"Foreign objects in body cavities"
- 1Jun 1, '04 by SWFloridaThis is how they present in triage. You note that they appear anxious, possibly in a bit of pain, sometimes they are very matter of fact. We've all seen em. Retained foreign object in various body cavities. Kids with beans up their noses, beads in their ear canal, men with various household products in their rectum, women with various toys gone horribly bad.
With the adults you try really hard to look concerned and serious. This is a delicate subject and boy do they watch your face for even the slightest hint of a laugh. Now I'm not talking about assaults, that can be awful. I'm talking of grown adults that really should know better. A spray can just does not belong up ones bum.
How do you handle this? How do you write the complaint on the chart? Do you send the object to pathology as you would any other material? What do you put in the discharge instructions?
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- 1Jun 1, '04 by SWFloridaI had one fine gentleman who presented to the ER with C/o "Sex toy in rectum" Sure enough xray revealed a large dildo, 12 inches which had been inserted into his rectum and then had migrated north. He was unable to retrieve it. So he hopped into the car with his girlfriend and came in to the ER.
He was a nice fellow, we tried real hard to not embaress him. On retrieving the object he decided he did not want to be admitted for observation. (could have problems with tears, infection, etc) He signed out AMA. He did take the antibiotic shot and tetnus. Didnt take his dildo with him.
- 0Jun 1, '04 by mariedoreenI worked in a path lab for 10 years and cannot tell you how many objects we received over the years!!! I was 18 when i started working there and was totally appalled, talk about an eye opening experience for a teenager! "He put that... where?" Lol, after awhile everything gets routine, doesn't it? My boss always said that stuff was sent to us simply for documentation and disposal. Seems like you could document that stuff in another way and save the pt the pathology bill, though.
- 1Jun 1, '04 by WickedRedRNI used to work psych as an attendant. One particular incident involved a man who had placed toothbrush, small pencil erasers, paper clips and safety pins in his anus...wound up as an admission due several tears and one of the safety pins had opened. Coupled with the paper clips, the poor man was in some bad shape by the time he admited what he had done and we were able to take him to the hospital.
Another time, different pt, put an ink cartridge from a ballpoint pen in his penis.
Psych was never dull, and I know the ER staff had to let out a groan any time we called with a transfer. Bless the ER staff!
- 0Jun 1, '04 by MOONIELOVEMy aunt has told me a lot of stories.
The one that comes to mind is a man who came to the hospital with a cuumber in his rectum and his partner who was a woman had a beer bottle in her vagina. Please tell me how? How do you keep your cool, from laughing or asking how in the H@@@ or why ?
- 1Jun 1, '04 by ang75Had a guy present c/o cp X 3 days. Come to find out, he had "gotten high" and placed a child's sippy cup in his butt. It wasn't the hard plastic ones, but more like the ones you can get at the carnival? Like the plastic limes at the grocery store? Only this one was a pumpkin. He had to go to the OR and when the surgeon (very shy and quiet) closed he had one of those plastic halloween pumpkins waiting in dictation for him.