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Assessment of patient presenting with weight gain and abdominal discomfort, later diagnosed with large ovarian cyst (04HDC08095)
Download Assessment of patient presenting with weight gain and abdominal discomfort, later diagnosed with large ovarian cyst (04HDC08095) (PDF 8Kb)
(04HDC08095, 2 March 2005)
General practitioner ~ Abdominal symptoms ~ Ovarian cyst ~
Diagnosis ~ Threshold for suspicion ~ Examination ~ Investigation ~
History-taking ~ Record-keeping ~ ACC ~ Standard of care ~
Professional and ethical standards ~ Rights 4(1), 4(2)
A woman complained that her general practitioner failed to
adequately investigate and appropriately treat her abdominal
symptoms. The woman, who had a history of gastric trouble,
initially visited her doctor complaining of bloating and abdominal
discomfort. He examined her and commenced treatment for dyspepsia
(indigestion) and dysmotility (abnormal digestion process). Over
the next eight months, the woman visited the doctor on three
occasions. On each occasion, the woman says she mentioned the
worsening discomfort and that she was gaining weight in an unusual
form and for no apparent reason.
Three months later, the woman visited the doctor as her
abdominal symptoms were giving her increasing cause for concern.
The doctor prescribed her an appetite suppressant without
physically examining her.
There were a further two appointments over the following four
months, at which the woman claimed her main concerns were the
increasing pain and discomfort caused by her distended abdomen.
Sixteen months after she first went to her doctor complaining of
bloating and abdominal discomfort, she was admitted urgently to
hospital, where it was discovered she had a 14.7kg ovarian
It was held that in failing to discharge his duty of care in
adequately and appropriately assessing the woman, the doctor
breached Rights 4(1) and 4(2).
The general practitioner was referred to the Director of
Proceedings, who issued proceedings before the Health Practitioners
Disciplinary Tribunal, and a charge of professional misconduct was
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