the turn of the screw
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so this happened today, really not a biggie but im bored so im posting this
crazy girl, likes to swallow (get out of the gutter, you dirty minded pigs)
swallows all sorts of objects, a disorder known as Pica.
anyway, she swallowed a screw. seen easily in the xray, the next morning gastro pulled it out of her duodenum which was lucky because if it had progressed into the small intestine, it would not be reachable by endoscope and then we would have to just wait and see if it manages to pass without perforating intestine.
another day at the office
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Kudos to the GI guy.
They have done so much to make medicine better. Not only retrieving foreign objects, but colon cancer screening, GI bleeding interventions, etc.
Remember the Sengstaken-Blakemore tube? When's the last time you saw that?
ETA: Why did they wait until the AM?
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@george-k well for us to get a Gastro guy to come at two in the morning without the patient being in extremis in dire straits, meaning not bleeding, they will do it in the morning. Ok? Probably not but that’s the way things go sometimes.