the108

Inside the mind of America’s (raunchy, foul mouthed, overly opinionated, sexually aggressive, incredibly offensive, fly by the minute, ridiculously absurd, often times erratic, psychologically questionable) Sweetheart.

Friday Rounds-Autopsy Edition August 17, 2007

Filed under: Uncategorized — the108 @ 3:07 pm

Good morning, my succulent little interns! Today, I shall be your Chief Medical Examiner and we have an autopsy to perform. I shall equip you with all the notes pertaining to the deceased and you shall try to come up with the cause of death:

Presentation
A 25 year old female comes into the Accident and Emergency Department complaining of severe abdominal pain and of feeling faint. She is clutching her lower abdomen.

History
When questioned, she reports:
-Two day history of worsening intermittent abdominal pain on the right side of abdomen
-No bowel problems (normal movements, stools etc)
-No problems with:
palpitations/chest pain
breathing
passing water
headaches
-Smokes one pack a day and drinks 15-20 units of alcohol per week.
-Reports falling on to a table at a club while drunk (2 nights ago). Claims it was extremely painful – thought pain may be due to fall and that was why she was reluctant to come in.

Examination Findings:
-Blood pressure of 90/50 mm Hg
-Heart rate of 120 bpm
-Raised respiratory rate
-Very tender right iliac fossa with guarding
-A 5 inch appendix scar in right iliac fossa
-Brief examination confirmed no other major system based problems.

Progression:
Her pain worsened, her BP fell even more and she lost consciousness. A peritoneal aspirate showed heavy blood staining. She showed classic symptoms of hypovolaemic shock.

Colloid and blood were given but patient failed to recover and died.

*******************

As usual, post your theories in the comments section which for the day shall be placed on moderation to avoid accidental cheating.ONLY incorrect answers will be posted until this evening.

First Coroner-in-Training to answer the cause of death correctly shall receive THIS carrier donkey:

Good luck!

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5 Responses to “Friday Rounds-Autopsy Edition”

  1. Dixiechick Says:

    Ruptured appendix… gan-green had set up and spread throughout her body… once that happens you’re outta here…

  2. EC Says:

    Oh damn finally I’m the first one to comment and this one I have no idea!! This is hard!

    I’m going to go with an ectopic pregnancy because I have no idea what a peritoneal aspiraate is so I have no idea where she is bleeding from, but it sounds like it could be “down there” lol

  3. Bond Says:

    How can I answer this without knowing one thing….

    WAS SHE HOT?

  4. ian Says:

    Well, it can’t be her appendix since she’s already had it removed. Could she have ruptured her spleen?

    Ian

  5. the108 Says:

    Erin was correct! This woman had suffered from a ruptured fallopian tube at ten weeks into an eptoptic pregnancy resulting in her bleeding to death internally.

    Enjoy your carrier donkey.


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