crazy acnetods of a medical student.

ER tales from a medical student, as a medical student I have been on some many weird situations, this career give me any sorts of comic situations and crazy acnetods, I will be sharing some of then in this space hope you like it and found it interesting here we go.

A few months ago I arrived at the emergency service at the hospital where I had my internships, a 43 year old man who came with his wife because of pain in the genital area and shows an increase in volume of it (if you know what it means), he said that he had been like that for four whole days, and he was not explaining how it happened. The resident told us that we have to examined him first and after that he will be checking the patient later.

#Checking the patient

Well ... we asked the wife to leave the room and we started to ask the man what happened to him, he tells us that four days ago he went with a woman who wasn’t his wife to a hotel and she gave him a psychotropic substance which, she never revealed to him what it was and he didn’t know what he took, he only knew it was a drug that would help him "to have more fun", he told us that he had a big time (of course he have) the whole day and that night, - "the big buddy never let him down!” (referring to his penis) that day , but the problem came later so I put my best poker face and asked, What happened next? he answers, - my erection never went off, I did everything, “I masturbated several times ... I put ice and nothing made it to went down, it was horrible because I went to work and the pain was unbearable”. But as a good macho he only went to the doctor, when it was purpleish, almost black, and he couldn’t handle that torture anymore and had to told his family that he had to go to the hospital.

The resident checked him and asks us -What do you think it is? The interns look at him with our best scare face and we say that it looks like a priapism and then he asks us what is a priapism and how is it classified? I answered that priapism is a continuous erection that does not seat with masturbation, not even with coitus and it is also painful, and that the classification was investigated, he laughs and says -yes, it is a priapism that is probably veno-occlusive. enter him that you have to do a couple of exams and a procedure.

#Now the clinical part of the story (Warning nerdy medical stuff)

We entered the patient, who tells us - please do not tell my wife that she was with another woman. In the end we enter him for a hematology, biochemistry and coagulation times tests without findings. Gasometry of cavernous bodies was performed with the following values: PO2: 0.6mmHg; PCO2: 124; pH: 6.79 being compatible with low flow or veno-occlusive priapism.

As a first therapeutic measure, under electrocardiographic and blood pressure monitoring, puncture-aspiration of intracavernous blood and subsequent intracavernous injection of phenylephrine (5 injections of phenylephrine 0.5mg every 5 minutes) and finally wash with 0.9% physiological solution. %, the face of the gentleman showed that he was scare from start to finish but all of this got to end the torturous inflammation, that is to say that it went flaccid again, after that the patient was kept in hospitalization with local ice in the affected área and analgesics for a week. That man was a case, he flirted with all the nurses in the service. After a week we had discharged him ...

#Moral

The moral is do not take something that you don’t know what it is, besides that karma comes in one way or another and this time went upwards.

• If you ask me what happened next with the man, I saw him again in the outpatient clinic and well .... Now he is separated and has erection problems. *