Practice of Medicine

Claims Lesson

Acute Leukemia Fatal after Failure to Address Abnormal CBC and Narrow Diagnostic Focus

November 26, 2013

The Case

A middle-aged man presented to his primary care physician (PCP) complaining of feeling tired and dizzy. The PCP suspected the symptoms to be stress related. Labs were checked and revealed a low HDL, slightly elevated ALT, and slightly elevated liver enzyme(s). A follow-up appointment was scheduled within three days to discuss the lab results, but the patient was a "no show." As is her …

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