RESUMO
The great number of circumstances that Medical doctors face in the "modern" practice of medicine has generated a series of remarks that lead us to meditate the repercussions of the legal approach towards MDs involved in unexpected events and undesirable health outcomes, that generate a denunciation, suit or complaint to the law enforcement agencies. These unexpected events and undesirable health outcomes have a multifactorial origin, but each one of the variables involved rests upon the generic basis of the global impoverishment of our society, which lead us to recall the biblical verse "He that is without sin among you, let him first cast a stone at her". Today we listen, read, believe, and some of us pretend to teach the guidelines that we are supposed to follow to avoid serious consequences of the so-called "judicialization of medicine". Therefore, today more than ever, we are required to express ideas that seek an integration of the experiences in the clinical setting and the experiences in the legal framework, from a dual perspective.
Assuntos
Medicina Defensiva/legislação & jurisprudência , Legislação Médica , MéxicoRESUMO
We note a specific case report of a 38 year old patient, who presented to an emergency room with an 8-hour history of a continuous and progressive, abdominal pain syndrome. Without fever, nausea, vomiting, or urinary tract symptoms, and with a 36-hour history of constipation. We established as a first possibility the clinical diagnosis of, acute appendicitis vs. an ovarian cyst complication, such as rupture or torsion. After the initial basic diagnostic tests, we decided to do a laparoscopic approach for purposes of diagnosis and treatment.