administered – Insulin Overdose Leading to Hypoglycemia
Oct 15, 2024
13:26
Failure to Recognize Behavioral Risks
Negligence in Adolescent Psychiatric Care
Oct 29, 2024
14:55
Failure to Diagnose Bacterial Infection
Negligence Resulting in Necrotizing Fasciitis
Oct 29, 2024
14:52
Failure to Diagnose Pulmonary Embolism
Case of Missed Life-Saving Intervention
Oct 29, 2024
14:50
Failure to Follow-Up on Diagnostic Findings
Delayed Detection of Cancer
Oct 29, 2024
14:41
Failure to Adequately Direct Treatment
Delayed Cancer Diagnosis
Oct 29, 2024
14:37
Failure to Diagnose Coronary Artery Disease
A Missed Opportunity for Intervention
Oct 29, 2024
14:34
Failure to Treat Breast Cancer
The Consequences of Delayed Diagnosis and Malpractice
Oct 29, 2024
07:37
Failure to Diagnose Heart Attack
The Impact of Misdiagnosis on Patient Health
Oct 29, 2024
07:35
Failure to Diagnose Cerebrovascular Disease or Stroke
A Missed Diagnosis with Lasting Impacts
Oct 29, 2024
06:55
Failure to Diagnose Diabetic Ketoacidosis
A Critical Oversight in Pediatric Care
Oct 29, 2024
06:53
Failure to Diagnose or Treat Deep Venous Thrombosis (DVT)
A Critical Oversight in Patient Care
Oct 29, 2024
06:50
Failure to Diagnose or Treat Sepsis
A Case of Missed Early Intervention
Oct 29, 2024
06:48
Dripping Oxygen
Dropping Oxygen Levels Leading to Respiratory Failure
Oct 23, 2024
10:12
Mislabeling Medications
Administering the Wrong Drug Due to Incorrect Labeling
Oct 23, 2024
08:01
Failure to Monitor for Side Effects
Internal Bleeding from Blood Thinners Due to Lack of Monitoring
Oct 22, 2024
11:59
Wrong Time of Administration
Administering Medication Too Early or Too Late, Reducing Efficacy
Oct 22, 2024
10:22
Giving Expired Medication
Administering Expired Antibiotics Due to Negligence
Oct 22, 2024
09:53
Omission of Medication
Forgetting to Administer Critical Heart Medication Leading to a Cardiac Event
Oct 22, 2024
09:43
Administering Medication
Giving Oral Medication Intravenously, Leading to Toxicity
Oct 14, 2024
07:19
Incorrect IV Fluid Rate
Administering IV Fluids Too Quickly, Leading to Fluid Overload and Respiratory Distress
Oct 15, 2024
19:33
Failure to Check for Allergies
Administering Penicillin to a Patient with a Known Allergy, Causing Anaphylaxis
Oct 18, 2024
09:13
Wrong Medication
Nurse Gives Medication Meant for Another Patient
Oct 9, 2024
16:20
Wrong Dosage
Wrong Dosage Administered – Insulin Overdose Leading to Hypoglycemia
Oct 15, 2024
13:26
Failure to Recognize Behavioral Risks
Negligence in Adolescent Psychiatric Care
Oct 29, 2024
14:55
Failure to Diagnose Bacterial Infection
Negligence Resulting in Necrotizing Fasciitis
Oct 29, 2024
14:52
Failure to Diagnose Pulmonary Embolism
Case of Missed Life-Saving Intervention
Oct 29, 2024
14:50
Failure to Follow-Up on Diagnostic Findings
Delayed Detection of Cancer
Oct 29, 2024
14:41
Failure to Adequately Direct Treatment
Delayed Cancer Diagnosis
Oct 29, 2024
14:37
Failure to Diagnose Coronary Artery Disease
A Missed Opportunity for Intervention
Oct 29, 2024
14:34
Failure to Treat Breast Cancer
The Consequences of Delayed Diagnosis and Malpractice
Oct 29, 2024
07:37
Failure to Diagnose Heart Attack
The Impact of Misdiagnosis on Patient Health
Oct 29, 2024
07:35
Failure to Diagnose Cerebrovascular Disease or Stroke
A Missed Diagnosis with Lasting Impacts
Oct 29, 2024
06:55
Failure to Diagnose Diabetic Ketoacidosis
A Critical Oversight in Pediatric Care
Oct 29, 2024
06:53
Failure to Diagnose or Treat Deep Venous Thrombosis (DVT)
A Critical Oversight in Patient Care
Oct 29, 2024
06:50
Failure to Diagnose or Treat Sepsis
A Case of Missed Early Intervention
Oct 29, 2024
06:48
Dripping Oxygen
Dropping Oxygen Levels Leading to Respiratory Failure
Oct 23, 2024
10:12
Mislabeling Medications
Administering the Wrong Drug Due to Incorrect Labeling
Oct 23, 2024
08:01
Failure to Monitor for Side Effects
Internal Bleeding from Blood Thinners Due to Lack of Monitoring
Oct 22, 2024
11:59
Wrong Time of Administration
Administering Medication Too Early or Too Late, Reducing Efficacy
Oct 22, 2024
10:22
Giving Expired Medication
Administering Expired Antibiotics Due to Negligence
Oct 22, 2024
09:53
Omission of Medication
Forgetting to Administer Critical Heart Medication Leading to a Cardiac Event
Oct 22, 2024
09:43
Administering Medication
Giving Oral Medication Intravenously, Leading to Toxicity
Oct 14, 2024
07:19
Incorrect IV Fluid Rate
Administering IV Fluids Too Quickly, Leading to Fluid Overload and Respiratory Distress
Oct 15, 2024
19:33
Failure to Check for Allergies
Administering Penicillin to a Patient with a Known Allergy, Causing Anaphylaxis
Oct 18, 2024
09:13
Wrong Medication
Nurse Gives Medication Meant for Another Patient
Oct 9, 2024
16:20
Wrong Dosage
Wrong Dosage Administered – Insulin Overdose Leading to Hypoglycemia
Oct 15, 2024
13:26
