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Question on sisters visit to ER



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No. 10
from Jessy_RN
Old Nov 15, 2005, 08:30 AM

Default Re: Question on sisters visit to ER
Wow, I am so glad she was treated in time.
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No. 11
Old Nov 15, 2005, 08:35 AM

Default Re: Question on sisters visit to ER
Originally Posted by student4ever
pricklypear - I'm glad things worked out well for your hubby - I must say though, I'm glad I didn't go to that ER when I was sure I had appendicitis... I had all the same symptoms he had... the docs were all sure I had appendicitis. They were prepping the OR and working up my admission papers for appendicitis as I went to last minute CT scan. THANK GOD THEY DID THAT LAST MINUTE CT!!!! Turns out my appendix was fine - I had a raging kidney infection that landed me on close observation for 5 days, on IV abx around the clock and neuro workup (from the headaches I got from the backup of toxins in my body that my kidneys couldn't take care of). I'm just glad I didn't have an incision to worry about too! IMO, a doctor should NEVER do surgery without having seen on some radiological study whether CT scan, Ultrasound, etc. that the cause of the pain is surgical. I would have sued - and won - if I had gone to the OR without the CT scan. Other things can cause belly pain - and not all of them need surgery!!
I totally see your point, what a close call for you! The ER doc did check for flank pain on my husband. The surgeon told us they may not have seen anything on ultrasound, the appendix was tucked up behind the colon and encapsulated when he got in there. No CT at that little hospital. I agree with you about being sure - make sure it's NOT surgical before sending someone home! Kidney infections suck - I've had one in my life, and don't want to repeat it!!
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No. 12
Old Nov 17, 2005, 10:09 AM
Updated Nov 17, 2005 at 10:10 AM by Victoriakem

Thumbs up Re: Question on sisters visit to ER
excellent web site & info you provided!
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No. 13
Old Nov 17, 2005, 10:11 AM

Default Re: Question on sisters visit to ER
Originally Posted by RainbowSkye
This is an excellent web site & information!
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No. 14
from NYCRN16
Old Nov 17, 2005, 10:21 AM

Default Re: Question on sisters visit to ER
In my ER, I dont think they would have sent her home without at least a CT scan and/or a pelvic exam, especially since she was febrile. That being said, appendicitis can be a tricky bugger..it can present as so many things, symptoms can be minor or severe, and I have seen patients that have a negative CT scan and no white count just to show up again the next day, get scanned again, and how have enough inflammation that the CT scan shows it. The most important thing is that your sister is OK after all, but I do think that they should have done the CT scan.
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No. 15
Old Nov 17, 2005, 03:11 PM

Lightbulb Re: Question on sisters visit to ER
Originally Posted by imagin916
In my ER, I dont think they would have sent her home without at least a CT scan and/or a pelvic exam, especially since she was febrile. That being said, appendicitis can be a tricky bugger..it can present as so many things, symptoms can be minor or severe, and I have seen patients that have a negative CT scan and no white count just to show up again the next day, get scanned again, and how have enough inflammation that the CT scan shows it. The most important thing is that your sister is OK after all, but I do think that they should have done the CT scan.
I was reading in an ED Doc's magazine, that no one was ever sued for ordering a CT. It all depends on the symptoms & VS. It's easy to miss.
But then a "hot appy" is easy to dx.
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