missed appendicitis

Appendicitis classically presents as RLQ pain, fever, vomiting without diarrhea, a high WBC and normal UA. But pattern recognition is a great way to miss appendicitis–especially in children, women and the elderly–as the following studies makes clear.   CHILDREN The implications of missed opportunities to diagnose appendicitis in children. Acad Emerg Med 2013 Jun;20(6):592-6. In…

missed cerebellar infarction

Pitfalls in the Diagnosis of Cerebellar Infarction. Acad Emerg Med 2007;14:63-68. This retrospective review of 15 cases of misdiagnosed cerebellar infarction sheds light on a number of preventable errors. 28yo with headache, vertigo, nausea, fall to left, vision loss. Left sided weakness on exam but no documented gait. Normal CT/MRI. Diagnosed as migraine 38yo with…

missed long QT syndrome

Misdiagnosis of Long QT Syndrome as Epilepsy at First Presentation. Ann Emerg Med. 2009;54:26-32 This retrospective review of 31 patients (median age 21) with proved long QT syndrome found 39% experienced diagnostic delay after presenting with syncope or seizure, with a median delay of 2.4 years. A third of patients had EEGs and a sixth…