WebM&M Cases & Commentaries
WebM&M (Morbidity & Mortality Rounds on the Web) features expert analysis of medical errors reported anonymously by our readers. Spotlight Cases include interactive learning modules available for CME. Commentaries are written by patient safety experts and published monthly. Contribute by Submitting a Case anonymously.
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- Spotlight Case
Kerry C. Cho, MD; Glenn M. Chertow, MD, MPH; April 2005
A patient with presumed small bowel obstruction undergoes a contrast-enhanced CT scan. She develops contrast nephropathy requiring dialysis.
Richard Cohan, MD; September 2004
Prior to a CT scan, a patient states that he is not allergic to x-ray dye. Soon after injection, he goes into anaphylactic shock.