Thursday, April 19, 2007

"Incidental" Findings???

I came across the hilarious picture from MMR, regarding Kermit the Frog and his X-ray findings... Kermit the Frog is a very popular muppet character during my childhood days. Reminiscing The Muppet Show and the nostalgic Sesame Street... Don't cha love miss those characters?

Seeing the picture somehow reminds me of a case that I heard from my colleagues several years back - regarding a "blur" obese female patient who presented with symptoms of intestinal obstruction. After the usual history taking and physical examination, appropriate investigations were carried out - including an AXR (Abdominal X-ray). When the doctor in charge reviewed the abdominal X-Ray film, he got a shock out of his life. Much to his horror, the Abdominal X-Ray revealed a foetus (baby); which meant the gal was pregnant and the poor foetus was exposed to radiation! (Mmmmm.... radiation exposure to the foetus and the possibility of spontaneous abortion, risk of congenital malformation, mental retardation, increased risk of childhood cancer etc).. The gal didn't know she was pregnant at the first place. Who to blame? I can't remember the details of the case... whether she remembered her last menstrual period? Did she had irregular menstrual cycle? etc. I have no idea what happened to the baby either...

51 comments:

lynnx01 said...

Me first!

Now I know the importance of history taking. Just did a 40-min history taking practice on CVS patients.

Pink Cotton said...

WAHAHAHAHAAH

i love that pic la! i still keep it in my pc somewhere...kekekeekekek

hmmmmmmm that gal...how can any lady b so sitiupid hor?? dono her own cycle :P

okla i better keep quiet ...jangan2 nxt time i only kno i pregnant when my baby pop out 'x'

Pink Cotton said...

eh i still remember the muppets show too...kekeke i remember MISS PIGGIE...

hmm come to think of it...shes PINK and shes a PIGGIE..omg omg omg

Kenny Ng said...

That's y... dun simply ush ush... bahaya lor. LOL

Winn said...

gosh ini so funny..i wonder if liucas will face same issue when he goes xray!

Chen said...

lynnx,
Yeah, history taking is indeed important. With constant practise, u will know what are the relevant questions to ask based on the signs & symptoms..

The sad thing is when busy time with lack of manpower (with hundreds of patients waiting) we might not have time to take proper history ;) Another example is during on call days with non-stop admissions..

The irony of life, huh?

pink cotton,
Kkkkk.. that picture is indeed classic :D There are many people out there who dunno their cycles leh.. I have came across several patients who are unaware that they are pregnant, till the day of delivery ;)

Kkkkk... I sincerely hope that won't happen to u in the future liao... LOL

MISS PIGGIE has big round eyes and long curly hair leh...
cute huh?
sounds so like someone ;)
Kkkkkkk (again) :P

Woof Woof n Meow Meow said...

haih *sigh*...

dat kinda case huh?

=(

Chen said...

kenny,
The way u put the terminology ush ush sounds so cute..
LOL

winn,
Kkkkk...
Let's do a whole body check up for Liucas.. ;)
Follow by a whole body X-Ray..

who knows, u might see coins inside his tummy leh..
That's the most secure place to hide $$$$ :P
Kkkkkkkk...

woof meow,
Dunno to pity her or to scold her ah? :P

angel said...

kkkkkkkkkk...

*nothing else to say*
So just kkkkkkkkk!

mistipurple said...

lol at angel!!! she also said the same thing at my blog!
i guess it is better than not commenting hor? i must try her method next time! lol! kkkkk!

Chen said...

angel,
Kkkkkkkkkkkkkk together
Wait..
If people see both of us kkkkkkkk together without uttering a word, will they think we are psycho?
Dun care lah..
Continue Kkkkkkkkkkkk :P
and hug hug too...

misti,
hehhehe...
Did she say the same thing at Ah Boy's blog too? I think so...
but she used Woooofffkk there instead of kkkkkkkkkkkkkk...
LOL

Angel must be having thought blog today liao..
Let's Kkkkkkkkkkkkk & group hug together..

