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Book Details
Abstract
The risk of litigation against clinicians is increasing significantly. Those working in primary care, and whom are often dealing with uncertainty, are at particular risk. This book groups together a series of useful articles on diagnoses that may be easily missed at first presentation in primary care, and which may give rise to clinical negligence claims. The spectrum of conditions which are commonly encountered in claims such as pulmonary embolism, acute leg ischaemia, ectopic pregnancy, inflammatory bowel disease, appendicitis and achilles tendon rupture. All articles describe data to support the assertion that the conditions are often overlooked in primary care and that failure to recognise the diagnosis may have serious implications for the patient.
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Book Cover | C | ||
| Title | i | ||
| Copyright | ii | ||
| About the publisher | iii | ||
| About The BMJ | iii | ||
| Contents | iv | ||
| About the editors | vi | ||
| Foreword | vii | ||
| Introduction to Easily Missed series | viii | ||
| Chapter 1 Pulmonary embolism | 1 | ||
| Why is it missed? | 1 | ||
| Why does it matter? | 1 | ||
| How is it diagnosed? | 1 | ||
| Investigations | 2 | ||
| How is it managed? | 2 | ||
| Chapter 2 Acute leg ischaemia | 5 | ||
| What is acute leg ischaemia? | 5 | ||
| How common is it? | 5 | ||
| Why is it missed? | 5 | ||
| Why does it matter? | 6 | ||
| How is it diagnosed? | 6 | ||
| How is it managed? | 6 | ||
| Chapter 3 Ectopic pregnancy | 8 | ||
| How common is it? | 8 | ||
| Why is it missed? | 8 | ||
| Why does this matter? | 8 | ||
| How is it diagnosed? | 8 | ||
| Clinical features | 8 | ||
| Investigations | 9 | ||
| How is it managed? | 9 | ||
| Chapter 4 Appendicitis | 11 | ||
| Why is appendicitis missed? | 11 | ||
| Why does this matter? | 11 | ||
| How is appendicitis diagnosed? | 11 | ||
| Clinical features | 11 | ||
| Scoring systems | 12 | ||
| Anatomical considerations in the presentation of acute appendicitis | 12 | ||
| Investigations | 12 | ||
| How is appendicitis managed? | 13 | ||
| Chapter 5 Inflammatory bowel disease | 15 | ||
| What is inflammatory bowel disease? | 15 | ||
| Why is it missed? | 15 | ||
| Why does this matter? | 16 | ||
| How is inflammatory bowel disease diagnosed? | 16 | ||
| Clinical features | 16 | ||
| Investigations | 16 | ||
| How is inflammatory bowel disease managed? | 17 | ||
| Chapter 6 Infective endocarditis | 19 | ||
| Why is infective endocarditis missed? | 19 | ||
| Why does this matter? | 19 | ||
| How is it diagnosed? | 19 | ||
| Clinical features | 19 | ||
| Investigations | 21 | ||
| How is it managed? | 21 | ||
| Chapter 7 Addison’s disease | 23 | ||
| What is Addison’s disease? | 23 | ||
| Why is it missed? | 23 | ||
| Why does this matter? | 23 | ||
| How is it diagnosed? | 23 | ||
| Clinical features | 23 | ||
| Investigations | 24 | ||
| How is it managed? | 24 | ||
| Chapter 8 Cushing’s syndrome | 26 | ||
| What is Cushing’s syndrome? | 26 | ||
| Why is Cushing’s syndrome missed? | 26 | ||
| Why does this matter? | 27 | ||
| How is Cushing’s syndrome diagnosed? | 27 | ||
| Clinical features (box) | 27 | ||
| History taking | 27 | ||
| Examination | 28 | ||
| Investigations | 28 | ||
| How is Cushing’s syndrome managed? | 29 | ||
| Related links | 30 | ||
| Chapter 9 Phaeochromocytoma | 31 | ||
| What is a phaeochromocytoma? | 31 | ||
| Why is phaeochromocytoma missed? | 31 | ||
| Why does this matter? | 31 | ||
| How is phaeochromocytoma diagnosed? | 32 | ||
| Clinical | 32 | ||
| Investigations | 32 | ||
| How is phaeochromocytoma managed? | 33 | ||
| Chapter 10 Giant cell arteritis | 35 | ||
| Why is giant cell arteritis missed? | 35 | ||
| Why does this matter? | 35 | ||
| How is giant cell arteritis diagnosed? | 36 | ||
| How is giant cell arteritis managed? | 37 | ||
| Chapter 11 Slipped capital femoral epiphysis | 38 | ||
| Why is it missed? | 38 | ||
