The cardiologist interpreted the echocardiogram as showing left ventricular hypertrophy, but with normal systolic function and a normal aorta. If the diagnosis is correct, all is well; if not, the patient may suffer.
Case Study 3 CASE: Nurse Z was experiencing multiple stressors at home including the fact that her husband was unemployed and her seventeen year daughter had started drinking alcohol and had been arrested for drinking while intoxicated DUI.
This case poses two dilemmas — one clinical and one legal — that may complicate the management of similar medical malpractice cases. Further, the patient was in the ED for 2 hours before she received any analgesia, other than what she had received in the ambulance. Following that, she quickly progressed into respiratory arrest.
The cardiologist may not have been aware of the hospital's autopsy protocol, but hospital personnel should have been. The PA noted that the patient was "sore all over" and drowsy, but arousable.