mycrofft
Still crazy but elsewhere
- 11,322
- 48
- 48
Patient experienced short-range 20ga to the abdomen. Was rapidly transported to local teaching medical center where the destroyed rectus abdominus and lengths of bowel were removed and a long period of convalescence ensued, including developement of abscesses during outpt periods, and the pt's continued use of illicit drugs.
During serial visits to jail for minor offenses, stubbornly non-healing areas in the abdominal area were seen and treated with daily dressing changes, no obvious infection ensued but the wounds (in epithelial tissue rather than muscle and good strong scars) did not progress.
Finally on day three of an incarceration about eighteen months post hospitalization, one of these chronic little sites began to form a four mm mound like a pimple, the pt began to run a low grade fever and complain of localized then mor generalized pain near it, and it opened to reveal an embedded, dark-greenish fiberous and smelly little scrap. The pt was hospitalized and required another month recouperation.
1. What do you think the material in the lesion was?
2. For extra points, what did it smell like?
HINT: he was very delinquent in outpt followups and never completed them.
During serial visits to jail for minor offenses, stubbornly non-healing areas in the abdominal area were seen and treated with daily dressing changes, no obvious infection ensued but the wounds (in epithelial tissue rather than muscle and good strong scars) did not progress.
Finally on day three of an incarceration about eighteen months post hospitalization, one of these chronic little sites began to form a four mm mound like a pimple, the pt began to run a low grade fever and complain of localized then mor generalized pain near it, and it opened to reveal an embedded, dark-greenish fiberous and smelly little scrap. The pt was hospitalized and required another month recouperation.
1. What do you think the material in the lesion was?
2. For extra points, what did it smell like?
HINT: he was very delinquent in outpt followups and never completed them.