The pitfalls of premature closure: clinical decision-making in a case of aortic dissection

Bharat Kumar; Balavenkatesh Kanna; Suresh Kumar

doi:10.1136/bcr.08.2011.4594

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The pitfalls of premature closure: clinical decision-making in a case of aortic dissection

Journal article

Open access

Peer reviewed

The pitfalls of premature closure: clinical decision-making in a case of aortic dissection

Bharat Kumar, Balavenkatesh Kanna and Suresh Kumar

BMJ case reports, Vol.2011(oct03 1), pp.bcr0820114594-bcr0820114594

2011

DOI: 10.1136/bcr.08.2011.4594

PMCID: PMC3189641

PMID: 22679162

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Abstract

Premature closure is a type of cognitive error in which the physician fails to consider reasonable alternatives after an initial diagnosis is made. It is a common cause of delayed diagnosis and misdiagnosis borne out of a faulty clinical decision-making process. The authors present a case of aortic dissection in which premature closure was avoided by the aggressive pursuit of the appropriate differential diagnosis, and discuss the importance of disciplined clinical decision-making in the setting of chest pain.

Details

Title: Subtitle: The pitfalls of premature closure: clinical decision-making in a case of aortic dissection
Creators: Bharat Kumar - Saba University
Balavenkatesh Kanna - Lincoln Medical Center
Suresh Kumar - Lincoln Medical Center
Resource Type: Journal article
Publication Details: BMJ case reports, Vol.2011(oct03 1), pp.bcr0820114594-bcr0820114594
DOI: 10.1136/bcr.08.2011.4594
PMID: 22679162
PMCID: PMC3189641
NLM abbreviation: BMJ Case Rep
ISSN: 1757-790X
eISSN: 1757-790X
Language: English
Date published: 2011
Academic Unit: Immunology; Internal Medicine
Record Identifier: 9984359922702771

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