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What was the MOST ridiculous thing a patient came to the ER for?

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DeadHeadRN is a BSN, RN and specializes in Emergency.

1,725 Visitors; 65 Posts

We had a 20-something female arrive via ambulance for "acute abdominal pain." On exam, pt was having menses. Asked her if she had taken anything for it. "No." Still, did full workup, including CT.

Dx: Cramps. The kicker? The patient was surprised at the Dx.

I should add...I understand that cramps suck. I've had horrible ones my entire life (extreme pain, vomiting, etc.). But, you're 20-something. This isn't your first time with this. And you're surprised by the diagnosis??

This reminds me of a pt we had a few months ago with acute abdominal pain. This man was literally in tears from the pain. Anyway, he got the full work-up, (Bloods, CT, Fluid, etc.). He even got a sono thrown in for good measure. Needless to say there was nothing wrong with him other than a LOT of stool and gas. So the ED physician goes to talk to the pt and give him the results of all the tests. I happened to be at the bedside putting up another liter of saline. The doctor says to him with an absolutely straight face :Sir, you're perfectly ok, all your tests show that you have no acute disease, but you are suffering from TFS." So the man looks at him and says "What is TFS?" And the doctor says "Trapped Fart Syndrome," and walks away.

It took everything I had in me to hold it together until I got out of the room. Hilarious. Now, whenever an abdominal pain comes in we make sure we rule out TFS :yeah:

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FranEMTnurse has 4 years experience as a LPN, EMT-I and specializes in LTC.

2 Articles; 55,857 Visitors; 3,618 Posts

:hhmth:That's so funny! I have a friend with TFS!! I just read your message to him. :yeah:

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Christy1019 has 11 years experience as a ASN, RN and specializes in Emergency/Trauma/Critical Care Nursing.

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this wasn't the most ridiculous reason i've seen by far, but was one of my more recent ones that annoyed me..

it's 2am and i'm assigned to triage/registration, i call this 20-something female pt that just walked in, to my desk who appears agitated and has her mother carrying a toddler and dragging another 4-5yr old w/her, both kids in pajamas and can barely keep their eyes open. silly me thinks this complaint must be important if she's gonna drag her mom and kids to the er at 2am... oh but of course not! patient sits down and immediately starts going off about how she just slammed her thumb in the car door and now she has no circulation to her hand and its cold, plus she now has gangrene, per the pt. i ask when this happened, she tells me 15min ago, so i look at her hand.. her "gangrene" is a collection of blood under the nail, and as for her "loss of circulation with cold hands" issue, it's a safe bet that her hand is cold because she is running around in the middle of the night in this ridiculous spandex and rhinestone outfit :confused:, and not from a circulation problem, due to the fact that she's moving all fingers/hand, skins pink, cap refill is good, and b/c she's crazy! lol after i explained all of this to her, she then seriously asked me "well aren't you going to page the doctor up here stat?!" lol, i said "first of all, i don't page the doctor to triage stat for non-emergencies", she didn't really like that comment and spent the rest of the time i was stuck with her saying how we needed to give her a shot of "that stuff that starts with a d.. dilaula?" haha, lady you get a motrin, especially seeing as how she's the one driving! why she couldn't leave babies at home w/grandma to watch em, is beyond me, but then again if you're weird enough to wear that outfit and rush to the er in the middle of the night b/c you bruised your thumb.. i'm guessing your not the brightest bulb.. :idea:

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Christy1019 has 11 years experience as a ASN, RN and specializes in Emergency/Trauma/Critical Care Nursing.

17,907 Visitors; 878 Posts

Also....

Multiple times:

-Ear wax removal. One of my least favorite things in the world.

-Pt: "I think I'm pregnant/I want a HIV test (or other STD test)."

-Family: "Momma's not responding to us!!!!" Real Dx: Momma's ****** you haven't come to see her in x months and won't talk or look at you. Of course, that's not the Dx given to the patient. :)

-Mom: "My kid is choking!" Kid is running around ER, barefoot, eating, drinking (usually chips and Coke)

-Mom: "I need strep tests/immunizations done on my five kids."

Sometimes you wonder if we are actually evolving......

haha that reminds me of this cute little old lady i had a few weeks ago, the legal guardian with her comes rushing up to triage saying how this woman can't breathe or talk etc etc, i'm looking at this lady who looks TOTALLY fine, no tripoding/access muscles/flaring/normal resp rate/skin color etc. i ask the woman to answer a question for me, just to make sure she can get words out.. she starts to say something and this guardian cuts her off "SHE CAN'T TALK B/C SHE CAN'T BREATHE! I JUST TOLD YOU THAT!", even though i'm in the middle of something else and confident in my assessment, i'd rather not take a chance if there IS in fact a breathing issue, so i bring her back to triage. everytime i try to ask her a question this guarian lady chimes in, so instead of asking the pt questions r/t symptoms, i made small talk while i helped her take her coat off, and guess what??? she CAN SPEAK!! and quite well, minus the fact that her dentures keep falling out, & O2 99%. so i ask the guardian what makes her think the pt can't breathe, and she says its because the pt keeps clearing her throat and wouldn't talk to her.. the pt grabs my hand and says "i just don't want to talk to HER, i don't want to give her any reason to lock me in a nursing home!" lol after meeting the guardian, i wouldn't have wanted to talk to her either! haha, hopefully next time she doesn't start CPR on the poor lady if she sneezes too hard or something! :lol2:

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FranEMTnurse has 4 years experience as a LPN, EMT-I and specializes in LTC.