| Why does this matter? | 38 | ||
| How is it diagnosed? | 38 | ||
| Clinical features | 38 | ||
| Investigations | 38 | ||
| How is it managed? | 40 | ||
| Chapter 12 Subarachnoid haemorrhage | 42 | ||
| Why is it missed? | 42 | ||
| Why does this matter? | 42 | ||
| How is it diagnosed? | 42 | ||
| Clinical features | 42 | ||
| Investigations | 43 | ||
| Detecting subarachnoid blood | 44 | ||
| How is it managed? | 44 | ||
| Chapter 13 Femoral hernias | 46 | ||
| What is a femoral hernia? | 46 | ||
| Why is a femoral hernia missed? | 46 | ||
| Why does this matter? | 47 | ||
| How is it diagnosed? | 47 | ||
| Clinical | 47 | ||
| Investigations | 47 | ||
| How is it managed? | 48 | ||
| Chapter 14 Pre-eclampsia | 50 | ||
| What is pre-eclampsia? | 50 | ||
| How common is pre-eclampsia? | 50 | ||
| Why is pre-eclampsia missed? | 50 | ||
| Why does it matter? | 51 | ||
| How is pre-eclampsia diagnosed? | 51 | ||
| Clinical | 51 | ||
| Investigations | 51 | ||
| How is pre-eclampsia managed? | 52 | ||
| Chapter 15 Acute Achilles tendon rupture | 54 | ||
| What is an Achilles tendon rupture? | 54 | ||
| Why is it missed? | 54 | ||
| Why does this matter? | 54 | ||
| How is it diagnosed? | 54 | ||
| Clinical features | 54 | ||
| Investigations | 58 | ||
| How is it managed? | 58 | ||
| Chapter 16 Posterior shoulder dislocations | 59 | ||
| What is a posterior shoulder dislocation? | 59 | ||
| How common are posterior shoulder dislocations? | 59 | ||
| Why is it missed? | 59 | ||
| Why does it matter? | 60 | ||
| How is it diagnosed? | 60 | ||
| Clinical diagnosis | 60 | ||
| How is it managed? | 62 | ||
| Chapter 17 Late onset type 1 diabetes | 64 | ||
| What is late onset type 1 diabetes? | 64 | ||
| Why is it missed? | 64 | ||
| Why does this matter? | 64 | ||
| How is type 1 diabetes diagnosed in adults? | 65 | ||
| Clinical features | 65 | ||
| Investigations | 65 | ||
| How is late onset type 1 diabetes managed? | 65 | ||
| Chapter 18 Acute Charcot foot | 67 | ||
| What is acute Charcot foot? | 67 | ||
| Why is acute Charcot foot missed? | 67 | ||
| Why does this matter? | 67 | ||
| How is acute Charcot foot diagnosed? | 68 | ||
| Clinical features | 68 | ||
| Investigations | 69 | ||
| How is acute Charcot foot managed? | 69 | ||
| Chapter 19 Subdural haematoma in the elderly | 71 | ||
| What is a subdural haematoma? | 71 | ||
| Why is it missed? | 71 | ||
| Why does this matter? | 72 | ||
| How is subdural haematoma diagnosed? | 73 | ||
| Clinical features | 73 | ||
| Investigations | 73 | ||
| How is subdural haematoma managed? | 73 | ||
| Chapter 20 Myasthenia gravis | 75 | ||
| What is myasthenia gravis? | 75 | ||
| Why is myasthenia gravis missed? | 75 | ||
| Why does it matter? | 76 | ||
| How is it diagnosed? | 76 | ||
| Clinical | 76 | ||
| History | 76 | ||
| Examination | 76 | ||
| Investigations | 77 | ||
| Ice test | 77 | ||
| Laboratory investigations | 77 | ||
| Neurophysiology | 77 | ||
| Edrophonium test | 77 | ||
| Radiology | 77 | ||
| How is myasthenia gravis managed? | 77 | ||
| Chapter 21 Copper deficiency | 80 | ||
| What is hypocupraemia? | 80 | ||
| How common is copper deficiency? | 80 | ||
| Why is copper deficiency missed? | 80 | ||
| Why does it matter? | 81 | ||
| How is copper deficiency diagnosed? | 81 | ||
| Clinical features | 81 | ||
| Investigations | 82 | ||
| How is copper deficiency managed? | 82 | ||
| Related links | 83 | ||
| More titles in The BMJ Series | 84 | ||
| More titles in The BMJ Easily Missed? Series | 85 | ||
| More titles in The BMJ Easily Missed? Series | 86 | ||
| More titles in The BMJ Clinical Review Series | 87 | ||
| More titles from BPP School of Health | 88 | ||
| More titles in The Progressing your Medical Career Series | 89 | ||
| More titles in The Progressing your Medical Career Series | 90 | ||
| More Titles in The Progressing Your Medical Career Series | 91 | ||
| More titles in The Essential Clinical Handbook Series | 92 | ||
| More titles in The Essential Clinical Handbook Series | 93 |