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Meth: What triggers a drug screen?

DUI, ToxicologyBy Godoy Medical Forensics, Inc.

Methamphetamine use has physical manifestations that heighten suspicion of use and lead to a drug screen. The category of stimulants, which includes methamphetamine, methylphenidate and cocaine, all produce dilation of pupils and the pupils appear…

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Medical Records Review: Abbreviations

Civil Law, Criminal LawBy Tara Godoy

The last thing I want to cover is abbreviations. Reading a doctor’s handwriting alone is hard enough, and it is so much harder if it’s filled with unknown abbreviations. It is literally impossible to understand…

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Medical Records: Complications & Procedures

Assault, Blunt Force Trauma, Civil Law, Criminal Law, Malpractice, Mitigation, Surgical proceduresBy Tara Godoy

For more information on the hospital course, other documents to look for include: Operative reports: These are generated if the patient undergoes any surgeries, and a separate report will be generated for each operation. Look…

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Medical Records Review: Emergency Dept.

Assault, Blunt Force Trauma, Civil Law, Criminal Law, Emergency Department, EMS, MalpracticeBy Tara Godoy

When performing a medical records review, if you’re looking for a list of injuries, as you commonly are in criminal law, you will look at the emergency department (ED or ER) reports and/or the ambulance…

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Medical Records: Where to Start

Civil Law, Criminal LawBy Tara Godoy

If you’re looking for the “story” of how the patient entered the hospital and what happened while he/she was there, go to the Discharge Summary (Caution: This is different than the Discharge Instructions, which are…

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Liver Disease: Educating Patients

Criminal Law, DUI, Malpractice, Mitigation, ToxicologyBy Tara Godoy

On the day prior to his arrest, Mr. Smith went to see a psychiatrist and was placed on Wellbutrin. The doctor claimed to have considered the interactions of his medications and the hepatotoxic potential, yet…

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Liver disease and medications

Criminal Law, DUI, Malpractice, Mitigation, ToxicologyBy Tara Godoy

Studies from 2010 indicate that “Patients with impaired renal or hepatic function may have difficulty clearing or metabolizing opioids and concurrent medications, leading to increased risk of adverse events.” At the time of his arrest,…

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What does the liver do?

Criminal Law, DUI, Malpractice, Mitigation, ToxicologyBy Tara Godoy

The liver is a large organ that is located on the upper right side of the body. It is considered part of the digestive system as it detoxifies the products we ingest, including medications, and…

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Liver Failure: Case Summary

Criminal Law, DUI, Malpractice, Mitigation, ToxicologyBy Tara Godoy

Mr. Smith had a significant and lengthy medical history that included Hepatitis C, Cirrhosis, ITP, Diabetes, vertigo, peptic ulcer disease, depression, IV Drug abuse (heroin and cocaine), and prescription narcotic addiction. Mr. Smith’s history of…

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Burns: Complications

Assault, Domestic Violence, Emergency Department, HomicideBy Godoy Medical Forensics, Inc.

We have reviewed medical records from clients with burn injuries that have more than twenty diagnoses documented. This is because of the numerous complications associated with severe burns. The skin is the largest organ of…

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Burns: Long Term Treatment

Assault, Domestic Violence, Emergency Department, HomicideBy Godoy Medical Forensics, Inc.

The client with severe burns will be hospitalized for weeks or months. Burn wounds often require painful dressing changes, surgery and grafting. Preservation of function and prevention of complications are the priorities of care. A…

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Burns: Initial Treatment

Assault, Domestic Violence, Emergency Department, EMS, HomicideBy Godoy Medical Forensics, Inc.

It is important to obtain and review medical records from the ambulance crew and emergency department in burn cases. The first responders will obtain information about the details of the fire, injuries and medical history.…

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