Practice of Medicine

Claims Lesson

Unusual Circumstances Stump a Timely MI Diagnosis

By Michael J. Bono, MD, FACEP

November 26, 2013

The Case

A 53-year old male presented to a family medicine office with right arm pain. He was born with an atrophic left arm, and had pulled himself up into a pickup truck three days earlier with his normal right arm. He was evaluated by a Family Nurse Practitioner (FNP) who diagnosed a right trapezius muscle strain and prescribed pain medications. The patient was not asked about chest pain or …

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