Journals / Ulusal Travma Dergisi / 2000 / Cilt: 6 - Sayı: 3

Expertise upon private request in cases claiming malpractice and difficulties encountered in introduction "Case report"

Malpraktis iddiası olan olgularda özel başvuruya dayalı bilirkişilik ve uygulamada karşılaşılan zorluklar "Olgu sunumu"

Pages
222–225
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Expert approaches to the events with the claim of malpractice were examined and discussed in several aspects because of the phenomenon with negative viral hepatisis markers, clinical and biochemical findings of which and histopathological features of the liver are both consistent with "toxic hepatitis".

📌 3 Key Takeaways

🎯
Objective & Hypothesis:A private request for expertise before application to official institutions and during any stage of juridical investigation, is a fact seen in malpractice cases.
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Key Findings & Data:This patient surgical operationed twice with 12 days interval went into coma for 18 days and was diagnosed with "Grade 3 hepathic ansephalopathy.
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Conclusion & Impact:Expert approaches to the events with the claim of malpractice were examined and discussed in several aspects because of the phenomenon with negative viral hepatisis markers, clinical and biochemical findings of which and histopathological features of the liver are both consistent with "toxic hepatitis".
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Anestezi · Tıbbi uygulama hatası · Hepatit

Abstract

A private request for expertise before application to official institutions and during any stage of juridical investigation, is a fact seen in malpractice cases. Although expertise reports prepared upon private applications haven't been foreseen to be taken into account in trials, judges are legally authorised to make a decision upon whether to take them into consideration. However, such reports have at least a significance to guide in evaluation of the status and the loss of the victim as well as to pave to a legal process. The most crucial problem in these phenomena is that the medical documents presented are often insufficient and it is sometimes difficult to reach the hospital files. The case presented belongs to a patient admitted to Istanbul Medical Faculty, Forensic Medicine Department upon private request with the claim of malpractice. This patient surgical operationed twice with 12 days interval went into coma for 18 days and was diagnosed with "Grade 3 hepathic ansephalopathy. The patient suffering from liver insufficiency was applied a liver transplantation in abroad. In pathological assessment of the live pieces from the patient, hepatitis consistent with "halothane" was diagnosed. Expert approaches to the events with the claim of malpractice were examined and discussed in several aspects because of the phenomenon with negative viral hepatisis markers, clinical and biochemical findings of which and histopathological features of the liver are both consistent with "toxic hepatitis".

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Cite This Article

ELMAS, İ., SÖZEN, M. Ş., KARPUZOĞLU, E., FİNCANCI, K. Ş. (2000). Expertise upon private request in cases claiming malpractice and difficulties encountered in introduction "Case report". Ulusal Travma Dergisi, Cilt: 6 - Sayı: 3, 222–225. https://ajindex.com/articles/325268

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References (1)

  1. Craig CR, Strtzel RE (eds): Modern Pharmacology 3 rd ed., USA, 1990, pp 414-6 2- Katzung BG: Basic & Clinical Pamiacology. 5 th ed. A Publishing Division ofPrentice Hall, USA, 1992, p358 3- Reynolds EE Parfitt K, Parsons AV, Sweetman SC (eds): Martindale The Extra Pharmacopoeia. 31 st ed., London, 1996, pp 1256-7 4- Rang HP Dale MM: Pharmacology. 2 nd ed.ELBS with Churchill Livingstone, London, 1993, p 619 5- LiVolsi VI, Merino MJ, Brooks JSJ, Saul SH, et al (rev. Ed. Gevikbas U): Pathology. 2 nd ed., Hiirefe Matbaasi., 1992, pp 249-51 6- Pumford NR, Holmes NC, Hinson JA: Covelent binding of xenobiotics to specific proteins in the liver. Drug Metab Rev. 29(1-2):39-57, 1997 7- Spracklin DK, 17111171111ei KE, Kharasch ED: Human reductive halothane metabolism in vitro is catalyzed by cytochrome P450 2A6 and 3A4. Drug Metab Dispos. 24(9): 976-83, 1996 8- Spracklin DK, Hankins DC, Fisher JM, Thummel KE, et al: Cytochrome P450 2E1 is the principal catalyst of human oxidative halothane metabolism in vitro. J Pharmacol Eexp Then 281(1):400-11, 1997 9- Eliason E, Gardner I, Hume SH, Waziers I, et al: Interindividual variability in P 450 dependent generation of neoantigens in halothane hepatitis. Chem Biol Interact. 116 (1-2)123-41,1998 10- Njoku D, Laster MI, Gong DH, Eger El, et al: Biotransforrnation of Halothane, enflurane, isoflurane, and desflurane to tryfluoroacetylated liver proteins: association between protein acylation and hepatic injury. Anesth Analg. 84 (1):173-8, 1997 11- Puig NR, Amerio N, Piaggio E, Barraganj, et al: Effects of halohane reexposure in female mice and their offspring. Reprod Toxicol. 13(5):361-7, 1999 12- Larrey D, Pageaux GP: Genetic predisposition to drug induced hepatotoxicity.J Hepatol. 2:12-21, 1997 13- Jameson JL, Collind FS (eds): Principles of Molecular Medicine, Humana Press Inc. Totowa, New Jersey, 1998, pp 371-4 14- Elena G, Puig NR, Bay ML, Urizar L, et al: lnhalatory anesthetic (halothane) associated changes in the immune response in mice. Intl Immunopharmacol.19(11-12):699 - 707,1997 15- Kumar V, Cotran RS, Robbins SL: Basic Pathology, 6 th ed., W.B.Saunders Company, Philadelphia, Pennsylvania, 1997, pp 533-5 16- Cotran RS, Kumar V, Stanley LR, Schoen Fj: Robbins Pathologic Basis of Disease. 5 th ed., W.B.Saunders Company, Philadelphia, Pennsylvania, 1994, pp 384-5 17- Hasan F: Isoflurane hepatotoxicity in patient with previous history of halohane induced hepatitis. Hepatogastroenterology. 45 (20): 518-221,1998