Interesting or Different Anatomy:What have you encountered?

[nursefrances]

We recently had an adult patient that was born with one ventricle. He had surgery to correct this as a baby, but I found it very interesting. If I was a pediatric cardiology nurse I may see this more often, but not in ophthalmology.

I also "have a friend" who has a dual chamber, unihorn uterus. Many jokes during pregnancy of being like a cow (the chambers).

I was just curious what you have seen while out and about in our wonderful world that is Nursing. Please share.

[A&Ox6, MSN, RN]

I work on burn and we get all the SJS/TEN patients or at least have to do their hours-long dressings off the unit. (Sigh.) Anyway. I'd say chemo is probably the second most common cause that we see of SJS/TEN. First would be bactrim although the reactions tend to be less severe.

Worst TEN case we ever had - the guy did end up surviving but wasn't supposed to - was triggered by OTC motrin. Scary thought, huh?

A friend if mine is legally blind after a SJS from a reaction to lamictal. Her PCP, neuro, and psychiatrists didn't think the rash was significant reason to be seen. She was rushed to ER. Ended up intubated, coma, resp arrest...

Now, she can only see with custom PRISM lenses that are made in Boston. She can hardly open her eyes when they're not in. She has now finger or toe nails and sporifice hair.

SJS is severe, any rash on these meds must be checked!

[meanmaryjean, DNP, RN]

We have single ventricle kids all the time- our current little cutie is hypoplasic left. Every morning she gets an EKG (for other reasons) and every morning the auto-read starts with 'right ventricular hypertrophy' which gives us a chuckle since it's the only ventricle she HAS after all!

Also had a kid with dextrocardia, situs inversus AND transposition of the arteries. You would often find the nurse or MD standing in his room, getting ready to assess him and doing the whole 'left is right' dance in their head! (Yes he was surgically repaired, and yes, it was a hot mess. He's a happy, healthy toddler now)

[EricJRN, MSN, RN]

Lots and lots of weird combinations of cardiac defects in our NICU. Recently we had a kiddo with at least six pulmonary veins identified on the echo. Not the wildest thing ever, but it was something I hadn't come across before.

[ICULINDA]

I have dextrocardia with situs in versus. I'm 100% mirrored imaged.

[mmc51264, BSN, MSN, RN]

my son has 3 nipples (maybe a 4th if you look real hard).