L B said...

I wonder what will show up on Ah Boy's X-Ray.... LOL!!! Food for thought... All siew pai kuat only? Big HUGS to the SuperDog!!!

day-dreamer said...

OH MY GAWD!!!

I pity that baby leh, kena exposed to X-ray so innocently...

By the way, I used to love Sesame Street, especially Elmo. Hehe.

david santos said...

Thanks for you work, is vernice, thank you.

Shen, that this week is the best one that you had in all your life, congratulations.

Simple American said...

Kind of sad that the mother dun know what is going on. Hope the baby did okay.

The cartoon is priceless.

iml said...

Yikes!!! what are the side effects of the foetus exposed to radiation as in this case?

papercrazy said...

Kermit the Frog...I like....I like his singing, especially one particular song of which I can't remember the title liaw...

Bring back sweet memories....sigh

I know, I know, me out of topic...

Can't blame an obese lady from not knowing she's pregnant...I heard fat people don't have regular cycles....

dino said...

i don't remember i saw that frog before... :p

zeroimpact said...

I still remember sesame street
A good show that teaches so many things that even adults can learn from it

mistipurple said...

i like all the sesame street (almost said sesame seed) stuffed toys. too expensive to buy though. know what? if i can afford them easily, i don't mind them lining up my office counters. don't care if the customers think we siao.
i always like 'strange' toys lining up on the floor also. i have a couple of clay garden gnomes that i've been wanting to display but no chance.
also wanted fairies at one stage.
sigh.
i think i am living in fantasy land.

carcar said...

i think i have a kermit emoticon, hehe...

Chen said...

LB,
Kkkkkkk.. Ah Boy's X-Ray ah?
I wanna know too..
I can foresee lotsa little-little bones. Must handle with great care liao since he is so delicate ;)

Siew pai kuat? LOL
Ah Boy says he is not food..
Shouldn't add the word "siew" in front of the pai kuat :P

The SuperDog licks u back in appreciation ;)

Day Dreamer,
I dunno what happened to the pregnancy either.. Whether she aborted or not...

I prefer the Big Bird..
Kkkkkkk

david,
Thanks :)

Chen said...

SA,
This incident occurred few years back. If the baby survived, he/she is now few years old liao..

Indeed priceless. Used to like Kermit The Frog, but those were the days...

IML,
The risks of radiation exposure to the foetus are as written in the blue italic fonts in the post - possibility of spontaneous abortion, risk of congenital malformation or abnormalities, mental retardation, increased risk of getting childhood cancer etc

Papercrazy,
I can still remember Kermit sitting on the fench and playing guitar while singing to Miss Piggie.
Kkkkkkkkk....

It all depends on the oestrogen & progesterone hormones. Some super duper thin people have irregular cycles too.

Chen said...

dino,
Aiyak.. How about Miss Piggie?
Have u seen her?
They are good buddies...
U didn't watch The Muppet Show or Sesame Street in the past ah? :)

zeroimpact,
Now I can't remember what is the content of the show liao.. The last time I watched it was during my primary school days ;) Gosh.. That was ages ago liao...

misti,
Sesame seed? Kkkkkkkk...
I wanna flyover to pay u a visit liao if u display all the stuffed toys on your office counter.. :P

clay garden gnomes?
Faiti faiti take picture!!
I wanna see :D

Fantasy land is good mah..
Not everyone is capable to live in fantasy land leh...

carcar,
Kermit emoticon in Msn? or ?
show me show me...
Kkkkkkk

Woof Woof n Meow Meow said...

hmmm...duno ler..

hehe...

Cocka Doodle said...

Your X ray will turn out to have sotongs inside!

Muahahahaha!!!

mistipurple said...

kokokai not scared you pluck his feathers. kkkkk!

dino said...

i never watch watch The Muppet Show or Sesame Street before lor...

_butt said...

oh dear.. that's pretty bad. for the patient I mean.

kermit the frog! so cuute! I liked ernie better.. the one that always laughed around sheepishly hehehe

eastcoastlife said...

wah... how come some women so blur wan? Poor baby!

