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	Diagnosis Quality-Why Now ? IHI Case Studies Frequently Misdiagnosed
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Below are real cases that have been diagnosed late or missed.  The use of an instant patient specific check list of likely diagnoses would have asked our colleagues - Have you considered these likely diagnoses? CASES 2008 CASE 2008 PATIENT SAFETY AND QUALITY CASE STUDIES        ISABEL FINAL DIAGNOSIS Dec 12 Case 16 An Adult Male – Severe Wrist Pain. YES Oct 28 Case 15 A 6-Year-Old Female – Facial Palsy, Mouth Pain, Paraesthesia and Ataxia. YES Oct 28 Case 14 An Adult Male – Fever, Rigors and Hematuria. YES Oct 27 Case 13 An Adult Female - Leukemoid Reaction, Lymphadenopathy, Hypercellular Marrow. YES Oct 21 Case 12 Adult Female - Pregnant, Suprapubic Pain, Vaginal Bleeding with Multiple Gestation. YES Oct 15 Case 11 An Adolescent Male – Generalized Muscle Weakness. YES Oct 15 Case 10 An Adult Male – Visual Scotoma, Headache and Ptosis. YES June Case 9 A Four-Month-Old Male Infant - Hypotonia and Weak Cry. YES June Case 8 An Adult Female – Tiredness, Depression, Lack of Energy, Muscular Pains and Bloated. YES June Case 7 An Adult Male - Painful Leg with Blisters. YES June Case 6 An Adult Female - Headache and Blurred Vision. YES June Case 5 An Adult Male - Fatigue, Arthralgia and Abnormal LFTs. YES June Case 4 A Geriatric Male with Fever, Erythematous Rash, Dry mucous membranes and Leucocytosis. YES May Case 3 An Young Asian Female Adult - Fever, Weight Loss and Cervical Lymphadenopathy YES April Case 2 An Adolescent Female - Back Pain, RUQ pain, Lymphocytosis and Jaundice. YES Mar Case 1 A 55-year-old Male - Low Grade Fever and Back Pain. YES     CASES 2007 CASE 2007 PATIENT SAFETY AND QUALITY CASE STUDIES        ISABEL FINAL DIAGNOSIS Dec 07 Case 8 A 55-Year-Old Male - Cough, Weight Loss and a Smoker. YES Dec 07 Case 7 A 30-Year-Old Male - Fever, Rhinorrhea and Ear Pain. YES Nov 07 Case 6 A 5-Month-Old Infant - Fever, Neck Stiffness, Drooling and Leucocytosis. YES Nov 07 Case 5 A Geriatric Female – Confusion, Metabolic Alkalosis and Obesity YES Oct 07 Case 4 A 60-Year-Old Male – Dementia and Cogwheel Rigidity YES Oct 07 Case 3 A 5-Year-Old Male – Abdominal Pain, Scrotal Edema, Leukocytosis, Raised ESR, Hypoalbuminemia YES Sept 07 Case 2 A 6-Month-Old Male – FTT, Thin Hair and Scleroderma Skin Changes YES Aug 07 Case 1 A 33-Year-Old Male - Retrosternal Chest Pain YES