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Problem pregnancy
...An ultrasound would have revealed an empty uterus and a suboptimal rise in serum beta HCG levels, leading to a diagnosis of ectopic pregnancy...
Hockey twist
...The surgeon expresses “surprise” that the diagnosis was missed in A&E and that there was no onward referral to an on-call orthopaedic specialist...
Slow-healing socket
...The expert questions why Ms N did not consider something more than just a slow-healing socket – especially when the adjacent molar had been extracted with normal healing...
Incisional hernia
...seeing omental tissue evident one week after surgery would be consistent with observations (by the surgeon) of a “large area of deep breakdown” within the wound...
Sudden stroke
...Later that day Mr S collapses at home and is taken by ambulance to A&E with left-side weakness and severe headache...
Swollen leg
...The GP suspects a DVT and makes arrangements to refer Ms J to the local thrombosis clinic but there is no record of a referral made that same day...
Elderly visit
...The GP mentions the option of full-time care for Mrs M in a residential care home. She overhears his comment and becomes very upset...
Sudden decline
...The next day Mr P’s condition further deteriorates and his wife calls for an ambulance. He is breathless and panicky with a tight chest and tachycardia...
Slip on the ice
....It is alleged that both doctors failed to carry out an adequate examination, consider a diagnosis of hip fracture and offer an orthopaedic referral...
Missed gallstones
...Over the following six weeks he attends the practice three more times and is examined by two different GPs who also diagnose constipation...