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Pediatric Emergency Medicine: Legal Briefs.

A13-year-old adolescent boy went to a physician inNewYork and complained of an increase in urination, persistent thirst, and moodiness. The physician performed tests to rule out diabetes mellitus and found no evidence for this. The doctor noted that the boy's kidneys were functioning properly, and contended that no further testing was necessary (it is not known which tests were obtained). The teenager later developed headaches, and he underwent a magnetic resonance imaging (MRI) scan that revealed a tumor in his pituitary gland. The tumor was surgically removed; however, the pituitary gland and hypothalamus were damaged during surgery. The boy allegedly suffers residual effects including insomnia, extreme fatigue, and impairment of memory and mood. The teenager sued the physician who treated him before surgery and alleged that the doctor departed from the accepted standard of medical care. He alleged that the doctor should have done further testing to discover the tumor earlier. This would have allowed for earlier removal of the tumor, and that would have avoided damage to the pituitary gland and hypothalamus. The patient contended that the doctor suggested that his symptoms were psychological, but the doctor denied this. The physician contended that she suggested a 24-hour urine collection, which would have led to further testing; however, the boy's parents rejected her suggestion.