practice of Medicine


Orthopedic Surgery Toolkit

August 1, 2019

Safety/complications lessons learned

Incomplete pulmonary embolism evaluation alleged to have caused delayed diagnosis and death

This case involves a woman in her mid 40’s, 5’2”, 220 lbs with a history of degenerative arthritis, gastric by-pass surgery (lost 100 lbs), hernia repair, bilateral total knee replacement, fatigue and swelling of her right lower leg. She underwent a left total hip replacement due to degenerative arthritis. She died one week post–operatively from a pulmonary embolism (PE).

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