Case Scenario
Who you are: You are a FY2 in the GP clinic.
Who the patient is: Mr. Tokyo, 56-year-old man, was admitted to the hospital 3 weeks ago and was diagnosed with MI. 3 days prior to his admission, he had come to ED with chest pain. He was seen by one of the ED doctors who performed an ECG which was reported as normal. The blood tests were done, but patient was discharged home on the basis of normal ECG, before troponin was checked. He was also discharged home with a diagnosis of muscle pain. The cardiologist has reviewed d ECG and blood tests which were performed in the ED-ECG shows T wave inversion and troponin is also positive.
What you should do: Explain the medical error to the patient, assess for any complications, address his concerns and discuss further management.