(no subject)
Sep. 2nd, 2004 02:53 amA 44-year-old woman was brought to hospital by police. Over a period of years she had isolated herself and her daughter from society, arousing the concern of neighbours. A scant history of "schizophrenia", personality disorder and intellectual disability was obtained from distant relatives.
Examination revealed classic clinical features of profound hypothyroidism. In addition, a lump was found on the patient's ring finger. Her mental state necessitated admission, after a psychiatric consultation, as an involuntary patient.
Investigations confirmed the diagnosis of hypothyroidism and indicated anaemia due to iron deficiency. An x-ray of the lump revealed a wedding ring totally encased in the soft tissue. The patient was started on thyroxine and antipsychotic medication and transferred to a psychiatric institution, with marginal improvement in her mental state. Her daughter was removed to the care of child welfare authorities. The wedding ring was surgically removed. Histopathological examination of the lump revealed a foreign body granuloma with chronic low-grade Staphylococcus aureus infection.
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With pictures, which I have graciously DECLINED to repost here because I really don't want to see them again - the x-ray of the lump with the ring is, well, deeply twisted.
Examination revealed classic clinical features of profound hypothyroidism. In addition, a lump was found on the patient's ring finger. Her mental state necessitated admission, after a psychiatric consultation, as an involuntary patient.
Investigations confirmed the diagnosis of hypothyroidism and indicated anaemia due to iron deficiency. An x-ray of the lump revealed a wedding ring totally encased in the soft tissue. The patient was started on thyroxine and antipsychotic medication and transferred to a psychiatric institution, with marginal improvement in her mental state. Her daughter was removed to the care of child welfare authorities. The wedding ring was surgically removed. Histopathological examination of the lump revealed a foreign body granuloma with chronic low-grade Staphylococcus aureus infection.
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With pictures, which I have graciously DECLINED to repost here because I really don't want to see them again - the x-ray of the lump with the ring is, well, deeply twisted.
(no subject)
Date: 2004-09-02 11:00 am (UTC)Maybe I just have a high tolerance for that sort of thing.
(no subject)
Date: 2004-09-02 11:05 am (UTC)And yes, children are a "grotesque physical problem" in this case. Why do you think I hate going to Wal-Mart so much?
(no subject)
Date: 2004-09-02 11:12 am (UTC)(no subject)
Date: 2004-09-02 02:59 pm (UTC)There once was an obese lady that had an odd burning sensation in her tummy. When she went to the doctor, they found out she had dropped a cigarette into one of her folds.