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Failure to suspect stroke results in brain damage.

A 37-YEAR-OLD WOMAN went to a gastroenterologist for a postoperative consult. Her blood pressure was 180/100. Her medical history included recent symptoms of blurred vision, dizziness, nosebleeds, and tingling in the face and right arm. She was taking medications that increased her risk of stroke, had preexisting Crohn's disease, and smoked.

The day after the doctor visit, the woman went to a hospital, where she was diagnosed with a stroke from a left cerebral artery infarction and dissection with clot formation in the left internal carotid artery. She suffered brain damage with aphasia and right hemiparalysis.

PLAINTIFF'S CLAIM The doctor was negligent for failing to diagnose the patient's condition and provide treatment.

DOCTOR'S DEFENSE The doctor denied any negligence.

VERDICT indiana defense verdict.

COMMENT In this age of thrombolysis and aggressive stroke management, rapid diagnosis and intervention has gone from an academic exercise to a standard of care.

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Title Annotation:WHAT'S THE VERDICT?
Author:Susman, Jeffrey L.
Publication:Journal of Family Practice
Article Type:Case study
Geographic Code:1USA
Date:Nov 1, 2009
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