A path consult is needed in the Ob/Gyn forum:
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Not showing on my screen. Oh well.fedor said:The thread has been updated with 2 new pictures.
No worries, by the end of med school you will be seasoned enough to appreciate food no matter whatfedor said:Normally I read these forums on break while I eat, but that thread has given me second thoughts about that strategy.
Yeah, certainly on the differential. Perhaps a fragment of the ultra-dildonic 4000...who knows.yaah said:There's no blood and it's firm. I would presume it's foreign material.
deschutes said:Not showing on my screen. Oh well.
No worries, by the end of med school you will be seasoned enough to appreciate food no matter what
deschutes said:But those lumps look completely different from the original blob. I am thinking they belong to other threads?
fedor said:The first one is in solution. The next three are not.
I wonder if the poster is trying to pull a fast one on us and it's actually a piece of chicken or something.
Poety said:Hi Andy, well thanks for that reply - I'm not even the one who made the post! I'm just obsessed with what it is LOLOLOL So I went on a path site jsut now here: http://www-medlib.med.utah.edu/WebPath/FEMHTML/FEM115.html and its saying endometriosis can show up anywhere (just like you said) even in vagina.
I'm just curious as to 1. how did an MS2 get this specimen to TAKE HOM
2. how can someone NOT WANT THAT SENT TO PATH AFTER IT CAME OUT?
Its a bit fishy to me!
ok i just fnished looking at a bunch of pics and from what i've seen, the only thing that looks remotely rubbery like that in those gross pics are fibromas - so I dont know! I give up
AndyMilonakis said:Yeah, certainly on the differential. Perhaps a fragment of the ultra-dildonic 4000...who knows.
I'm curious as to exactly where this came from and how it was extracted and if extraction of the specimen led to bleeding.
yaah said:Leiomyomata and endocervical polyps can both protrude out of the cervix, and fetal parts can be passed as well. However, all of these pass with a lot of blood. I highly doubt it is a fragment of fetus.
sinaility said:A leiomymata that out grows its blood supply and breaks off into the vaginal cavity would be very rare and produce an extraordinary amount of pain. I think it may very well be an endocervical polyp the protruded through the cervical os and broke off, but I agree that alot of blood would be present in this scenario. I also can't tell how big it is. Maybe she thought the blood was part of her last menstrual cycle. Its still a stretch because we have no idea how long that thing has been in there. I can not believe that was not sent to pathology. Talk about a break down in patient care.
RyMcQ said:What does it taste like?
Poety said:what did I jsut read about in OBGYn last week, a kind of growth that eventually extrudes from the uterus - I can't remember is it endometrioma? THe description for it is: On physical exam you can see it hanging out of the cervix, looks like globular tissue - is it like an adenomyosis that can extrude? ARRGHGHGH can't remember.
are you thinking of adenosarcoma?
LADoc00 said:Decidual cast folks.
Poety said:OMG IM LAFFIN SO HARD YOU ARE SO FUNNY <LAFFIN>
Baya, quit lying and tell us where you got this damn thing - I'm obsessing over it and thats not nice - I don't think its tissue if she just pulled it out of her vagina. Once on an ER rotation I did have a prostitue come in that had a sponge stuck in her from like 4 mos previous because she used it to stop the bleeding of her period so she could still do tricks- I don't mean birth control sponge, I mean a "natural scrubbing sponge" the ones women use to scrub their face, like from the ocean. It got stuck in the apex and she HAD DYSPARANEURIA so she ended up coming in - perhaps this is the same woman HAHAHAHAHA
However, if that thing is the size you are saying its either : 1. a condom (which is so absolutely likely, especially with you saying its stretchy, and after being in there for that long, its shape would be all messed up) or its a piece of a dildo as I originally stated - or its a penile ring that she didn't know her partner from 6 mos ago had on....I don't know about this whole "tissue" thing. And please baya, WHY ARE YOU TOUCHING IT - ARE YOU WEARING GLOVES?