0
Autopsy and Medicine |

Case of the Month:  Death and Distraction

Kim A. Collins, MD; C. Jeff Lee, DO; Randy Hanzlick, MD; and the Autopsy Committee of the College of American Pathologists
Arch Intern Med. 1998;158(20):2183-2184. doi:10.1001/archinte.158.20.2183.
Text Size: A A A
Published online

Extract

A 13-YEAR-OLD black boy was living in a foster home. According to the foster mother, he fell in the tub and sustained an injury to the right hip. The boy was described as being sarcastic, belligerent, and a poor historian during the examination at the hospital. He also accused the physician of trying to play with him. The results of radiography of the right hip were negative for fracture. His temperature was 37.6°C; pulse rate, 82 beats/min; respiration rate, 20/min; and blood pressure, 110/62 mm Hg. The examination was not prolonged, and the boy was sent home with the diagnosis of a right-hip contusion. Ibuprofen was prescribed for pain. Two days later at a follow-up visit, the boy denied any problems other than some tenderness in the right hip. The foster mother reported a productive cough in the child. Again, he was difficult to examine and had a nonchalant attitude. Examination revealed the following: temperature, 38.7°C; pulse rate, 108 beats/min; and respiration rate, 24/min. A complete blood cell count showed a white blood cell count of 0.01 × 109/L (11.7/µL). Lungs were described as clear by auscultation. He was described as in no acute distress and sent home with a diagnosis of right-hip strain. Two and a half days later, he was found dead in bed. An autopsy was requested by the coroner, who had been notified of the death pursuant to state death investigation statutes.

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
/>
First page PDF preview

Figures

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Web of Science® Times Cited: 1

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Topics
PubMed Articles
Jobs
brightcove.createExperiences();