Foreign Objects in Body Cavities

Specialties Emergency

Published

This 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?

Thought of another story I heard...happened in our ER, I was working ICU.

60ish something y.o. man came into ER about 5 am, drove him self in still drunk and all. States wife PO'd at him for staying out late and drinking. States she shoved a walkie talkie up his butt while he was passed out. Woke up, couldn't get it out, and drove to ER. (my guess is he put it there himself....)

The ER doc said "Well maybe if you could reach in and get your finger on the button, we could all yell in there and see if your wife wants to come down and get it out"

ROFL:rotfl: :rotfl: :rotfl:

I knew the ER doc on that night and he was the funniest man i've ever met. Very smart and caring, but the damned funniest ever.

This was back in my paramedic days - I brought in an lady who overdosed on a variety of medications. At the ER, I was helping the nurses place a foley catheter in the lady. The nurse was having a hard time advancing the catheter, she pulled it out and along fell out a ring. Then we started looking and found a gold necklace and top it off a Men's large size gold Timex watch. Yes, it was ticking!! For a month afterwards, when I dropped off a patient to the nurses that were there I would ask them what time is it?

Got that through the urethral sphincter? That's pretty amazing...

NurseFirst

Oh so many stories... One of my favorites is when the fellow came in with the "toy" still vibrating upon palpation. Strangely, upon retrieval of the very large "TOY" the surgeon found additional treasures recovering a small lotion bottle and a spoon. This guys rectum was a regular toy box.

The fellow who lost hold of his mag light, you know the one that takes 4D batteries. Anyway, this fellow had the forsight to remove the batteries because he thought the battery acid might cause problems if they leaked. Nevermind, the problems of losing a foot long flashlight in your orifice.

This one is second-hand but from a reliable source, a woman is repeatedly seen in the ED for a recurrent colostomy infections. Someone finally gets the bright idea to culture the infection and you ask "What did they find?" Yes indeed, a mixed salad of STDs. Apparently, word got out in her neighborhood that her stoma gave good lovin.

Oh my goodness!! They actually taught us last semester in school to make sure to educate patients undergoing a colostomy that the stoma is not to be used for intercourse. All of our jaws just dropped! LOL:) :chuckle:chuckle:chuckle

I've worked for awhile in the ER, but still some things are surprising:)

Peace,

Hangel:)

Oh my goodness!! They actually taught us last semester in school to make sure to educate patients undergoing a colostomy that the stoma is not to be used for intercourse. All of our jaws just dropped! LOL:) :chuckle:chuckle:chuckle

I've worked for awhile in the ER, but still some things are surprising:)

Peace,

Hangel:)

AWK I will never be able to look a stoma in the eye again

I don't care what the doggie was on...WHAT was that woman on? :chuckle

I don't think I'd ever be taken alive to a hospital if I were ever stuck on a dog.

I'm sorry, just have to ask...would you have gone to the vet instead??

Animal husbandry perhaps?

Was it "Human Sexuality?" :uhoh3: :chuckle

I don't shock easily, but I hafta tell you -- after reading about the stoma and STDs I almost wrote to the moderator to beg him/her to remove the post -- it was just *****SO***** disgusting. (need emoticon for gagging/barfing right here!)

I'd never seen a stoma so I googled and what, WHAT did I find/ "Sexy stoma

singles." Now, nothing can ever shock me. Nothing.

Specializes in OB/PP/Nsy.

OMGosh. Ok I am a first semester student. And excuse me please, but how does this stuff actually FIT in a rectum?? I mean the opening is not very large. Am I just missing something here ??

Specializes in OB/PP/Nsy.
Ok, so this one is not about a fb, but close enough.

Very, very dirty lol came in by ems, escorted by hus, for "just not right".

It was very obvious by both appearance and aroma that neither of them could care for selves or each other any longer. EMS tells us that roaches were all over the house and were now all over their truck. NICE!

Well, lol was altered, febrile and not at all mobile and very large. Went to put a foley in and there were roaches in her labial folds!!!!!!!!

Frickin nasty! If I ever get to the point that I have any kind of rodent/pest farm anywhere even near my body that will be my breaking point. Dip me in some clorox and put me in a home.

Oh My Gosh - that is like the nastiest thing I have ever heard! I don't think I could have done the foley. I would have had to puke! Is there ever a time when you can refuse to do something that is so grosse?

Life in Chicago is never quiet. I have a collection on my office shelf...they came from the oral box, not the booty box.

I have two pool balls. A patient came in on a Friday night, he tried to put a pool ball in his mouth on a bet. He managed to get the ball in, but his jaw muscles started to spasm, and he couldn't get it out. Start the IV, give some Morphine, a little versed, a couple of bite blocks and away we go.

The other pool ball was from the following night, same place. This member of the brain trust heard about the activities of the previous night, and said that he could do it, and get it back out...no such luck. I was hoping to get a complete set. No such luck!

In our booty box, we had such lovely things as bowling pins, x-rays of various sexual devices, both powered and manual, 12 inch florescent bulbs, standard light bulbs, old fashioned rolling pins...the list just grew. We used the box for our own amusement, but also as a teaching tool for the residents as they did their mandatory ER rotation. We used to kid them that the pen we just gave them was from the booty box...nothing like watching a doc throw a pen across the room and run to wash his hands for an hour!

Ah...the wonderful days!

Specializes in ER,ICU,L+D,OR.

some eerie stories in here

Specializes in Hospitalist.
I met an ER nurse from Kansas City and one night while she was on duty a woman came in with a German Shepard...let me clarify, she was on the German Shepard.

Don't people go to jail for things like that?

I must be stupid, but could somebody please explain to me how this woman could get "stuck"? The nurse was completely serious when she told this to me and I was so shocked I didn't think to ask how she could be "stuck". :uhoh21:

I've heard that some male animal reproductive "members" don't exactly resemble the male human's, but a dog's? What the @#$*? (believe it or not, I got an "A" in anatomy).

Sorry, if this is strange subject matter (considering the other posts on this thread I guess it's not too bizarre), but I'm curious. :imbar

OK, I'm laughing so damn hard right now my dogs are looking at me with alarm (both females, I'm happily married so they don't have to worry...lol). What the hell could you possibly be thinking when you do something like this? And the best part of this is that I know every single nurse in my ER would be more worried about the dog's outcome than the stupid human! It's not like the dog had a whole hell of a lot of choice in the matter.

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