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Medical Glossary

Volume 3, Issue 10, May 1998

Full text articles and references are available by subscription.

CESAREAN INFECTION

PRACTICE POINTS:

Potentially serious infection is common after Cesarean Section and is not presumptive evidence of substandard care

When nurses report mild fever or somewhat offensive wound/vaginal discharge, look for

1. Adequate medical re-examination
2. White Blood Cell Count
3. Bacteriological testing

POST TRAUMATIC STRESS DISORDER 1997

PRACTICE POINTS:

Specifically ask psychiatric/psychological expert witnesses to match the claimant to the characteristic psychological profile

Hormone disturbances are being identified experimentally, but are not yet ready for routine diagnostic testing

Characteristic disturbances of regional Cerebral Blood Flow can be seen on SPECT scanning

Although response to antidepressant medication is variable, individual and certain families of drugs are showing promise

Although response to antidepressant medication is variable, individual and certain families of drugs are showing promise


TROCHAR INJURY

PRACTICE POINTS:

In contrast with advanced laparoscopic techniques, attempts to demonstrate inadequacy of training or supervised experience are unlikely to succeed

The courts are recognising that the majority of serious trochar injuries arise from substandard surgical technique


RETINAL TEARS

PRACTICE POINTS:

Symptomatic Retinal Tears are common degenerative events in the elderly, or the result of direct trauma to the eyes of young men

To establish indirect traumatic Causation of Retinal Tears in the elderly usually requires a clear contemporaneous history of attributable visual deterioration


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