Had my first...

[DrQuinn]

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rectal foreign body today.

How that SO lifts up the spirits and morale of all the nurses in the ED....

Q

 

[hyperbaric]

rectal foreign body today.

How that SO lifts up the spirits and morale of all the nurses in the ED....

Q

And the foreign body was a...?

 

[deleted87716]

Had my first rectal foreign body today.

Let me guess...you slipped in the shower? 😉

 

[docB]

rectal foreign body today.

How that SO lifts up the spirits and morale of all the nurses in the ED....

Q

I hope you mean you had your first patient with a rectal foreign body today. If not this should really be on one of those other sites.😉

 

[souter]

I hope you mean you had your first patient with a rectal foreign body today. If not this should really be on one of those other sites.😉

I was helping a surgeon get one of those battery powered items out from where the sun doesn’t shine. When the surgeons asked me if we should call out to tell the wife that we had successfully removed it. I asked if the wife was in the waiting room, “No, she is hiding in her car in the parking lot.” The surgeon said. He agreed with me not to risk a HIPA violation by having the nurse walk out to the parking lot to inform the wife.

 

[Dukes]

Speaking of this topic there was an interesting one the other day. I think we have all heard stories of the "I slipped" or maybe even "I was really drunk, passed out" and woke up with pain etc... but there was one down here that one of my fellow residents had that was interesting.

A guy with nonspecific lower abdominal pain with normal xrays. The resident went ahead with the rectal and what did he find? A freaking toothpick! The patient then said he remembered eating sandwiches or something and noticed a missing toothpick and but didn't think anything of it.

 

[DrQuinn]

I hope you mean you had your first patient with a rectal foreign body today. If not this should really be on one of those other sites.😉

ay-yi, how literal SDN can be... thank the Lord Almighty that it wasn't ME, but a patient. Great thing was, one of my favorite nurses put the chart in the rack and said "you are going to LOVE this case...."

It just seems that, no matter how chaotic the ED is, or how stressed are the nurses are, if you just say "rectal foreign body," any ED nurse or staff that is within earshot stops what they are doing and immediately comes over for teh details.

Love it.
Q

 

[beyond all hope]

Funny you mentioned that.

I had my first TWO rectal FBs this weekend. One drunk Hispanic guy with a vibrator so far up that his abdominal exam vibrated (it was still on in the OR) and another kid with ADHD who was bored so he shoved a Christmas light up there.

Great X-rays.

It's like we're in perfect synch. Weird.

 

[SoCuteMD]

ay-yi, how literal SDN can be... thank the Lord Almighty that it wasn't ME, but a patient. Great thing was, one of my favorite nurses put the chart in the rack and said "you are going to LOVE this case...."

It just seems that, no matter how chaotic the ED is, or how stressed are the nurses are, if you just say "rectal foreign body," any ED nurse or staff that is within earshot stops what they are doing and immediately comes over for teh details.

Love it.
Q

So, was that your first rectal FB ever, or first since residency?

Haha...at the hospital I've been at, I doubt you could get through a year without a rectal FB - "Object in Rectum" is actually available as a diagnosis on the electronic charting system.

 

[GeneralVeers]

ay-yi, how literal SDN can be... thank the Lord Almighty that it wasn't ME, but a patient. Great thing was, one of my favorite nurses put the chart in the rack and said "you are going to LOVE this case...."

It just seems that, no matter how chaotic the ED is, or how stressed are the nurses are, if you just say "rectal foreign body," any ED nurse or staff that is within earshot stops what they are doing and immediately comes over for teh details.

Love it.
Q

Yep, my famous cucumber case has been popular for over a year at my facility. Here's the CT scan:

 

[Orthonut]

Funny you mentioned that.

I had my first TWO rectal FBs this weekend. One drunk Hispanic guy with a vibrator so far up that his abdominal exam vibrated (it was still on in the OR)

he he heh! no way....

 

[DrQuinn]

So, was that your first rectal FB ever, or first since residency?

Haha...at the hospital I've been at, I doubt you could get through a year without a rectal FB - "Object in Rectum" is actually available as a diagnosis on the electronic charting system.

Its the first one I've taken care of personally. My fellow residents had some in residency, but not me. Although I've had about 20 patients with urethral foreign bodies. Must have been a Tampa thing. Haven't seen any of those in DC yet.

Q

 

[DrQuinn]

Great X-rays.

