Diagnoses you never thought you'd see? - page 5

What's the most unusual patient you've ever had? I've had a couple--one was a woman whose admit orders included that she was NOT to have any food from home. They suspected that her husband was... Read More

  1. by   morte
    jacob-creutzfeldt, i think is what you are looking for.....sometimes the two names are reversed, and sometimes abbr. cjd...
  2. by   donsterRN
    Quote from kessadawn
    STDs in a 2 year old
    Oh, no... That's just heartbreaking.
  3. by   ElvishDNP
    Quote from EricEnfermero
    Once saw a seizure patient whose disorder was precipitated by neurocysticercosis. I now order my bacon extra crispy.
    This fellow had had a seizure and the not-so-bright MD at that community's ED dxed him with EtOH induced seizure and sent him home. How you can do that without drawing a EtOH level I'm not sure. He followed up with us; our doc ordered an MRI and bingo! Poor fellow.
  4. by   rph3664
    Quote from RainDreamer
    Fraser syndrome
    I had never heard of this disorder, but here's a VERY interesting article about someone who had this and lived to age 96.


    http://ageing.oxfordjournals.org/cgi.../full/35/6/642

    Had she been born today, she might not have been blind either.
  5. by   Medic2RN
    Wow, aren't there certain criteria you have to meet to warrant an ambulance ride?!
    You would think so, but no, anyone who says 'I want to go to the hospital in your ambulance' gets a ride. This is how 911 abuse continues.
  6. by   TiredMD
    Quote from RainDreamer
    Wow, aren't there certain criteria you have to meet to warrant an ambulance ride?!
    Things I've seen ambulance rides for:

    - ear infection
    - scabies
    - "I gots nowhere to sleep tonight"
    - superficial burn to the scalp and cheek (this one was a helicopter ride)
    - blood alcohol level of 0.06
  7. by   RainDreamer
    Quote from Medic2RN
    You would think so, but no, anyone who says 'I want to go to the hospital in your ambulance' gets a ride. This is how 911 abuse continues.
    Wow, I had no idea. They need to hike the insurance rates up for those idiots.
  8. by   jbp0529
    40 yr old man with: dextrocardia, transposition of the great vessels (wasnt repaired when he was a child), and a single ventricle.

    This guy had cardiac surgery with us a week ago (not sure what for exactly, didnt care for him,...but it was a LONG surgery...he was on bypass from 8am till 1am the next day. Was a train wreck post op.
  9. by   StacieRN
    Hansen's (Leprosy). Fairly rare in the US. Most new cases come in states with large immigrant populations (Calif, New York, Texas, Mass). Also appears endemic in Louisiana, oddly, which is not noted for immigration pop.

    Very sad case. It was not discovered in her until late. Most US docs don't see it enough to recognize.
    .................................................. ..............

    Rocky Mountain Spotted Fever.

    This one had a dx of FUO for a few weeks while everything else was ruled out because symptoms are so vague and pt did not know he had been bitten by a tick.

    .................................................. ..............

    :bby: GrandBaby girl born 1/15/08!!!:redpinkhe
  10. by   rn/writer
    Quote from StacieRN
    Hansen's (Leprosy). Fairly rare in the US. Most new cases come in states with large immigrant populations (Calif, New York, Texas, Mass). Also appears endemic in Louisiana, oddly, which is not noted for immigration pop.
    Louisiana was the location of Carville, a government-run treatment center and home for people with Hansen's disease from the early 1900s until it closed in 1999. Whether it was located there because of the higher incidence or its presence influenced the local population is unknown.

    Here is a link that tells about the facility's progression from a near-medieval prison camp to a haven for those shunned by families and the rest of society:

    http://query.nytimes.com/gst/fullpag...=&pagewanted=1
    Last edit by rn/writer on Jan 30, '08
  11. by   elizabells
    Quote from jbp0529
    40 yr old man with: dextrocardia, transposition of the great vessels (wasnt repaired when he was a child), and a single ventricle.

    This guy had cardiac surgery with us a week ago (not sure what for exactly, didnt care for him,...but it was a LONG surgery...he was on bypass from 8am till 1am the next day. Was a train wreck post op.
    My god, he must have had the BIGGEST atrial septal defect if he was still alive at 40. I imagine (and just speculating here) that they probably did a switch operation, but they must have also had to replace a valve or do some kind of shunt. I bet his valves and vessels were completely screwed up from that wonky circulation all his life.

    It's funny, because as babies the TGA kids tend to do the best of all the major cardiac defects. Just a quick cut everything off and plug it back in where it was meant to be.
  12. by   jessiern
    We had a 12 year old we admitted with dx-abd pain. She looked horrible. She was gray. Got her ABG's back, her PH was 6.7. And she was eating an ice cream.

    Anyway, long and sad story short, she coded and we lost her. Worst day of my nursing career.

    We found out after she died that she had a rare infection that had spread to her heart, caused an enlarged heart, and she eventually went into severe CHF. They said we couldn't have saved her even if we had knew. But, we didn't know because she refused every test that was ordered.

    Kinda stuff you don't see often at a 35 bed hospital in a small town
  13. by   leslie :-D
    Quote from JessieRN

    We found out after she died that she had a rare infection that had spread to her heart, caused an enlarged heart, and she eventually went into severe CHF. They said we couldn't have saved her even if we had knew. But, we didn't know because she refused every test that was ordered.
    that is really sad...

    how come a 12 yo got to refuse?
    didn't she have parent/guardian?

    i suppose it's a moot point now.

    i'm glad she enjoyed her ice cream.

    leslie

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