Back to the drawing board-relearn the clinical skills: A root cause analysis of a missed case of bilateral vocal cord paralysis

S Ambasta, A Dey, LB Elakkumanan… - Indian Journal of …, 2016 - journals.lww.com
Bilateral vocal cord paralysis being misdiagnosed as bronchial asthma has been reported in
the literature on several occasions. Diagnosing this condition needs precise clinical acumen
which could lead us to make an integrated diagnostic and treatment plan. Here, we report
another missed case of bilateral vocal cord paralysis and the root cause analysis of the
incident. This report emphasises the need for appropriate clinical examinations and workup
during the pre-operative assessment.
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