Unfortunately, the Xray wasn't THAT impressive. Its only about a 3" foreign body. One of my nurses said "Its probably a pocket rocket."

Silence from me, with a smirk.

Q

 

[Mr. Freeze]

We just had an imaging/rads lecture and the prof had a lot of stuff in the butt pics. He let us in on how to discern between photoshop jobs and the real deal. But he had one where this guy put a pair of lineman's pliers up there. Thinking ahead he had slipped a piece of tubing onto one handle to facilitate the removal of said pliers, of course not thinking that the pliers would just toggle open in his rectum...

After class we were talking about it and this guy was like, "I mean, who puts pliers in their ass? If you're going to put tools up there, at least use one of those hammers that has the ribbed handles!" "Oh you SOB's know what I mean!!!"

 

[DropkickMurphy]

But he had one where this guy put a pair of lineman's pliers up there. Thinking ahead he had slipped a piece of tubing onto one handle to facilitate the removal of said pliers, of course not thinking that the pliers would just toggle open in his rectum...

Owww.....holy f--king Christ.....owww

 

[Wackie]

We just had an imaging/rads lecture and the prof had a lot of stuff in the butt pics. He let us in on how to discern between photoshop jobs and the real deal. But he had one where this guy put a pair of lineman's pliers up there. Thinking ahead he had slipped a piece of tubing onto one handle to facilitate the removal of said pliers, of course not thinking that the pliers would just toggle open in his rectum...

After class we were talking about it and this guy was like, "I mean, who puts pliers in their ass? If you're going to put tools up there, at least use one of those hammers that has the ribbed handles!" "Oh you SOB's know what I mean!!!"

"I need you to relax"

 

[The White Coat Investor]

I used to think rectal FBs were pretty funny. Until I had a patient die from one. Very unfortunate. HIV +, perfed with the RAMBONE (6 inch wide glans, 15 inch long shaft).

 

[GeneralVeers]

I used to think rectal FBs were pretty funny. Until I had a patient die from one. Very unfortunate. HIV +, perfed with the RAMBONE (6 inch wide glans, 15 inch long shaft).

In a way it's hard to be sympathetic when people kill themselves with stupid/careless behavior.

 

[Midwest Medic]

We had a small NERF football the other day. The guy was honest, said "I was curious and stuck it up there my self." The CT was pretty cool, you could even see the small spirals in it when you put it on lung windows!

 

[deleted109597]

Two things, anytime a guy starts a story with "this is the first time", it means something is up his butt. And anytime he asks for a male nurse, something is up his butt, or he has cut off his penis.

My favorite story was the guy with the "first time" comment, said he and his wife were hot and heavy. She up and went to work (the female dog). So he decided to continue his exploits. With a lysol can. (Puts a shred of disbelief in the first time comment, for sure). All was good until the cap came off.

Surgical disimpaction for the day.

Another guy asked for a male nurse, then complained of constipation for 3 days, of unknown reasons. He had a 13 inch dildo that made it to the splenic flexure. Still denies knowing the source.

 

[Megalofyia]

rectal foreign body today.

How that SO lifts up the spirits and morale of all the nurses in the ED....

Q

Q - Your avatar only reminds me how I HAD wanted to be Tex from Red vs Blue for Halloween but I cant find a Halo costume ANYWHERE for less than several thousands of dollars. 🙁

 

[Apollyon]

She up and went to work (the female dog).

I think I know what you mean - you're calling the wife a bitch? (Or was he screwing the dog?)

 

[Orthonut]

I think I know what you mean - you're calling the wife a bitch? (Or was he screwing the dog?)

You know, up on the mountain...it could go either way, dog or wife...

 

[hyperbaric]

And this week I had my first patient with a foreign body...

box of smokes...$5
excessive amounts of EtOH for you and your new female acquaintance...$100
humiliation of ED visit and surgical consult for FB removal...priceless

 

[dmunorse]

Saw a guy on my surgery rotation in April get an 8" long by 3/4" diameter piece of PVC piping retrieved from his rectum. He and his girlfriend had been getting a little crazy the night before.

Saw a little girl two days ago in the ED with a toy truck wheel about five centimeters below her left eye. Unfortunately the axle for said wheel had pierced the skin and bone underneath the wheel. Thankfully that avoided her eye as well as her palate. She was fairly ambivalent to the proceedings in the ED>

 

[deleted6669]

rectal foreign body today.

