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The New Coffee Room

  1. TNCR
  2. General Discussion
  3. Today's Medical Mysterie

Today's Medical Mysterie

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  • George KG Offline
    George KG Offline
    George K
    wrote on last edited by
    #5

    Ghali will post the answer tomorrow. It will be interesting. He does a nice narration of what's seen, etc.

    "Now look here, you Baltic gas passer... " - Mik, 6/14/08

    The saying, "Lite is just one damn thing after another," is a gross understatement. The damn things overlap.

    1 Reply Last reply
    • taiwan_girlT Offline
      taiwan_girlT Offline
      taiwan_girl
      wrote on last edited by
      #6

      Maybe a bad batch of Cherrio or Fruit Loop?

      1 Reply Last reply
      • AxtremusA Offline
        AxtremusA Offline
        Axtremus
        wrote on last edited by
        #7

        Maybe a string of beads.

        1 Reply Last reply
        • George KG Offline
          George KG Offline
          George K
          wrote on last edited by
          #8

          I have no idea what it it, other than being radio-opaque, probably metallic. Looks like multiple items to me.

          Follow up tomorrow, I hope.

          "Now look here, you Baltic gas passer... " - Mik, 6/14/08

          The saying, "Lite is just one damn thing after another," is a gross understatement. The damn things overlap.

          1 Reply Last reply
          • George KG Offline
            George KG Offline
            George K
            wrote on last edited by George K
            #9

            For some reason the tweet isn’t posting.

            Try to paste in a new window..

            "Now look here, you Baltic gas passer... " - Mik, 6/14/08

            The saying, "Lite is just one damn thing after another," is a gross understatement. The damn things overlap.

            1 Reply Last reply
            • AxtremusA Offline
              AxtremusA Offline
              Axtremus
              wrote on last edited by Axtremus
              #10

              I believe this is the corrected link to the answer:

              click to show

              Many crayons and a toothbrush.

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              • George KG Offline
                George KG Offline
                George K
                wrote on last edited by
                #11

                Thanks. What did I do wrong?

                "Now look here, you Baltic gas passer... " - Mik, 6/14/08

                The saying, "Lite is just one damn thing after another," is a gross understatement. The damn things overlap.

                AxtremusA 1 Reply Last reply
                • George KG George K

                  Thanks. What did I do wrong?

                  AxtremusA Offline
                  AxtremusA Offline
                  Axtremus
                  wrote on last edited by
                  #12

                  @George-K said in Today's Medical Mysterie:

                  Thanks. What did I do wrong?

                  I'm guessing the author posted the answer, then deleted, and posted another tweet; so the link you posted is no longer valid.

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                  • B Offline
                    B Offline
                    blondie
                    wrote on last edited by
                    #13

                    Really? Crayons & a toothbrush?! Well I messed up bad.

                    George KG 1 Reply Last reply
                    • B blondie

                      Really? Crayons & a toothbrush?! Well I messed up bad.

                      George KG Offline
                      George KG Offline
                      George K
                      wrote on last edited by
                      #14

                      @blondie said in Today's Medical Mysterie:

                      Really? Crayons & a toothbrush?! Well I messed up bad.

                      Yeah, I didn't realize that they were long items. I'm surprised they're radiopaque.

                      "Now look here, you Baltic gas passer... " - Mik, 6/14/08

                      The saying, "Lite is just one damn thing after another," is a gross understatement. The damn things overlap.

                      1 Reply Last reply
                      • B Offline
                        B Offline
                        blondie
                        wrote on last edited by blondie
                        #15

                        https://appliedradiology.com/articles/what-crayons-look-like-on-ct-and-mr-images Picture C explains the gremlins. I don’t have access to the study, but thank goodness crayons are radiopaque. It’s not uncommon for kids to eat, swallow crayons, or stick them in their noses & ears.

                        1 Reply Last reply
                        • AxtremusA Offline
                          AxtremusA Offline
                          Axtremus
                          wrote on last edited by
                          #16

                          I'm amazed that no surgery was needed to extract all those foreign objects.

                          George KG 1 Reply Last reply
                          • AxtremusA Axtremus

                            I'm amazed that no surgery was needed to extract all those foreign objects.

