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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