New and 'fun' things

Anyone care to share any new and possibly 'fun' things you've seen or learned about lately?? I'll start. A pt under the age of 40 who had no risk factors for anything.. Ended up with a pneumothorax. Came in with CP.

My male friend age 27 and brother in law age 24 both had tension pneumos and ended up with chest tubes. They were told tall skinny males are at risk

Perforated Viscus, in for knee pain.

Uh-huh.

Look it up.

How was it found? What was the precipitating factor?

Security guard at hospital bitten by angry patient. Doc decided to perform a PPD. (Not sure if pt history had anything to do with it - but security doesn't have annual PPDs).

Security guard's PPD positive.

Security guard sent for Chest Xray.

Boom - stage IV lung CA. Not a smoker, no symptoms, middle aged healthy male.

Tension pneumos are skinny white man syndrome. My friend had one at 19. 6'8" and skinny as can be.

The pneumo I was referring to wasn't a skinny white man, nor a man

It was a shock

Security guard at hospital bitten by angry patient. Doc decided to perform a PPD. (Not sure if pt history had anything to do with it - but security doesn't have annual PPDs).

Security guard's PPD positive.

Security guard sent for Chest Xray.

Boom - stage IV lung CA. Not a smoker, no symptoms, middle aged healthy male.

Anecdote from when I was a floor nurse... had a rapid response code on a patient and by the time EKG got there, she was already to the ICU. They ended up performing the EKG on her roommate (oops!). But here's the kicker - found new ST elevation.

Little old lady coming via EMS with low back pain- no other complaints. EMS put her on the monitor in the rig per their protocol- she was in SVT. Weirdest SVT presentation I've ever seen.

Frequent flyer came in with elbow pain, diagnosed with a new pregnancy.

Frequent flyer came in with elbow pain, diagnosed with a new pregnancy.

Two different people I know were in the ED after car accidents and found out they were six months pregnant. Both babies turned out fine and both moms had no injuries from the accidents.

This actually happened to me: I had pelvic pain and had an u/s done. I was told mistakenly I had large ovarian cysts. Pain progressed and I went to ER 3 days later with c/o ovarian cysts. Was told I would get more meds and go home but I refused. Ended up with a Ct scan which shocked the heck out of everyone as I had a hole in my intestines. Not overweight, mid thirties female. Dx was perforated diverticulitis.

Kicker was CT also showed two tumors on my ovary but no one told me until my follow up with GI one year later when another diverticulitis attack occurred. Needless to say had immediate oopherectomy. Luckily turned out benign.