“Evaluation and Management of Hematologic Disorders”

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50 yr old male presenting to ER with complaints of right leg pain. Patient is an runner and the provider diagnosed the patient with a right leg muscle strain. Patient went home with Flexeril as needed and Motrin 800 mg q8h as needed. One week later, the patient followed up with his PCP with continued right leg pain. His doctor instructed him to continue to take the muscle relaxant and Motrin, and advised that the pain should subside . The following day the right leg pain increased, prompting the patient to return to the emergency department. Multiple providers failed to diagnose a blood clot in the patient’s right leg.
Write a description of what went wrong in this situation, as well as why patient blood clots continue to be misdiagnosed. Then, explain how could have been prevented the misdiagnosis. Include strategies for obtaining patient history, ordering diagnostics, and recommending potential treatment options.
Buttaro, T. M., Trybulski, J., Polgar Bailey, P., & Sandberg-Cook, J. (2013). Primary care: A collaborative practice (4th ed.). St. Louis, MO: Mosby.Part 18, “Evaluation and Management of Hematologic Disorders” (pp. 1139–1181)

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