menotropins and Drug-Related-Side-Effects-and-Adverse-Reactions

Increasing numbers of patients are seeking treatment for infertility. The primary care physician is often the first professional to face this diagnostic challenge. Recent developments in the diagnosis and treatment of the infertile man have led to increased success in management of the infertile couple. This article reviews these developments.

Topics: Chorionic Gonadotropin; Chromosome Aberrations; Chromosome Disorders; Clomiphene; Drug-Related Side Effects and Adverse Reactions; Gonadal Steroid Hormones; Humans; Infertility, Male; Male; Medical History Taking; Menotropins; Physical Examination; Prednisone; Semen; Sex Chromosome Aberrations; Substance-Related Disorders; Testicular Diseases; Urologic Diseases

We describe 15 malpractice claims that were filed after the patients had strokes. Both embolic and thrombotic, sterile and infected strokes led to claims. Ten of the claims alleged physician failure to protect the patient, two alleged physician failure to react as called for by symptoms, and three were related to medication. We conclude that physicians should advise patients of the possibility of stroke when circumstances warrant it, as well as documenting their judgment and suggested preventive practices. These cases further suggest that treatment decisions supported by documented second opinions may reduce the number of malpractice claims for strokes.

Topics: Anti-Bacterial Agents; Anticoagulants; Bacterial Infections; Cerebrovascular Disorders; Clinical Protocols; Decision Making; Drug Monitoring; Drug-Related Side Effects and Adverse Reactions; Endocarditis, Bacterial; Female; Fertility Agents, Female; Headache; Humans; Hypoglycemia; Intracranial Embolism and Thrombosis; Ischemic Attack, Transient; Judgment; Male; Malpractice; Medical Records; Menotropins; Patient Education as Topic; Physician-Patient Relations; Referral and Consultation; Risk Factors; Vasculitis