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I was working in a community ED whe n a family came in claiming they had
eaten chocolate bars covered in maggots. Everyone , Mother , Father and 3
kids ( forgot their ages) were vomiting.
On questioning I learned they had been watching a movie at home and while
sitting in a darkened room, began to eat some chocolate bars that the mother
had kept in a bedroom drawer. At some point one of family members looked at
the chocolate saw a white frosting on it and eclaimed that "frosting" was
maggots. That triggered their gastronomic response and the presentation to
the ED.

I figured the frost was just from the chocolate being aged. I couldn't
convince the family otherwise

Oh well,

Marty


2009/8/26 Lisa Amir <[log in to unmask]>

> A recent odd visit which made the news...
> A healthy 9 year old presented with acute onset of upper GI bleed. Woke in
> the morning with a large hematemesis, on the way to the hospital another
> large one (about 100cc in a plastic bag) and the third one while being
> examined - bright red blood, no gastric contents.  Negative history for
> everything. Hemodynamically stable, normal PE. NG tube had continuous
> draining of bright red blood.  After about an hour went for urgent
> endoscopy, about an hour later the gastroenterology shows up white and
> shaken looking.  He put down the scope and saw something black on the
> anterior aspect of the upper esophagus which then proceeded to move! Not
> really thinking, he took the forceps and yanked it off.  It turned out to be
> a 3cm long leech! The child had a large gastric ulceration - apparently the
> leech attached itself to the stomach mucosa and when the child started
> bleeding and vomiting, partially dislodged the leech which then reattached
> itself to the esophageal mucosa.  It turns out t!
>  he child went swimming 5 days earlier in a stream known to be leech
> infested and apparently swallowed a little one.  Uneventful recovery, I
> think the child recovered faster than the gastroenterologist.
>
> Lisa Amir
> Schneider Children's Hospital of Israel
>
> -----Original Message-----
> From: Pediatric Emergency Medicine Discussion List [mailto:
> [log in to unmask]] On Behalf Of Amy Baxter
> Sent: Wednesday, August 26, 2009 3:54 AM
> To: [log in to unmask]
> Subject: Re: Odd visits
>
> Oh, this is always such a fun topic!  It leavens the intensity of
> flu/respiratory volume we're seeing.
>
> OK, my favorite chief complaint also involved a perfectly well looking
> five year old with the chief complaint of "missing testicles".  Quoth the
> mom, who came in one cold winter morning in Cincinnati, "I gave him a
> bath, so I know they were there last night!"
>
> Jay Fisher <[log in to unmask]> writes:
> >Back in the Mesozoic Period I helped start up a Peds ED in a suburban
> >community. I was a little nervous about it's viability and became even
> >more
> >so when I the first patient in the dept's history.
> >
> >It was a diaper.
> >
> >A father brought in his child's diaper for me to examine (child at home
> >sleeping comfortably).
> >
> >It was urate crystals.
> >
> >Talk about an inauspicious beginning.
> >
> >Jay
> >
> >Jay D. Fisher MD FAAP
> >Director of Pediatric Emergency Services
> >Emergency Physicians Medical Group
> >University Medical Center, Las Vegas NV
> >St. Rose Sienna Hospital, Henderson NV
> >
> >For more information, send mail to [log in to unmask] with the
> >message: info PED-EM-L
> >The URL for the PED-EM-L Web Page is:
> >                 http://listserv.brown.edu/ped-em-l.html
> >
>
>
>
> Amy Baxter MD
> Pediatric Emergency Medicine Associates
> 404 371-1190
>
>
> For more information, send mail to [log in to unmask] with the
> message: info PED-EM-L
> The URL for the PED-EM-L Web Page is:
>                 http://listserv.brown.edu/ped-em-l.html
>
> For more information, send mail to [log in to unmask] with the
> message: info PED-EM-L
> The URL for the PED-EM-L Web Page is:
>                 http://listserv.brown.edu/ped-em-l.html
>



-- 
Marty
Martin Herman, M.D.
Pediatric Emergency Specialists, P.C.
Lebonheur Children's Medical Center
Memphis Tn 38103
901 405 1407 ( office)
901 219 9202 ( cell)
901 287 5986 ( ED office)
901 287 6226 ( ED fax)

Help fight blindness. Support the Memphis VisionWalk 2009. Go to
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find the Memphis TN chapter and follow the prompts to make a donation to my
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Thanks!
Marty and Lynette, Vision Walk Event CHairs for 2009..

For more information, send mail to [log in to unmask] with the message: info PED-EM-L
The URL for the PED-EM-L Web Page is:
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