Hey all 9pm . Chill ER . A 53 year old male Diabetic ,CAD , Stage 4 CKD on hemodialysis who had 2 fingers amputated earlier came complains of swollen lower limbs with non healing wound which developed gradually following rupture of a bleb. The last serum creatinine was 5 mg/dl. On local examination , the wound was foul smelling with pus oozing out. We examined the wound and called up the consultant surgeon to come and have a look. He walked in examined the wound advised color Doppler of lower limbs . Nephrology referral and was about to leave when a 35 year old lady bumped into him. Who is she? He asked. Umm... Sir , I don’t know who she is sir . I didnot take her history yet. Let me see . He turned back. A wooden stool had apparently fallen on her trunk leaving the right side of her chest wall in pain. There were no external injuries. The area was tender . The only complain she had was pain. She was hemodynamically stable n coherent with her su...
Doctor . Emergency Physician .Flip side of medicine Drama. Rant Alert.