Diagnostic Errors

Publication Title: 
The American Journal of Clinical Hypnosis
Author(s): 
Olness, K.
Libbey, P.
Publication Title: 
Tropical medicine & international health: TM & IH

OBJECTIVE: A recent observational study undertaken at 17 health facilities with microscopy in Kenya revealed that potential benefits of malaria microscopy are not realized because of irrational clinical practices and the low accuracy of routine microscopy. Using these data, we modelled financial and clinical implications of revised clinical practices and improved accuracy of malaria microscopy among adult outpatients under the artemether-lumefantrine (AL) treatment policy for uncomplicated malaria in Kenya.

Author(s): 
Zurovac, D.
Larson, B. A.
Akhwale, W.
Snow, R. W.
Publication Title: 
Malaria Journal

BACKGROUND: The simian parasite Plasmodium knowlesi is recognized as a common cause of severe and fatal human malaria in Sabah, Malaysia, but is morphologically indistinguishable from and still commonly reported as Plasmodium malariae, despite the paucity of this species in Sabah. Since December 2008 Sabah Department of Health has recommended intravenous artesunate and referral to a general hospital for all severe malaria cases of any species. This paper reviews all malaria deaths in Sabah subsequent to the introduction of these measures.

Author(s): 
Rajahram, Giri S.
Barber, Bridget E.
William, Timothy
Menon, Jayaram
Anstey, Nicholas M.
Yeo, Tsin W.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

OBJECTIVE: The presentation of a patient to a chiropractic office with an undiagnosed C1 burst fracture (Jefferson fracture) secondary to head trauma from a motor vehicle accident is introduced. CLINICAL FEATURES: A 67-yr-old real estate manager suffered from neck pain and stiffness following release from a major metropolitan medical center.

Author(s): 
Troyanovich, S.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

OBJECTIVE: This report reviews the case of a missed cervical spine fracture in a patient presenting for chiropractic manipulative therapy. A review of the literature suggests that radiographic examinations performed in emergency care settings following cervical spine trauma are often incomplete for the purposes of screening for contraindications to manipulative therapy.

Author(s): 
Crowther, E. R.
Publication Title: 
Spine

STUDY DESIGN: Controlled comparison of radiographic interpretive performance based on training and experience. OBJECTIVES: This study compared each of these groups in medicine and chiropractic by testing abilities to interpret abnormal plain film radiographs of the lumbosacral spine and pelvis. SUMMARY OF BACKGROUND DATA: Low back pain is a common and costly problem that is evaluated and treated primarily by medical physicians, orthopedists, and chiropractors.

Author(s): 
Taylor, J. A.
Clopton, P.
Bosch, E.
Miller, K. A.
Marcelis, S.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

OBJECTIVE: Reports of complications after chiropractic adjustments were administered to the lumbar spine and/or pelvis are rare. This case report provides the events associated with a sacral fracture that was not identified before a side-posture sacroiliac adjustment. CLINICAL FEATURES: The patient suffered from blunt, low back trauma as a result of a fall. Clinical evaluation indicated fixation dysfunction at the left sacroiliac articulation, with minimal edema/tenderness at the inferior portion of the left sacroiliac joint.

Author(s): 
Plaugher, G.
Alcantara, J.
Doble, R. W.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

OBJECTIVE: To discuss the case of a patient with an anterior compression fracture of the cervical spine, which had been overlooked on initial examination. CLINICAL FEATURES: A 36-year-old man was seen at a chiropractic clinic 1 month after diving into the ocean and hitting his head on the ocean floor. He chipped a tooth but denied loss of consciousness. Initial medical examination in the emergency department did not include radiography, but an anti-inflammatory medication was prescribed.

Author(s): 
Brynin, R.
Yomtob, C.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

OBJECTIVE: To discuss the case of a football player who had suffered a transverse process fracture of the lumbar spine that was overlooked on initial chiropractic and medical examination. CLINICAL FEATURES: A 17-year-old male football player had been speared in the back by another player. He reported severe initial pain that caused him to fall to the ground, and there was a moderate degree of pain at the time of his chiropractic examination 1 week after injury. INTERVENTION AND OUTCOME: Initial chiropractic treatment consisted of spinal manipulation to the lumbar spine.

Author(s): 
Brynin, R.
Gardiner, L.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

OBJECTIVE: To review the case of a missed cervical spine fracture in a patient with neck pain. CLINICAL FEATURES: A 21-year-old thatcher with neck pain presented to a chiropractic clinic after a fall from a roof 4 m high. The hospital radiographs were read as normal. The chiropractor suspected a Jefferson fracture of the atlas after evaluation of the same radiographs. INTERVENTION AND OUTCOME: The chiropractor retook the anteroposterior open-mouth radiograph to confirm the suspected fracture.

Author(s): 
Regelink, G. A.
de Zoete, A.

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