the stats: Eat a big meal, severe stomach pain, obese, female
the diagnosis: pancreatitis caused by gallstones
Gallstones are hard, pebble-like deposits that form inside the gallbladder. Gallstones may be as small as a grain of sand or as large as a golf ball. They form for a variety of reasons but usually due to a fatty diet. An attack almost always happens after a huge greasy meal. The gallbladder and pancreas share the same duct or canal so when the gallstone blocks the passageway, both the pancreas and gallbladder get backed up and inflammed. It hurts like hell! Soooo......moral of the story: eat salad.
Case #2
the stats: 65 yr old male, presents with severe abdominal pain, back pain and shoulder pain. Severely low blood pressure and pulse. White faced and lethargic. Shoulder and back pain are significant and pointed us in the right direction.
the diagnosis: Dissecting Aortic Aneurysm
Aortic dissection occurs when a tear in the inner wall of the aorta causes blood to flow between the layers of the wall of the aorta and force the layers apart. The dissection typically extends anterograde, but can extend retrograde from the site of the intimal (lining) tear. Aortic dissection is a medical emergency and can quickly lead to death, even with optimal treatment. If the dissection tears the aorta completely open (through all three layers), massive and rapid blood loss occurs. Aortic dissections resulting in rupture have an 80% mortality rate, and 50% of patients die before they even reach the hospital. All acute ascending aortic dissections require emergency surgery to prevent rupture and death.
Pt was transferred to a heart hospital and directly into surgery. They need to stop the bleed before he bleeds out completely. His survival rate is approximately 5 %. We told him to call his family. He said he hasn't spoken to his kids in years. We told him now would be a good time to start. Moral of this story: you will ALWAYS need your family. Never stray far from them.
Case #3
WARNING...DO NOT READ IF YOU ARE GONNA BE OFFENDED OR PUKE EASILY.
WARNING
WARNING
WARNING
WARNING
the stats: 36 year old male, severe pain upon urination. Swollen penis and testicles. Super embarrassed.
the suspected diagnosis: an STD
the ACTUAL diagnosis: Broken Penis
A penile fracture is an injury caused by tunica albuginea, which envelops the corpus cavernosum penis. It is most often caused by a blunt trauma to an erect penis. Usually from intercourse with the male ontop penetrating the partner from behind.
Penile FractureA popping or cracking sound, significant pain, immediate flaccidity, and skin hematoma of various sizes are commonly associated with the event. These symptoms are similar to a common bruising or contusion of the penis.
Case #2
the stats: 65 yr old male, presents with severe abdominal pain, back pain and shoulder pain. Severely low blood pressure and pulse. White faced and lethargic. Shoulder and back pain are significant and pointed us in the right direction.
the diagnosis: Dissecting Aortic Aneurysm
Aortic dissection occurs when a tear in the inner wall of the aorta causes blood to flow between the layers of the wall of the aorta and force the layers apart. The dissection typically extends anterograde, but can extend retrograde from the site of the intimal (lining) tear. Aortic dissection is a medical emergency and can quickly lead to death, even with optimal treatment. If the dissection tears the aorta completely open (through all three layers), massive and rapid blood loss occurs. Aortic dissections resulting in rupture have an 80% mortality rate, and 50% of patients die before they even reach the hospital. All acute ascending aortic dissections require emergency surgery to prevent rupture and death.
Pt was transferred to a heart hospital and directly into surgery. They need to stop the bleed before he bleeds out completely. His survival rate is approximately 5 %. We told him to call his family. He said he hasn't spoken to his kids in years. We told him now would be a good time to start. Moral of this story: you will ALWAYS need your family. Never stray far from them.
Case #3
WARNING...DO NOT READ IF YOU ARE GONNA BE OFFENDED OR PUKE EASILY.
WARNING
WARNING
WARNING
WARNING
the stats: 36 year old male, severe pain upon urination. Swollen penis and testicles. Super embarrassed.
the suspected diagnosis: an STD
the ACTUAL diagnosis: Broken Penis
A penile fracture is an injury caused by tunica albuginea, which envelops the corpus cavernosum penis. It is most often caused by a blunt trauma to an erect penis. Usually from intercourse with the male ontop penetrating the partner from behind.
Moral of THIS story: This guy should NEVER have sex again.
And may you never look at bananas the same way again.
till next time, Emma
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