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December 3, 2019BMJ Quality & Safety

The illusion of perfection

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Key result

A young man presenting with acute back pain and a normal back MRI died from a ruptured type A aortic dissection.

Population

1 young man presenting to the emergency department with right-sided thoracic back pain after lifting boxes…

Design

Editorial

Authors

PSPeter B. Smulowitz

Discussion

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Overview

Highlights potential diagnostic pitfalls in acute back pain; leaves open need for targeted protocols before practice change.

Study Design

Type

Case Report (n=1)

Structured PICO

P
Population
A young man presenting with acute right-sided thoracic back pain who suffered a fatal type A aortic dissection.
E
Exposure
MRI of the back and pain management

A narrative reflection on a missed diagnosis of type A aortic dissection presenting as musculoskeletal back pain, emphasizing the potential for fatal diagnostic errors.

Cite This Study

Peter B. Smulowitz (2019) conducted a case report in Type A aortic dissection (n=1). A young man presenting with acute back pain and a normal back MRI died from a ruptured type A aortic dissection.

synapsesocial.com/papers/6a620ca0b8c7ca59867d8d97https://doi.org/10.1136/bmjqs-2019-010501
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