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The New Coffee Room

  1. TNCR
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  3. Today's Medical Mysterie

Today's Medical Mysterie

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  • G George K
    2 Jun 2024, 21:46

    Thanks. What did I do wrong?

    A Offline
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    Axtremus
    wrote on 2 Jun 2024, 22:18 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    I'm guessing the author posted the answer, then deleted, and posted another tweet; so the link you posted is no longer valid.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
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      blondie
      wrote on 3 Jun 2024, 00:21 last edited by
      #13

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

      G 1 Reply Last reply 3 Jun 2024, 00:28
      • B blondie
        3 Jun 2024, 00:21

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

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        George K
        wrote on 3 Jun 2024, 00:28 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.

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          blondie
          wrote on 3 Jun 2024, 00:37 last edited by blondie 6 Mar 2024, 00:39
          #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.

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            Axtremus
            wrote on 3 Jun 2024, 01:29 last edited by
            #16

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

            G 1 Reply Last reply 3 Jun 2024, 02:20
            • A Axtremus
              3 Jun 2024, 01:29

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

              G Offline
              G Offline
              George K
              wrote on 3 Jun 2024, 02:20 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.

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                taiwan_girl
                wrote on 3 Jun 2024, 08:48 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.

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                  George K
                  wrote on 3 Jun 2024, 11:18 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
                  • B Online
                    B Online
                    bachophile
                    wrote on 3 Jun 2024, 15:30 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.

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                      bachophile
                      wrote on 3 Jun 2024, 15:54 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.

                      G 1 Reply Last reply 3 Jun 2024, 16:01
                      • B bachophile
                        3 Jun 2024, 15:54

                        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.

                        G Offline
                        G Offline
                        George K
                        wrote on 3 Jun 2024, 16:01 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
                        • J Online
                          J Online
                          jon-nyc
                          wrote on 3 Jun 2024, 16:04 last edited by
                          #23

                          Someone commented: dx: HIPPA Violation

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

                          "You never know what worse luck your bad luck has saved you from."
                          -Cormac McCarthy

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