Bowel Perforation Causes Multiple Organ Failure and Death
Due to the delay in detecting the patient's perforated bowel, the patient allegedly suffered from trouble breathing and had parts of his intestines removed.
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Case Overview
Questions to the Internal Medicine expert and their responses
When a patient presents to the hospital with these symptoms, when should further diagnostic testing be ordered to rule out a bowel perforation?
If the patient's pain on presentation was that severe, it would indicate a more serious underlying issue than standard constipation. In this situation, the standard of care in the emergency department would have been to obtain a CT scan of the abdomen to determine the etiology of the pain.
About the expert
This board certified internal medicine specialist has acquired multiple high ranking clinical and administrative leadership positions in healthcare management throughout his 20+ year medical career. These include medical directorships at major healthcare networks, where he has been responsible for the health and safety precautions as well as clinical protocol management.

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