Amidst the average, have been a few noteworthy patients in the last few days:
On intake history and physical exam find large firm, mobile cyst-like protrusion under the skin of the dorsal aspect of el pene and the patient tells me, “es un mármol. Para las mujeres.” I wonder if that procedure is covered by insurance.
Photokeratitis vs. the ocular manifestations of the great masquerader, syphilis. I was like, really?
Due to a scheduling error, completing a sleep apnea work up on the wrong patient, in Spanish. Turns out that when you simply answer “sí” to every question, as my patient did, I could diagnose you with paroxysmal nocturnal dyspnea, when all you needed was your GERD meds renewed.
Frothy urine.
Hemochromatosis (diagnosed through trans-oceanic collaboration with the most famous PA-S in Norwegian-Hawaiian history)
Epididymitis vs. Spermatocele. I never thought I would actually perform the physical exam test known as transillumination of the scrotum. How wrong I was.
Time in prison is dwindling down. Scratch marks are approaching thirty.
Is it the Spanish ~ or do the diagnosis seem more confusing in prison than the ER!!! Love the update, I missed hearing what you've been upto. So compared to the first rotation ~ what have your thoughts been?
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