Forensic identification book entrust - DOC

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					Forensic identification book entrust

 forensic identification book entrust

 delegate units and Contact: Museum Civilian Court ___________
 commissioning and acceptance date :______ ______ ______ month in Japan
 cause of action :________ v. ______ hospitals medical malpractice compensation
 commission identified: 1. The existence of medical fault behavior?
 2. Damaging consequences?
 3. Causal relationship between the two?
 provision of medical records and identification information :_________ X-ray film
 appraisal method: paper card review, forensic examination, expert consultation
 male identified people :_________, ,____ old
 address the merits :_______________

  _____ Summary _____ years _____ months due to injury on the plaintiff to the
defendant ______ hospitals for treatment, film examination by the defendant, issued a
"no signs of fracture," X-ray report, and let the plaintiff take medicine and injections.
_____ Years _____ _________ dated _____ day people go to hospital shooting the
plaintiff discovered the "left intertrochanteric fracture", in _____ years _____ to
______ dated _____ day hospital hospital treatment, is the plaintiff left dynamic hip
fixation of left femur, left lower extremity activity limitation. The plaintiff alleged that:
Because the defendant's missed leakage treatment, resulting in the plaintiff left
intertrochanteric fracture surgery became inevitable by the alternative procedure, the
treatment increases the difficulty and the suffering of the plaintiff, and may become
disabled. The defendant argued that: the defendant for the plaintiff in the process of
examination and treatment is not clearly at fault, at least in misdiagnosis and
treatment costs the plaintiff has little to do, and not the consequences of late damage.

  medical history information on a ,_____ _____ ______ dated _____ day hospitals
X-ray film (N0 :_____) report card: no pelvic bone fractures each constitute signs of
bilateral normal hip joint space. Head outside the cover plate of bone structural
integrity, and no signs of fracture.
  2 ,_____ month _____ day _____ _________ in People's Hospital X ray (N0 :_____)
report card: the left proximal femur fracture, most of the fracture line fuzzy, left
common carotid shaft angle smaller.
  3 ,_________ center hospital medical records (N0 :_____) record:
  1. In _____ _____ _____ day on the first admission were recorded: "the left thigh 50
days after injury with pain," admitted. PE: swelling of the left hip deformity, bone
rubbing with a sense of limitation of left hip joint. Patient data: is the lateral view of
left hip: the left intertrochanteric fracture.
  2. _____ Years _____ months _____ days before surgery to discuss: the patient was
left intertrochanteric fracture, practices and external fixation is more difficult, there
are indications for surgery, no surgical contraindications.
 3. _____ Years _____ months _____ days after records: patients with epidural
anesthesia in the left femur fracture, open reduction and internal fixation with
dynamic hip. Surgery goes well, Ann returned to ward.
 4 ,_____ years _____ _____ day _________ Central Hospital on X ray (N0 :_____)
consultation report card: the left intertrochanteric fracture of the nail fixation test

 case was identified in people in _____ _____ _____ day on a forensic examination
of living: conscious, spirit can still check the co-operation. Upper left lateral femoral
see 18CM scars left hip joint stiffness, flexion, extension, outreach, adduction,
rotation, the rotation is limited within the function part of the left thigh over the right
thigh muscle atrophy.
 _____ years _____ _________ People's Hospital on _____2 on X ray (N0 :_____)
report card: The original "top of the left femur intertrochanteric fracture," after review,
this film shows a lot of callus growth trabecular bone through the fracture line.

