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Two aortic dissection in a row over one night
bad news. Guess full aortic order will become routine from ER
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10 Replies
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There is a third one walking around waiting for your next call.
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One weekend I had three testicle torsions.first 2 in less than 2 hrs. Later that evening I got a third. Urologist on call was in disbelief.
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Quote from primo
One weekend I had three testicle torsions.first 2 in less than 2 hrs. Later that evening I got a third. Urologist on call was in disbelief.
Ouch. Just how many testicles do you have ?
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My med school classmates always said the radiation will get to you eventually…
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I remember eons ago when I was still doing clinical Nucs, I got called in for a GI bleed study. You could smell the distinct odor as the patient was being transported from ER. It was a beautifully positive study and patient went straight to the OR. I must have done 15 more bleeds over the next monthjust about anyone presenting with a low crit and possible remote hx of a bleed. It slowed down once we had asked every ERP if the patient had an ACTIVE bleed before performing the test.
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Quote from walshnuc
I remember eons ago when I was still doing clinical Nucs, I got called in for a GI bleed study. You could smell the distinct odor as the patient was being transported from ER. It was a beautifully positive study and patient went straight to the OR. I must have done 15 more bleeds over the next monthjust about anyone presenting with a low crit and possible remote hx of a bleed. It slowed down once we had asked every ERP if the patient had an ACTIVE bleed before performing the test.
Yesterday I experienced a true miracle of medicine: An appropriately ordered bleeding scan that was positive and guided the therapeutic approach !!
The other miracle is that the patient had been seen and evaluated by a genuine in the flesh general surgeon who looked at the patient first and then ordered the imaging study.
I am thinking about writing a case report.
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Quote from fw
Quote from primo
One weekend I had three testicle torsions.first 2 in less than 2 hrs. Later that evening I got a third. Urologist on call was in disbelief.
Ouch. Just how many testicles do you have ?
Idk
Ill have to ask my wife.
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In Afghanistan – “Rule out Torsion” was a very popular diagnosis for the outlying medics and even the base primary care docs … I got lots of midnight pages and trips down to the flight line to receive the “casualties” during my tour. I laughed so hard when one of my “rule out torsion” patients actually jumped out of the helicopter and lugged his gear up the ramp to our waiting ambulance … “yeah no that’s not torsion” … then one night I get 2 am page for same dx (at least it wasn’t a triple amputation trauma) and get picked up by duty driver to go to hospital. As I am entering the trauma bay I can hear loud moaning from gent on the gurney and then see him writhing in pain rocking back and forth on the bed … I announced to the trauma staff while pointing to the patient … “Now that is torsion!”
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maybe there’s a new batch of heroin or coke in your neighborhood
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Make sure there is no curvilinear crack in your glasses
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