Menstrual Abnormalities,Enlarged Scrotum,Fractured Collar Bone..?Fatal Neck Tumour.


April 4th

This 4 year-old boy was brought in as an emergency having been pelted inside a moving vehicle driven by the mum. He was quite shaken-up but rather stable.

His mum was a little apprehensive but mostly quiet.

The boy however, had a bruising with tenderness around the left shoulder that was confirmed through X-rays to be a Fracture of the left collar bone.

Well, I applied a figure-of-eight bandage around those little shoulders.

It's noteworthy here that this accident could have been prevented by the usage of a child-restraining device.

Bad mum, I must say.

April 4th

He may well survive afterall, this gentleman whose right-sided neck tumour we removed surgically 10 days back and who had his stitches out today.

Was it a Tuberculous growth or a Cancer? The histology report of tissue samples taken and sent, will determine its exact nature. The report is expected anytime soon.

I discharged the patient with the left scrotal swelling today. There was a hitherto unseen springiness to his gait.

April 2nd

I steadily plunged the needle into this man's enlarged, tender left scrotum. I had expected to see altered blood fill-up the 20cc syringe.

It was dry.

The original diagnosis of Epididimorchitis must have been the correct one. His case file told me he had been admitted the previous day; his diagnosis wavering from Acute Epididimorchitis, to Scrotal Haematoma, and then back.

Promptly, the medical management of his ailment was changed accordingly.

April 1st

This young, female patient seemed to know very little concerning her menstrual period. I find this typical amongst women I see during my out-patient consultations. Details such as cycle duration and timeliness, show them at a loss. And God forbid they happen to get two seperate flows in a single month, to them it signifies an abnormality that requires promt attention! They make the matter fuzzier than it ought to had it been they understood their cycles better.

I sent her off to run the inevitable pelvic scan.

I began dozing off at some point between seeing patients today, no thanks to what I have often tagged as "overnight-browsing hang-over".Good enough, Dr Larry was doing a terrific job clearing the out-patients.

Comments

  1. AnonymousJuly 21, 2010 at 1:12 PM

    hmmn, i dont understand ...i also av irregular menses and its bin irregular right from wen i started around 15, nw i m 25 and it s still irregular, from ur attitude, is it something u shouldnt be worried about?i v done a pelvic ultrasound b4 and it was normal..

    ReplyDelete
  2. Surgeon GeneralJuly 21, 2010 at 2:47 PM

    @Anonymous, you are right that one should be worried about an irregular menstrual flow. However, the women I referred to in my post, are those that actually have a REGULAR cycle for example one that occurs every 26 days. Yet, they get confused and present the matter to me AS IF IT WERE AN ABNORMALITY when for example they see their flow early in the month and then later THAT SAME MONTH - to them, this is inexplicable. I fell short of saying that a lot of my patients are not so smart. *sorry*

    ReplyDelete

Post a Comment

Say something... Anything!... I'll shout right back at you inside 24 hours.

Popular posts from this blog

Sudden Unconsciousness - No Head Scans Available

You know when a medical emergency has arrived when the noise of several heavy, clumsy feet grow louder and louder towards you. So it was, as I sat in my consulting room three days ago, when this young man was rushed in semi-conscious. The accompanying elder sister calmly narrated how they had both eaten lunch at home before setting out on their journey to a popular open market quite close to the hospital where I work - when he began complaining of feeling ill; later leaning over on a stall just before passing-out on the ground. He was "drowsy" but rousable when I called out his name. I pondered what the diagnosis could be as the nurse gave the steroid (Hydrocortisone 200mg) shot through the i.v. line secured - no recent fever or complaints of ill-health whatsoever nor was there any history of Seizure Disorders. Then the fact came forward that he fell backward and hit his head while shooting basket ball hoops at home - but that was four days ago and he then didn't appear h
Read more

Vanishing Testes... Uterine Evacuation

I was mad with the father of a 10-year old whose child proved to have both his scrotal sacs empty - a case of bilateral Congenital Undescended Testes. The point is both parents had known for years the condition and were hoping against all hope that one day the testes would appear, never once thinking to seek medical advice. The poor young chap would have to visit the Paediatrics Surgeon soon. I'm just back from the labour room where I had to evacuate the womb of this married lady who began to bleed just a week after finding out she was in early pregnancy; she being childless till date - she's had a couple of miscarriages in the recent past and a scan today proved once again the same matter of a miscarriage with some products of pregnancy retained, hence the needed evacuation. She'll need to see the Gynaecologist for a thorough check, the poor woman.
Read more

Cancer, Right Breast

I'm somewhat in-human it seems when mechanically, I go about on the job, some of the time. Or to put it more aptly, more detached from the normal feelings lay persons would feel at certain instances. This of course comes with the terrain and in spite of sometimes having short spells of feeling besides myself, it's become second nature to me. These were my fleeting thoughts as I dressed the extensively sutured wound, left behind on the chest-wall of the 54-year old, after her right breast and all of the relevant surrounding tissues had been surgically removed completely, nine days back. She would wince and cry-out softly whenever I dabbed with EUSOL gauze. For many years she had suffered cancer of the right breast up until surgery. And a radical mastectomy indeed it was, that had been the procedure at theatre - leaving no room, hopefully, for any metastasised cancer cells to remain present. Now, she was able to move her right arm with less pain since after surgery, exerci
Read more