2 Articles; 55,857 Visitors; 3,618 Posts

this wasn't the most ridiculous reason i've seen by far, but was one of my more recent ones that annoyed me..

it's 2am and i'm assigned to triage/registration, i call this 20-something female pt that just walked in, to my desk who appears agitated and has her mother carrying a toddler and dragging another 4-5yr old w/her, both kids in pajamas and can barely keep their eyes open. silly me thinks this complaint must be important if she's gonna drag her mom and kids to the er at 2am... oh but of course not! patient sits down and immediately starts going off about how she just slammed her thumb in the car door and now she has no circulation to her hand and its cold, plus she now has gangrene, per the pt. i ask when this happened, she tells me 15min ago, so i look at her hand.. her "gangrene" is a collection of blood under the nail, and as for her "loss of circulation with cold hands" issue, it's a safe bet that her hand is cold because she is running around in the middle of the night in this ridiculous spandex and rhinestone outfit :confused:, and not from a circulation problem, due to the fact that she's moving all fingers/hand, skins pink, cap refill is good, and b/c she's crazy! lol after i explained all of this to her, she then seriously asked me "well aren't you going to page the doctor up here stat?!" lol, i said "first of all, i don't page the doctor to triage stat for non-emergencies", she didn't really like that comment and spent the rest of the time i was stuck with her saying how we needed to give her a shot of "that stuff that starts with a d.. dilaula?" haha, lady you get a motrin, especially seeing as how she's the one driving! why she couldn't leave babies at home w/grandma to watch em, is beyond me, but then again if you're weird enough to wear that outfit and rush to the er in the middle of the night b/c you bruised your thumb.. i'm guessing your not the brightest bulb.. :idea:

i just got rid of a weekend caregiver who must be related to your mentioned patient. lol.

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Penelope_Pitstop has 13 years experience as a BSN, RN.

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This reminds me of a pt we had a few months ago with acute abdominal pain. This man was literally in tears from the pain. Anyway, he got the full work-up, (Bloods, CT, Fluid, etc.). He even got a sono thrown in for good measure. Needless to say there was nothing wrong with him other than a LOT of stool and gas. So the ED physician goes to talk to the pt and give him the results of all the tests. I happened to be at the bedside putting up another liter of saline. The doctor says to him with an absolutely straight face :Sir, you're perfectly ok, all your tests show that you have no acute disease, but you are suffering from TFS." So the man looks at him and says "What is TFS?" And the doctor says "Trapped Fart Syndrome," and walks away.

It took everything I had in me to hold it together until I got out of the room. Hilarious. Now, whenever an abdominal pain comes in we make sure we rule out TFS :yeah:

Now, that is a very serious condition. Didn't anyone see the South Park episode about what happens if it goes untreated? People spontaneously combust!

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AngelicDarkness has 7 years experience and specializes in geriatrics, IV, Nurse management.

9,102 Visitors; 365 Posts

I love the stories on here but have to insert a random one that ended up at a real emergency...

92 year old lady with severe pain for 3 days. Refused to go to hospital. Took prn tylenol but it wasn't helping. Severe pain was in her lower back and hips. Paramedics told her not to bring anything because there was "no point since you'll be back tonight" having the pain 3 days and not doing anything about it when it was new.

She had a massive MI in the emerg that evening. Roughly 2 hours after waiting.

Freaky how that worked out eh?:o

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newtinmpls is a BSN, RN and specializes in Dementia & Psychiatry.

3,129 Visitors; 61 Posts

A mother brought her 3 day old infant in because she found her 9 year old nephew sucking on the infant's umbilical cord. My thought was, I'd be more concerned about the 9 year old.

Me too. that is an odd, and rather personal sort of behavior for a 9yo to just pick up. I'd wonder if there was abuse going on.

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FranEMTnurse has 4 years experience as a LPN, EMT-I and specializes in LTC.

2 Articles; 55,857 Visitors; 3,618 Posts

Ditto!!

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trooperwifey has 1 years experience and specializes in Emergency Nursing.

1,108 Visitors; 16 Posts

These are hilarious but I am not suprised in the least! I have two that I would like to share.

1.) Triage is slamming to the point where all ambulance patients are lined up in the hallway. I finally get to a lady who came in via ambulance. Complaint? Itching from Poison Ivy... from which she was DXd and discharged EARLIER that day.

2.) An older lady who came in with a complaint of vag bleeding.

Me: 'How long has this been going on ma'am?"

Lady: 'Oh, about 20 years'

Me: '20 years? What made you come in tonight?'

Lady: 'I finally found a ride'

Me: :eek: thinking... IT TOOK 20 YEARS TO FIND A RIDE!!!?? LOL

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SpEdtacular has 7 years experience and specializes in ED, ICU, Progressive Care, Informatics.

5,850 Visitors; 190 Posts

I love the stories on here but have to insert a random one that ended up at a real emergency...

92 year old lady with severe pain for 3 days. Refused to go to hospital. Took prn tylenol but it wasn't helping. Severe pain was in her lower back and hips. Paramedics told her not to bring anything because there was "no point since you'll be back tonight" having the pain 3 days and not doing anything about it when it was new.

She had a massive MI in the emerg that evening. Roughly 2 hours after waiting.

Freaky how that worked out eh?:o

Old ladies are sneaky like that

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SpEdtacular has 7 years experience and specializes in ED, ICU, Progressive Care, Informatics.

5,850 Visitors; 190 Posts

Whilst EMSing I picked up an "unresponsive" gentleman that was seen lying in the street by passersby. I said sir what's the matter today and he said I'm cold and I drink like fish. :eek:

I said sir I appreciate your honesty, and I respect you for that. :lol2:

If only everyone were so honest...

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