How that SO lifts up the spirits and morale of all the nurses in the ED....

Q

how did you do an entire em residency IN FLORIDA without ever seeing 1?

 

[deleted6669]

Saw a guy on my surgery rotation in April get an 8" long by 3/4" diameter piece of PVC piping retrieved from his rectum. He and his girlfriend had been getting a little crazy the night before.

Saw a little girl two days ago in the ED with a toy truck wheel about five centimeters below her left eye. Unfortunately the axle for said wheel had pierced the skin and bone underneath the wheel. Thankfully that avoided her eye as well as her palate. She was fairly ambivalent to the proceedings in the ED>

same pt:
day 1: 8" rainbird popup sprinkler
day 2: manequin arm to the elbow(not kidding)
visit 3 day 3 for a cold. no one believed him. they xrayed him just to make sure nothing was up there(again).

 

[medivac]

A fellow resident took care of a guy who was transferred from an outside hospital for a ulnar artery injury. Guy had been doing/dealing drugs, ran from the cops (why must they run?), tackled, tazed a few times, handcuffed and ignored for a while. Someone noticed his hand had turned blue. Poor radial artery at baseline, kinked off the ulnar with the cuffs

Anyway, my thorough collegue gave him a rectal exam, b/c hey, that's what you do for people getting heparin. Felt something. Dug it out. Unlike the drugs we all were expecting to find given his day's events, it was the dude's social security card and another now indecipherable piece of paper. I guess if you think your wallet is just not safe enough, there's always the rectum, right?

 

[PowderHound]

I also saw my very first patient with a foriegn body in the rectum this week. It was wild, it was a 12-inch plastic tube that once contained Red Hots candy. It was kind of sad becuase the guy was a non-verbal paranoid schizophrenic patient who has a habit of doing this...he had come in back in July because he stuck a KNIFE up there, like a shank! We looked up the old films on the PACS and let me tell you, that was an interesting KUB! Good thing he chose a blunt object this time. Can't say I'll ever think about eating Red Hots again, though.

 

[roja]

AH, the FB in rectum stories. Nothing really beats them. Although we have had our share here (orangina bottles, dildos, goose eggs, etc etc) by far the best story (sadly not one I took care of) was the onion story.

Guy put an onion in a bag and was using it to pull the onion out. sadly the bag broke leaving said object lodged in rectum. Apparantly, according the surgeons and gas, onions do not come out in one piece. They come out in layers, causing said surgeons to be 'tearing' during extraction with many muttered curses about tears, onions and FB's in rectums. It just gives a great visual.

 

[Amy B]

 

[dchristismi]

They come out in layers, causing said surgeons to be 'tearing' during extraction with many muttered curses about tears, onions and FB's in rectums. It just gives a great visual.

Oh dear god, I'm tearing up myself just laughing!

 

[Painter1]

I've seen two cases. One as a medical student during trauma. They consulted us from the ED after some middle-aged man stuck a tall shot glass inside his rectum and broke inside leading to significant hemorrage. The following day "day 1 post-op" I went to write my progress note--the dude had his face covered with a towel. I guess I can't blame him.

A second case, the FB was a perfume bottle.

I guess it's rather the nightmare.

 

[bulgethetwine]

My favorite story was the guy with the "first time" comment, said he and his wife were hot and heavy. She up and went to work (the female dog). So he decided to continue his exploits. With a lysol can. (Puts a shred of disbelief in the first time comment, for sure). All was good until the cap came off.

I swear to God I've tried a half dozen times and I can't decipher this paragraph.

 

[primadonna22274]

Not my patient, but the scuttlebutt is that a few years ago an airman came in with his wife sheepishly c/o rectal pain. Xray? A BUTTERNUT SQUASH in his rectum. Surgeon had to take a drill to the squash (under anesthesia of course) to break it up and get it out).

 

[Homunculus]

as a medstudent, saw a pt w/ a lodged jar candle. was c/o discharge out his anus. the xray had a huge jar w/ a little filament in the center (the wick). he ended up infarcting his rectum and exited the OR with a colostomy.

--your friendly neighborood sees more ear FB than rectal (thank god) pediatric caveman

 

[roja]

Oh dear god, I'm tearing up myself just laughing!

