A FORUM on ONTARIO MEDICINE: business and professional Information from various contributors edited by Dr.Alex Franklin MBBS(Lond.)Dip.Phys.Med(UK) DPH & DIH(Tor.)LMC(C)FLex(USA).Fellow Med.Soc.London, Liveryman of London Society of Apothecaries. Freeman of City of London. Member Toronto Faculty club & Toronto Medico-Legal society.
25 Jan 2014
NEW GRAD using XRAY instead of examining abdomen and doing a rectal.
Toronto Western & Toronto General resident JENNY YUJING WANG MD (Tor. 2012) CPSO # 98206 at 2130 hrs 24 Jan. ordered
a portable xray for 8th floor medical ward sleeping (female) patient with Marrow failure due to Mult. Myeloma. Patient had distended abdomen. During five days in hospital passed liquid stool and flatus. First year grad. Dr.WANG had not examined the abdomen and had not done a rectal exam. The xray showed faeces. A glycerol suppository was ordered.
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The result as expected; rock-hard faeces which had to be manually removed. Danger of the intellectually lazy using technology to "fish" instead of examining patient.and thinking about a Differential Diagnosis.
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