  description of a medical fault found
  plaintiff ________,______ years _____ months _____ days left thigh by a fall to the
defendant ______ hospitals for treatment, the defendant through Clinical examination
and film inspection, issued a "no signs of fracture," the diagnosis of views, and let the
plaintiff take medicine and injections. _____ Years _____ _________ dated _____
day people go to hospital shooting the plaintiff discovered the "left intertrochanteric
fracture." ______ Hospitals _____ _____ defendant dated _____ days in X-ray film
(N0 :_____) by the expert consultation that: the film image is not clear, poor shooting
position, but glimpses of crude left femur Long fracture signs, at least report: left
intertrochanteric fracture may be, proposes to add paragraph is according to the left
side of the femur on film. And clinicians through clinical symptoms and signs checks
should also be strong enough to fracture may be, and can not readily believe in the X
ray report, a decision is made the diagnosis of fracture, so that the plaintiff take
medicine and injections. Combined with trauma history, clinical manifestations and X
lines, identification of people think that: the defendant in the diagnosis and treatment
of the plaintiff missed behavior exists. Left intertrochanteric fracture should take
positive measures to deal with: either a conservative treatment for external fixation
and traction, or to surgical treatment, while the defendant there are leakage behavior
treatment. Defendant as a first-class hospitals, should have the accurate diagnosis of
the fracture of medical equipment and technical level, but because of negligence of
medical staff and over-confidence, do not fulfill their duty of care, resulting in missed
diagnosis of leakage treatment.
  above, the defendant in the plaintiff's treatment process because of the carelessness
and over-confidence, there is leakage of government missed, there medical fault
  second consequence of damage to the plaintiff found
  hospital in the _________ after surgical treatment center, is left of left hip joint
stiffness, bend, extension, abduction, adduction, internal rotation, external rotation
function in part by limit, the left femur implant retained upper left thigh muscle
atrophy than the right thigh. The operation was successful, anatomic reduction ,_____
day on _____ _____ _________ People's Hospital on X ray (N0 :_____) film shows a
large number of mild callus growth and trabecular bone through the fracture line, has
reached clinical healing. Mild atrophy of left thigh, left hip joint stiffness and
functional part of the limb is limited because of the fixed time, braking due to the
future to strengthen and exercise, will be gradually restored, are generally not left
dysfunction, but now need to rest six months or so. Fixation required elective removal
surgery, according to local health care consumption, post about _____ yuan medical
expenses, take a break after about a month. Reference to "employee injuries and
occupational diseases identified grade level" standards 9 32 10 34, fracture fixation is
a 9 handicap, fracture healing was no dysfunction is 10 disabled, but considering the
plaintiff fracture inherent in the doctor before the damage is not caused by the
defendant medical practice, then reduce the level of a disability, comprehensive
assessment for the 10 disabled.
  third, identified causal relationship between
  principles of intertrochanteric fractures: conservative treatment can also choose
surgery, they both have their advantages and disadvantages. Conservative treatment
advantages: 1. Treatment of low-cost, 2. Trauma; drawbacks: 1. Bedridden,
inconvenience care, complications (such as prone decubitus), 2. Easy malunion
(example: coxa vara, shortening of lower extremity deformity), functional disturbance.
Surgical treatment of the advantages: 1. Anatomic reduction, good functional recovery,
2. Early activities can prevent joint stiffness, to avoid complications arising from
long-term bed rest; shortcomings: high cost of treatment, major trauma, which needed
a second operation. Conservative treatment is often surgical treatment is not effective,
as standards of living and quality of life improved, the quality of people's increasing
requirements of medical, clinical medicine increasingly tended to choose surgery.
  case of left intertrochanteric fracture with timely diagnosis and treatment for the
above-mentioned principle, but delayed 50 days after the shooting found that smaller
neck shaft angle, large rotor shift, limb shortening, and around the fracture muscle
contracture, fibrous adhesions, conservative treatment has been difficult to achieve
satisfactory results, can only surgery. Best time to surgery about a week after injury,
this time less bleeding, faster recovery, traction should be carried out before surgery
for preoperative preparation. Because the defendant's missed leakage treatment
increased the need for surgery, so surgery became inevitable, and because the missed
the best time of surgery, to a certain extent, increased the difficulty of surgery,
lengthening of the fracture healing and functional recovery time.
  above, the medical consequences of fault behavior and the damage has some causal
relationship between that law on the facts of causation, medical mistakes participation
of 25%.

  conclusions defendant on plaintiff _________ ______ Institutes of Health clinics in
the course of treatment missed missed left intertrochanteric fracture, inevitably
leading to surgical treatment, medical mistakes participation of 25%. The plaintiff left
femur fixation disability rated as 10, need to rest for six months from now or so, about
the late _____ yuan medical expenses, take a break after about a month.

  expert :_____________
_____ years _____ months _____ Day - Thanks for reading this article, this article
from [worry document] collecting and collating thank the original
author] / center>