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#1
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01-16-2010, 07:17 AM
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Ventral Hernia
A 66 year old cronic schizophrenic who lived in a nursing home was brought to the emergency department with the chief complaint of constipation, along with abdominal pain and shortness of breath. His nursing home records indicated that he had a vigorous appetite, despite not having a bowl movement for more than a month. Within minutes of presentation, the patient became lethargic and unresponsive and was subsequently intubated. He had a ventral hernia, his abdomen was extremely distended without bowl sounds, and a plain film of the abdomen revealed absence of air in the right colon. In the operating room, a large, dilated loop of bowl was removed. The patient died 3 days later of fulminant sepsis. * Top pick is balloon man had the same problem.... |
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#7
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01-16-2010, 09:01 PM
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Re: Ventral Hernia
This was posted somewhere else and I commented on it. This happened alot back 'in the day' in psych wards. There's on story I'm familiar with of a young girl around 13 who hadn't had a bm for over 3 weeks. Not only did the hospital staff not give her the appropriate meds, they wrote it down that she took them & was having regular bms. One night a nurse went in to check on her and she was dead. Her abdomen was so swollen due to no bms, that she actually had feces backing up and coming out of her mouth. There's a word for this but I'm having a moment and can't think of it. :( Needless to say, huge lawsuit due to the neglect of the patient. Happens mroe than you'd think though. There's something about the bowels or MRs and those with mental illness that cause them not to function properly. Shew. There! done! |