A very young girl (13 or 15 year old), comes to emergency room with acute abdomenal pain in the right iliac fossa. What do you do/ask/investigate?After rounds, where we saw dramatic improvement in a thromboangiitis obliterans case after lumbar sympathetectomy - his left leg which was colder than the normal right limb has suddenly became warmer, Anie, who just landed in India last day, gave us chocolates and the best cake on Earth which her mother made.
Later had fruit salad with ice cream with Trees (who's leaving for home today), Sweety, and Maggie, followed by butter fruit juice and heard about the amazing fight over closed toilet doors in LH. Speaking of going home, Hari is also going home after having handed over Terrorist to a mess worker two days back.
My order for rechargable batteries and there charger was delivered by Amazon/BlueDart in the evening. So, while that's charging, I set up my standing desk again.
#100HappyDays challenge and decided I'd enroll. The standing desk and the fruit salad would be happy day #1.
BTW, for that young girl, if you take her to operating theatre, you might not find acute appendix like you wished for. You ask for last menstrual period and rule out Mittelschmerz - which occurs at the middle of the cycle and presents with pain. It'd be a good idea to rule out pregnancy too.
No comments:
Post a Comment