It was only after he learned that another man romantically linked to the defendant had died under similar circumstances in 2001 that he became concerned about the validity of his initial findings and ordered Turner's body exhumed.

New tests showed that Turner had ethylene glycol in his system, and Frist changed the cause of death to homicide by ethylene glycol toxicity ..............

More details at this link:

http://www.courttv.com/trials/turner/051004_ctv.html

Here is an example of correct diagnosis being missed in a patient I believe as the full ABG  report was not read. If they focues on anion gap and somolal gap in addition to kidney failure may be these lives could be saved.

A nurse's husband died and on autopsy was found to have oxlate crystals in the tissue.

One of her previous husnad who had died a few years ago. His body was exumed and was alsofound to have a lot of oxlate crystals in the kidneys.

Kidney failure causes anion gap meatbolic acidosis (remember from DARLINGS ARE IMPortant from ABG Analysis Made Easy ISBN 0965708373 or from mudpiles). However as we stress in the book in all cases of metabolic acidosis also calulate anion gap and osmolal gap. Here is how it can save a life.


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