Odd finding (Concerning genitalia)

Nurses General Nursing

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I'm a bit confused about this. I am precepting in the ER & Lately I have noticed that when inserting Foley caths or enemas/suppositories, alot of people have what I would describe as "skin tags" around the opening of the orifice or lady parts. This occurrence has not discriminated between male and female and I have noticed it most prevalently amongst middle age to older adults. Normally, this is an embarrassing topic to discuss and is worthy of an incognito Google search, but I have not been able to find much information. Perhaps my wording is a bit off.

Has anyone ever noticed this and Can tell me what I am seeing?

Please, no judgement or snarky comments. This is just something I do not know. None of us are above learning something new.

Specializes in Labor and Delivery.
Man, who else is suddenly craving Outback?

Lololol you are officially the worst.

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Specializes in Labor and Delivery.
His ability to conceive is already compromised by his being male. But his ability to impregnate wouldn't be so hot, either.

(Sorry to be pedantic. Don't even get me started on the standardized care plan I saw once called "Care of an amputated limb.")

Lmaoooo. I see what you did there. My bad, yall know what I meant. Lol

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(Sorry to be pedantic. Don't even get me started on the standardized care plan I saw once called "Care of an amputated limb.")

This reminded me of one of the best/worst/best again reports I ever got from the ER. Stated that the patient was a "bilateral AKA with dependent edema in the lower extremities" being admitted for upper and lower GI bleed, but that he had "no peritoneum". This left me with more questions than answers. The kicker was that she brought me the patient with a 22 gauge IV tegadermed to the ac, with no break in the skin and the insertion lancet still sitting inside.

Was there a medical episode of Punk'd nobody told me about?

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Specializes in Psych, Corrections, Med-Surg, Ambulatory.
This reminded me of one of the best/worst/best again reports I ever got from the ER. Stated that the patient was a "bilateral AKA with dependent edema in the lower extremities" being admitted for upper and lower GI bleed, but that he had "no peritoneum". This left me with more questions than answers. The kicker was that she brought me the patient with a 22 gauge IV tegadermed to the ac, with no break in the skin and the insertion lancet still sitting inside.

Was there a medical episode of Punk'd nobody told me about?

Well don't keep us hanging. Did you ever find the missing peritoneum? Whose idea was the non-inserted 22g? (Which would have been worthless anyway.) Did the patient even make it? Inquiring minds want to know.

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Well don't keep us hanging. Did you ever find the missing peritoneum? Whose idea was the non-inserted 22g? (Which would have been worthless anyway.) Did the patient even make it? Inquiring minds want to know.

HA. Well it turns out he did have a peritoneum to house those bleeding guts. I am guessing the fake IV had something to do with the profoundly low H&H and furious blood bank who called them 99 times to say blood was ready. (Blood bank told me they kept delaying because they didn't have IV access. AH HA!). I guess they had to make it look like they tried? But if you're going to pretend IV start for a blood transfusion, wouldn't you at least tape an 18 g on that sucker? Why the 22? Some mysteries will never be solved.

Also the leg stumps didn't appear very swollen, so I guess the dependent edema was in the amputated portion of the lower extremities? Those didn't come up with the patient (shocking lol), so I was never able to verify the veracity of that statement.

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Specializes in Psych, Corrections, Med-Surg, Ambulatory.
HA. Well it turns out he did have a peritoneum to house those bleeding guts. I am guessing the fake IV had something to do with the profoundly low H&H and furious blood bank who called them 99 times to say blood was ready. (Blood bank told me they kept delaying because they didn't have IV access. AH HA!). I guess they had to make it look like they tried? But if you're going to pretend IV start for a blood transfusion, wouldn't you at least tape an 18 g on that sucker? Why the 22? Some mysteries will never be solved.

Also the leg stumps didn't appear very swollen, so I guess the dependent edema was in the amputated portion of the lower extremities? Those didn't come up with the patient (shocking lol), so I was never able to verify the veracity of that statement.

Thank you. I needed that laugh. :roflmao:

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If I couldn't find that person's actual orifice in the forest of hemorrhoids with another person pulling the cheeks apart, and I had trouble getting the feces out from between the "leaves," I know there's no way the actual patient can wipe properly.

Hahahaha. Omg!! This visual!

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Specializes in Peds/outpatient FP,derm,allergy/private duty.

In a former life as a dermatology nurse, I recall that plain ol' skin tags can appear in a variety of locations, including the genitalia. The tree bark appearance in one of the examples may be from condylomata (the HPV-caused warts) If I saw the potential warts I would probably want to bring it to the provider's attention if they aren't aware of it already.

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Specializes in Pediatric Hematology/Oncology.
HA. Well it turns out he did have a peritoneum to house those bleeding guts. I am guessing the fake IV had something to do with the profoundly low H&H and furious blood bank who called them 99 times to say blood was ready. (Blood bank told me they kept delaying because they didn't have IV access. AH HA!). I guess they had to make it look like they tried? But if you're going to pretend IV start for a blood transfusion, wouldn't you at least tape an 18 g on that sucker? Why the 22? Some mysteries will never be solved.

Also the leg stumps didn't appear very swollen, so I guess the dependent edema was in the amputated portion of the lower extremities? Those didn't come up with the patient (shocking lol), so I was never able to verify the veracity of that statement.

HAH! Oh man this made my day. There's nothing more infuriating than a report that is a complete mismatch to how the pt presents. Sheesh was the ER on 'shrooms that day or something?

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Blooming onions from outback have been completely ruined for me....I used to love that dish

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