Subject(s)
Ambulatory Care , Internal Medicine/education , Internship and Residency , Curriculum , Florida , Humans , Private Practice , Schools, MedicalABSTRACT
Many physicians will be sued for malpractice at some time during their careers. Risk of litigation can be reduced by adopting practices that include keeping thorough medical records, educating office personnel, and fostering good patient-physician relationships. The last is important because patients who view their physicians as caring tend not to sue even if an adverse outcome occurs.
Subject(s)
Defensive Medicine/methods , Malpractice , Risk Management/methods , Florida , Health Personnel/education , Humans , Malpractice/legislation & jurisprudence , Malpractice/statistics & numerical data , Managed Care Programs/organization & administration , Medical Records , Physician-Patient Relations , Quality of Health Care , Risk FactorsABSTRACT
Although Meckel's diverticulum is the most common congenital abnormality of the gastrointestinal (GI) tract, complications in adults are rare, especially in the elderly. Intestinal obstruction is the most common complication in the adult, and inflammation mimicking acute appendicitis may also occur. Lower GI bleeding as a result of Meckel's diverticulum with ectopic gastric mucosa is distinctly unusual among the elderly, with most previous case reports involving patients under the age of 40. The case we report involved a 91-year-old man with massive lower GI hemorrhage found to be due to a Meckel's diverticulum with ectopic gastric mucosa.