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Timočki medicinski glasnik
2019, vol. 44, iss. 2, pp. 76-80
article language: Serbian
document type: Case Report
published on: 02/11/2019
doi: 10.5937/tmg1902076J
Diagnostic error in family medicine
Dom Zdravlja Krupa na Uni, Krupa na Uni, Bosna i Hercegovina



Introduction: The diagnosis of disease is an important and often complex process. In the diagnostic process the doctor is obliged to abide by the rules of the medical methodology, that is, to follow the algorithm that prescribes the guidelines of good clinical practice. Diagnostic errors include missed, delayed or incorrect diagnoses. They arise as a result of failure to comply with a diagnostic protocol or an inadequate interpretation of the findings obtained during the same. Case Report: A patient born in 1953 who is not registered with the Health Center Krupa na Uni comes from the ambulance family medicine. He brought with him a stone that erupted two days ago. Problems with stones in the barrel have been back for six years. Annually there is one episode of the kidney colic, which in the course of therapy is prescribed drugs from the group Fluoroquinolone and analgesics, he erodes the stone and it is good. He states that he has done six blood and urine tests, two ultrasound examinations of the abdomen and one consultation with a urologist. He is worried that his sedimentation has been constantly increased and the fact that at the last ultrasound examination he was told that one kidney was only doing 20%. Ultrasound examination at the Health Center Krupa na Uni reveals a large tumour lesion of 8 cm diameter in the area of the sigmoid colon that bends to the bladder and metastatic changes to the II, V, VI and VII liver segments. The pathohistological finding was described by adenocarcinoma invasivum interstini crassi gradus II pT4N1cM1a. After the XELOX protocol (eight therapeutic regimens) was performed, chemotherapy resulted in withdrawal of metastatic changes. Conclusion: Respecting good clinical practice guidelines, careful medical documentation, continuous medical education and quality communication with the patient make it possible to carry out the medical profession safely with minimum risk for the diagnosis of the diagnosis.



Davis, R., Jones, J.S., Barocas, D.A., Castle, E.P., Lang, E.K., Leveillee, R.J., Messing, E.M., Miller, S.D., Peterson, A.C., Turk, T.M.T., Weitzel, W. (2012) Evaluation of asimptomatis microscopic hematuria in adults: The American Urological Association guideline. Journal of Urology, 188(6): 2473-81
Issa, I.A., Noureddine, M. (2017) Colorectal cancer screening: An updated review of the available options. World Journal of Gastroenterology, 23(28): 5086-5096
Kostopoulou, O., Delaney, B.C., Munro, C.W. (2008) Diagnostic difficulty and error in primary care: A systematic review. Family Practice, 25(6): 400-413
Manca, D., Varnhagen, S., Brett-Maclean, P., Allan, G.M., Szafran, O. (2008) Respect from specialists: Concerns of family physicians. Can Fam Physician, 54(10): 1434-1435
Mešić, E. (2018) Ljekarska greška i krivica. Anali Pravnog fakulteta, 22: 151-79
Minué, S., Bermúdez-Tamayo, C., Fernández, A., Martín-Martín, J.J., Benítez, V., Melguizo, M., Caro, A., Orgaz, M.J., Prados, M.A., Díaz, J.E., Montoro, R. (2014) Identification of factors associated with diagnostic error in primary care. BioMed Central Family Practice, 15(1): 92-92
Mrčela, M., Vuletić, I. (2017) Granice nehajne odgovornosti za kazneno djelo nesavjesnog liječenja. Zbornik radova Pravnog fakulteta u Splitu, 54(3): 685-704
Radišić, J. (2011) Odgovornost zbog pogrešne lekarske dijagnoze i nepreduzimanja potrebnih dijagnostičkih mera. Revija za pravo osiguranja, (1): 55-65
Royal Australian College of General Practitioners (2018) Guidelines for preventive activities in general practice. Melbourne, Victoria, 9th edition, updated, 9(2):105-109
Wahls, T.L., Peleg, I. (2009) Patient and system-related barriers for the earlier diagnosis of colorectal cancer. BioMed Central Family Practice, 10(1): 65-65