Florida – Internal Medicine – Failure To Order Appropriate Diagnostic Testing For A Patient With Migraine Headaches And Suspicion For Adrenal Insufficiency

On 1/24/2014, a patient presented to an internist with symptoms of intractable migraine headaches.  The internist proceeded to test cortisol levels in the patient.

The Board judged the internists conduct to be below the minimal standard of competence given that he failed to use the proper lab data for diagnosing Addison’s disease or any related conditions, treat the patient with a standard dosage treatment of prednisone to start with, and utilize a taper of the prednisone dosage within a few days of starting.

It was requested that the Board order one or more of the following penalties for the internist: permanent revocation or suspension of his license, restriction of practice, imposition of an administrative fine, issuance of a reprimand, probation, corrective action, payment of fees, remedial education, and/or any other relief that the Board deemed appropriate.

State: Florida

Date: June 2017

Specialty: Internal Medicine, Endocrinology

Symptom: Headache

Diagnosis: Endocrine Disease

Medical Error: Failure to order appropriate diagnostic test, Improper medication management

Significant Outcome: N/A

Case Rating: 1

Link to Original Case File: Download PDF

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