Yes, while there are definately many more, ah, interesting FB object stories that elicit the '😱' where they thinking, I find the visual of surgeons, tearing up trying to extract layers of onions out of a guys arse, cursing, to be most humorous.

 

[Chronic Student]

Its funny, the FB in the rectum stories are always "There were these two dudes" or "We were just messing around" or "I've never done anything like this before". None of them are very credible.

The only story that I heard and thought might be truthful was a guy who came in with a lone star beer bottle forcibly shoved up his behind. The story went that he was at a biker bar and knocked over a couple of motorcycles.

I could see that one happening.

-Mike

 

[doctawife]

Pediatric version of rectal foreign body - nasal and ear foreign bodies. Not nearly as fun, but can be amusing nonetheless. My favorite to date: 4 year old with Nerds candy shoved in both ears. The strawberry kind. Or maybe watermelon, not sure. Dad only knew about the right ear, but sure enough, the kid had a matching set.

I wonder if the kids who start with beads and peanuts in their noses and ears go on to try rectal foreign bodies. Anyone interested in that study?

 

[acrunchyfrog]

Funny you mentioned that.

I had my first TWO rectal FBs this weekend. One drunk Hispanic guy with a vibrator so far up that his abdominal exam vibrated (it was still on in the OR) .

Of course, if would be impolite not to offer the patient the choice of:
FB removal, or
fresh batteries.

 

[deleted109597]

I swear to God I've tried a half dozen times and I can't decipher this paragraph.

Here goes

My favorite story was the guy with the "first time" comment, said he and his wife were hot and heavy.

A man and his significant other were having sex.

She up and went to work (the female dog).

She left (the b!tch)

So he decided to continue his exploits.

He wasn't done.

With a lysol can. (Puts a shred of disbelief in the first time comment, for sure).

He used a spray lysol aerosol can. This leads one to question the credibility of someone who states that this is the first time one placed a foreign body into the rectal vault.

All was good until the cap came off.

Think of something like this, only the disinfectant spray and not the foam. See, he placed it in cap end first.

 

[Annette]

While not a rectal FB story, it left the staff dumb-founded. A guy put a nut (bolt and nut kind of nut) down the shaft of his penis. Had to call the fire department for bolt cutters.

 

[igcgnerd]

I know of a guy that had a universal remote as his rfb. We put him in a fast track room and he actually dug through some drawers, found some mcgills, and removed it himself and was found using said foreign body to change the channels on the tv in the room.

 

[deleted109597]

While not a rectal FB story, it left the staff dumb-founded. A guy put a nut (bolt and nut kind of nut) down the shaft of his penis. Had to call the fire department for bolt cutters.

What were they going to cut? If it was already down the shaft, uh....

 

[basementbeast]

I know of a guy that had a universal remote as his rfb. We put him in a fast track room and he actually dug through some drawers, found some mcgills, and removed it himself and was found using said foreign body to change the channels on the tv in the room.

hahahahahaha....awesome...

 

[doctawife]

I know of a guy that had a universal remote as his rfb. We put him in a fast track room and he actually dug through some drawers, found some mcgills, and removed it himself and was found using said foreign body to change the channels on the tv in the room.

THIS is when you leave AMA. "Thanks for the tools, I'll see ya'll next week..."

 

[gutonc]

What were they going to cut? If it was already down the shaft, uh....

I think s/he meant OVER the shaft, rather than down the urethra. This is when ice and pictures of old naked nuns can come in handy. And remember that cock-rings are cheap and most have a safety release mechanism of one sort or another, no need to go to the hardware store to get your rocks off.

 

[docB]

And remember that cock-rings are cheap and most have a safety release mechanism of one sort or another, no need to go to the hardware store to get your rocks off.

That's true. Every time I've seen a cock-ring related problem that caused real damage the patient had gotten creative in their sex toy procurement. The rings sold for that purpose are really easy to cut through with a ring cutter. I remember one patient who used a motor scooter piston ring, he lost most of his penis, and one who used a 22mm box wrench.

http://www.sears.com/shc/s/p_10153_...Wrenches&psid=18485464&sid=IDx20070921x00003a

He kept his penis but not his pride.

 

[hyperbaric]

I know of a guy that had a universal remote as his rfb. We put him in a fast track room and he actually dug through some drawers, found some mcgills, and removed it himself and was found using said foreign body to change the channels on the tv in the room.

Sounds like this wasn't his first time.