Hiding in Plain Sight
Weinberg JM. AHRQ WebM&M [serial online]. August 2009.
One day after being discharged from the ED, a woman with severe back pain returns and is admitted for observation and analgesics. The next morning, the hospitalist notes a vesicular rash in the exact distribution of the patient's pain symptoms and diagnoses a herpes zoster infection (shingles).
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Shojania KG. AHRQ WebM&M [serial online]. March 2004.
Adams JG. AHRQ WebM&M [serial online]. June 2003.
Inquiry into reporter's death finds multiple failures in care.
Stout D. New York Times. June 17, 2006;National desk:9.
Missed injuries in trauma patients: a literature review.
Pfeifer R, Pape HC. Patient Saf Surg. 2008;2:20.
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