171 results for “ultrasound”
62y · Male·Metastatic small cell lung carcinoma (palliated)
…arcinoma with palliation. He presented with abdominal pain in late May 2022, and was referred for urgent ultrasound and blood tests on 15 June 2022. However, the ultrasound was delayed due to unavailability of mobile ult…
33y · Male·Haemoperitoneum secondary to lacerated spleen as a result of peritoneal ascitic …
…. Two junior doctors (HMOs/Basic Physician Trainees) performed the procedure unsupervised without formal ultrasound training, mistaking the spleen for ascitic fluid. Critical failures included: absence of senior supervis…
31y · Male·Pulmonary thromboembolism arising from deep vein thrombosis
…/calf pain after flying. Despite risk factors (obesity, long-haul travel), DVT was not investigated with ultrasound. When he presented five days later with resolved leg pain, ultrasound was not pursued despite discussion…
72y · Female·multiple bilateral pulmonary infarcts caused by multiple pulmonary thromboemboli…
… bandaging and aspirin by general practitioners. On 18 June 2015, despite ongoing leg tenderness, duplex ultrasound investigation was not ordered to exclude deep vein thrombosis, despite multiple significant risk factors…
59y · Male·complications of viral liver cirrhosis with hepatocellular carcinoma
…sis while in prison custody. Critical failures included: delayed monitoring of known liver cirrhosis (no ultrasound despite May 2017 abnormal findings until July 2018); inadequate communication of serious ultrasound resu…
74y · Female·Cardiac arrest due to pulmonary embolism secondary to deep venous thrombosis
…r a 4-hour 24-minute delay due to staff shortages and access block. A D-Dimer test showed elevation; DVT ultrasound was scheduled for the next morning. Anticoagulation was not administered due to concern about recent gas…
72y · Male·Metastatic bladder cancer; likely mechanism pulmonary embolism from combined eff…
…acement despite undiagnosed metastatic bladder cancer. Following referral from his GP in May 2014 for an ultrasound showing bladder wall irregularities suspicious for cancer, urologist Dr S. did not consider cancer likel…
0y · Male·Hypoxic-ischemic encephalopathy and massive subgaleal haemorrhage, both associat…
…successful vacuum extraction. Clinical failures included: inadequate determination of fetal position (no ultrasound used despite disagreement between clinicians), incorrect placement of vacuum cup, unreasonably delayed c…
68y · Female·Haemorrhage secondary to right subclavian artery lacerations sustained during ce…
…bclavian artery during central venous line insertion. The anaesthetist used anatomical landmarks without ultrasound after an initial high approach failed. Upon recognising arterial puncture, appropriate escalation occurr…
63y · Female·Haemopericardium (pericardial tamponade) caused by perforation of the right vent…
…o, 63, died from haemopericardium (pericardial tamponade) caused by right ventricular perforation during ultrasound-guided transthoracic pericardiocentesis. She presented with influenza B complicated by myocarditis, peri…
39y · Female·Hypoxic brain injury secondary to multiple hypovolaemic cardiac arrests from cat…
…as not detected prenatally despite three prior caesarean sections creating significant uterine scarring; ultrasound request forms lacked vital obstetric history, preventing targeted imaging; (2) Delayed decision to proce…
43y · Female·pulmonary embolism
… menstrual bleeding. Following the procedure, she developed left leg swelling on day 3. A Venous Doppler Ultrasound was performed but did not extend above the inguinal ligament. She was reassured after negative imaging a…
47y · Male·Pulmonary thrombo-embolism secondary to deep vein thrombosis in setting of morbi…
…ns anchored on pneumonia as the diagnosis despite the requesting physician's PE concerns. Venous doppler ultrasound was deferred based on chronicity of leg swelling; the requested CTPA was not ordered. The patient receiv…
74y · Female·Complications of carotid artery injury from central line insertion in the settin…
…ulti-organ failure and died. While arterial puncture is a recognised 6-9% complication of CVC insertion, ultrasound guidance—now considered gold standard—was used but not documented. Northern Health implemented comprehen…
51y · Female·Pulmonary thromboembolism in the setting of morbid obesity
…bolism while an involuntary psychiatric inpatient. She presented with leg pain and swelling in May 2014; ultrasound was technically difficult due to body habitus and didn't identify DVT, though she was advised to pursue …
65y · Male·metastatic prostate cancer complicated by deep vein thromboses
…osis. He had presented with urinary symptoms in December 2011, with elevated PSA (77 ng/mL) and abnormal ultrasound findings in 2012. However, he repeatedly refused specialist urology referrals and transfer to Adelaide d…
67y · Male·acute renal failure with associated severe acidosis and hyperkalemia
…ls (27 Oct and 1 Nov results showing worsening renal function) which would have prevented discharge. The ultrasound request lacked 'post void' specification, leading to misinterpretation of anuria as successful voiding. …
Female·Combination of liver failure, blood loss and shock following needle biopsy
…atients, reassured nursing staff despite their concerns. A cardiac arrest occurred at 2:35 PM. Emergency ultrasound showed active portal vein bleeding and massive intra-capsular hemorrhage. Emergency surgery 4 hours late…
46y · Male·Pulmonary thromboembolism complicating left calf deep venous thrombosis
…bness. He was triaged to Fast Track and evaluated by an emergency physician who suspected DVT but had no ultrasound available on Boxing Day. He was discharged with Clexane and a follow-up ultrasound appointment. That eve…
80y · Male·complications of necrotising pancreatitis secondary to pancreatic biopsy (EUS)
…spected ampullary carcinoma. Following a negative PET scan in late April, he was referred for endoscopic ultrasound (EUS) with fine needle aspiration biopsy on 20 May 2011 to exclude pancreatic malignancy. The procedure …
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