Is this the inside of a llama's stomach? Perhaps one wearing a hat?
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FOOSH?
"We're just gonna do a pregnancy test to rule that out"
She must be low on zinc
Sure, we can all see the x-ray, but when was your last period?
Clearly trauma happened. Why xray? Would that help in putting the puzzle back together?
Multiple compound and comminuted fractures in carpometacarpal particularly on the right as well as compound and comminuted fractures on the left distal radial and ulnar bones.
Amputating 100%, but where will depend on the possible presence of any severe lacerations, contusions, and third or fourth degree burns.

It's not lupus
its even worse if you dare be overweight, or dare to say what you feel, then you dont even have any problems except your weight or youre a google doctor. who cares about "tests" im going to spain with my frat bros
First thing I'd do is spell "you're" correctly.
My first diagnosis is he's got hypothermia, second he is missing is epidermis.
Spouse was at a dentist visit and her blood pressure was so high they threatened to call an ambulance. Has been that high off and on for weeks.
Take her to the doctor, doc knows she's had a full hysterectomy, knows she doesn't exaggerate, knows she refuses to take anything medincinal unless forced. This lady raw dogs migraines to avoid Ibuprofen.
First words out if doc's mouth, "BP that high isn't unheard of in women having their periods. Are you sure it's not your time of the month?" Followed by, "well I'm sure you're just nervous around doctors, it will go down when you get home."
This definitely isn't just a female thing. We were all exchanging doctor stories the other night and everyone had ones like this. Weirdly they were all in the past few years and that being gaslit or dismissed by a doctor just feels normal now.
Doctors are useless assholes nowadays, more interested in yapping about themselves than anything remotely useful.
I'd rather have a drunk North Korean veterinarian who lost his license and doesn't understand a word of English address my issues than any of the psychotic freaks Canada is cranking out lately.
High blood pressure alone is not an emergency. Definitely something to be concerned about preventing/treating in the long term, but no blood pressure number alone warrants an ambulance without also having symptoms of something like a heart attack or stroke that indicates organ damage.
That said, that kind of blasé approach to markedly elevated blood pressure with no real plan to reassess or find a root cause is still unacceptable, especially lazily blaming it on menstruation like is so common. So not trying to undermine your experience, I just had to chime in bc the “hypertensive crisis” thing is a pet peeve of mine.
Yeah this very much depends on the actual specific number. I work inpatient so I don't blink at 155 systolic because we're gonna take it again in 12h and honestly these days the hospitalist says current evidence supports not even treating emergently until 170. When I worked for a CSU they were even like "how would you approach an intake where your new pt has a BP of 180?" and I, coming from the university hospital where I had residents subject to my whims I struggled to come up with an answer that wasn't "page the oncall I guess?" But I did manage "...tell them to take some deep breaths and take it again...?" which was apparently the right answer???
140s to me is a GP/PCP's problem 3 months from now and ultimately they'll probably just tell the person to start with eating less salt. It also sounds like it was asymptomatic and there's also the possibility that the doctor just figured she wouldn't take anything anyway based on this person's description.
No seriously, there is no number that you need to treat emergently without accompanying signs of end-organ damage. The AHA recommends considering “permissive hypertension” even for SBPs over 180. So you could be 220/180 and if no other symptoms or signs of organ damage, you should get treated the same as someone who is 145/95, and even then that’s only if the hypertension is chronic. The only difference is it will probably take a lot more meds to chronically control someone whose bp is that extreme.
Every lady's experience in a red state. Seriously, I'm not making a joke, being a "conservative" as defined in the US political system NEEDS to be categorized as a mental disorder that precludes people from being doctors at the least.
😬
This is textbook hysteria. This woman needs a lobotomy, stat, before the damage spreads to her vagina. Without that, she's only got her mouth.
Our latest research has shown that anal sex is a very humane way to give a woman's life meaning after losing her vaginato hysteria.
First step: pregnancy test
They'll be asking her unconscious body 15 times if she's pregnant, and her lifeless corpse at least 4 times.
Im not a doctor but I think she might be on her period. meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow meow
I'm thinking how this injury could have been caused by a single incident. Like both hands dismembered, with the right hand's (on the left side?) thumb broken but otherwise relatively ok, whereas the left hand (on the right side) got basically cleaved, with the index finger flattened/elongated/crushed with the thumb looking fine (I think? looks sus, but can't really say...).
first thought is a car accident, but then the whole bits of hands and them arranged wrongly doesn't really make sense in my head, like, this xray wouldn't even be taken in the process of saving their life, I would think (unless they are dead, and this is a post mortem xray, but then at that point, why wouldn't you arrange it properly then?)
So I am thinking of some heavy machinery accident, and they managed recover whatever is left of their hands and limbs, rushed into the hospital, thus taking a quick xray to immediately see the extent of the damage.
Or it could be ai, no idea, not a doctor...
Article from 2014 says it was a factory accident to an 18 year old worker. CW: pictures of his hands post-repair but still bloody.
first link is my attempt to keep the preview from coming up, which didn't work on my app. :(
Damn, that absolutely sucks :(
When was your last period?
Doctor: "Lose weight!"
Looks like a bad case of overpowered firecrackers.
Also what is the situation with pain, like it's harmful for people to take too many pain meds and it's harmful to not give someone enough. Seems like a tricky problem with few ways to get it right and too many ways to get it wrong.
Rub some bacon on it.