                            George KG Offline
                            George KG Offline
                            George K
                            wrote on last edited by
                            #17

                            @Axtremus said in Today's Medical Mysterie:

                            I'm amazed that no surgery was needed to extract all those foreign objects.

                            Interventional GI medicine has been transformative.

                            One of the horrors I used to see, early in my career, was the upper GI bleeder. This was usually a patient who had esophageal varices (think varicose veins in the esophagus) due to alcoholic cirrhosis. If one of these veins started to bleed, it was a nightmare.

                            Similarly, a bleeding stomach ulcer.

                            With the maturity of upper GI endoscopy, most of these can be treated via an endoscope and some judiciously placed cautery.

                            That said, snagging a foreign body with an endoscope is not a BFD. Pretty routine, actually.

                            Looking at the "bottom side," you have to wonder how many pre-cancerous colon polyps were snagged avoiding the need for a colon resection for colon carcinoma. @bachophile probably knows more about this than I do, but toward the end of my career, it seemed like we were doing fewer colon resections than we did in 1980.

                            Great case, no?

                            Sam Ghali posts a lot of interesting video on his X feed. Most of them would appeal to medical geeks (funky EKGs, etc). However, I thought this would be fun to share.

                            "Now look here, you Baltic gas passer... " - Mik, 6/14/08

                            The saying, "Lite is just one damn thing after another," is a gross understatement. The damn things overlap.

                            1 Reply Last reply
                            • taiwan_girlT Offline
                              taiwan_girlT Offline
                              taiwan_girl
                              wrote on last edited by
                              #18

                              Wow! Interesting. After hearing the answer, I am wondering if stomach acid is strong enough to dissolve wax. I guess not.

                              1 Reply Last reply
                              • George KG Offline
                                George KG Offline
                                George K
                                wrote on last edited by
                                #19

                                In the comments: "Had a patient like that in residency except what they ate caused the bowel to perf(orate). Found everything in their peritoneum from pencils to juice box straws."

                                "Now look here, you Baltic gas passer... " - Mik, 6/14/08

                                The saying, "Lite is just one damn thing after another," is a gross understatement. The damn things overlap.

                                1 Reply Last reply
                                • bachophileB Offline
                                  bachophileB Offline
                                  bachophile
                                  wrote on last edited by
                                  #20

                                  I thought also metallic. Maybe there is lead in crayons? Anyway yes colon cancer incidence has been dropping but early onset colon cancer meaning younger than say 50 is on the rise and no one knows why and that why the age for screening colonoscopies which used to be 50 is now dropping to 45 or earlier if u have a family history.

                                  1 Reply Last reply
                                  • bachophileB Offline
                                    bachophileB Offline
                                    bachophile
                                    wrote on last edited by
                                    #21

                                    btw i once operated an incarcerated inguinal hernia, and in the hernia sac i felt something sharp--turned out to be a pencil which perforated the sigmoid colon and was stuck in the hernia. also a schizophrenic.

                                    must be something in writing instruments which attracts crazies.

                                    George KG 1 Reply Last reply
                                    • bachophileB bachophile

                                      btw i once operated an incarcerated inguinal hernia, and in the hernia sac i felt something sharp--turned out to be a pencil which perforated the sigmoid colon and was stuck in the hernia. also a schizophrenic.

                                      must be something in writing instruments which attracts crazies.

                                      George KG Offline
                                      George KG Offline
                                      George K
                                      wrote on last edited by
                                      #22

                                      @bachophile said in Today's Medical Mysterie:

                                      must be something in writing instruments which attracts crazies.

                                      https://nodebb.the-new-coffee-room.club/topic/31671/pen-ink-paper/27

                                      "Now look here, you Baltic gas passer... " - Mik, 6/14/08

                                      The saying, "Lite is just one damn thing after another," is a gross understatement. The damn things overlap.

                                      1 Reply Last reply
                                      • jon-nycJ Online
                                        jon-nycJ Online
                                        jon-nyc
                                        wrote on last edited by
                                        #23

                                        Someone commented: dx: HIPPA Violation

                                        Wrong since it’s de-identified, but funny all the same.

                                        Only non-witches get due process.

                                        • Cotton Mather, Salem Massachusetts, 1692
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