For a medical malpractice claim to be valid, it is not sufficient that a health care professional simply violated the standard of care. The patient must also prove he or she sustained an injury that would not have occurred in the absence of negligence. An unfavorable outcome by itself is not malpractice. The patient must prove that the negligence caused the injury. If there is an injury without negligence or negligence that did not cause an injury, there is no case.

Question 22 Should steroids be used in the treatment of a standard case of pneumonia in a young child? Question 23 I want to know more about the epidemiology and pathophysiology of this severe acute respiratory syndrome (SARS) scare and what advances have been made in its therapy. Question 24 What symptoms will confirm, without doubt, a diagnosis of tuberculosis?Respiratory disease 14 159 Question 25 Please could you tell me the skin-prick test result for non-infected and non-immune tuberculosis carriers? Question 26 Please can you help me find the answer to whether the purified protein derivative (PPD) in the tuberculin skin test develops memory T lymphocytes? If so, would it not be confusing with the way BCG vaccine works? Question 27 In diseases that have night sweats as a symptom (e.g. tuberculosis, infective endocarditis), what causes the sweats to occur only at night and not consistently during the day as well? Question 28 An asymptomatic patient, whose tuberculous pleural effusion has subsided after a year's treatment of anti-TB, is left with a small loculated effusion, apparent on ultrasound and chest X-ray. Should this be aspirated? Question 29 I want to know what are the exact indications for using steroids in patients with tuberculous pleural effusions/ascites? Question 30 Should prednisolone be added to the anti-tuberculosis therapy in all cases of massive tuberculous effusion? Does the quick absorption help prevent fibrosis? Question 31 In the case of antituberculous treatment toxicity, how high should the serum glutamic pyruvate transaminase (SGPT) rise before we should stop treatment? Question 32 After starting antituberculous treatment, when is the fever expected to subside and the erythrocyte sedimentation rate (ESR) to return to normal?