Chen... hehehe... I sayang you, I favorited you I TAGGED you! For your own good. Cjeck my latest post.

Chen said...

woof meow,
cannot be dunno & sit on the fence wan..

cocka,
wah, Sotong has no bones, how to show up on X-Ray film woh?
Unless the Sotong is calcified :P

Abuthen, might be your X-Ray film might show KKK(=KoKoKai) leh :D

misti,
KoKoKai still has feather meh?
I thought all being plucked liao?
Kkkkkkkkk
The feather-less ayam :P

Chen said...

dino,
Ooooo.. lidat ah?
Then,how about Cumi & Ciki?
Kkkkk... the local Malaysian Muppet show shown on TV1 in the early 80's

butt,
I dunno the other muppets name..
Kkkkkkkk...
I remember there's one muppet who likes to hide inside the dirty rubbish bin.. Hence, the dirty muppet, but i dunno his name :P

eastcoastlife,
Don't be surprised there are gals' who dunno they are pregnant till they gave birth !!

Thanks for sayang me.. but tagged?
o.O
okie okie, hehehhehe...
will hop over to see what issit about :P

slurp! said...

She who knows not and knows that she knows not is a child. Teach her.

Unfortunate case but surely good lesson for all, I hope.

iml said...

Ooops..... that shows how shock I was that I could not comprehend the rest of the passage.

narrowband said...

Haaha. I like that muppet picture.

The pregnant lady was to blame. And the husband to. They reeally need to be careful!

kyh said...

LOL that is so funny! But I nvr like Sesame Street. dunno why.

poor baby! kesian kesian~ :(

dino said...

i don't know about Cumi & Ciki as well... hehe..

Chen said...

slurp,
It's sad she learned the lesson the painful way.. There are even pregnant mums out there who are totally unaware that they are pregnant till the day they give birth!! How irony.. So many ignorant and uneducated people out there... Aiyh..

iml,
LOL..
wanna drink iced lemon tea to cool yourself down from the shock status?
kekkekeke...

narrowband,
This is a painful experience for her, if the baby is aborted then it's alright.. if the pregnancy is continued on and the child is born with defects or mental retardation etc, that's indeed sad. Sad to say, there are many who are ignorant out there.

Chen said...

kyh,
Sesame Street is not favourite though. My favourite cartoon is Mickey Mouse & Donald Duck. Don't have much cartoon selection in the early 80's. I love Ghost Buster cartoon too. How about u?

If spontaneous abortion occured, that might be better for both the baby & the parents..

dino,
Wah.. what u know then?
LOL
u seldom watch tv in the past ah?
I hope u know Mickey Mouse & Donald Duck leh..
If not, I will piak u liao :P
KKkkkkkkkkk...

mistipurple said...

good morning chen
good morning ahboy
leaves kaya bread with butter for chen
leaves char siew for ahboy

Chen said...

misti,
Good morning Misti
Oops, the clock has strikes 12 liao..
should be Good afternoon liao..
Kkkkk... I woke up several hours ago liao but haven't have my breakfast yet.. it's time for brunch oledi..

Thanks for your kaya bread with butter. Very yummy. Ah Boy loves his char siew too ;)

dino said...

hehehe.. i know mickey, minnie, donald duck, goofy... etc.
hehe..
don't piak me lah, pain 1 loh...

Chen said...

dino,
luckily u know those cartoon character :P
else i will surely piak u liao...
Kkkkkkkkkk :P

kyh said...

I like Tom & Jerry! KAKAKA!!!

Ya I like Disney characters too! :)

may said...

solemnly says...

Kermit is my favourite Muppet character... and it's such a pity that someone had to strangle him from the inside! waaaa!

Bernard said...

Uahh... Kellie's Castle.. would you believe I haven't been there, yet? Malu-lah.

Looks creeepy... Muahahaha.

Bernard said...

Oops... those were for the Kellie's Castle Photo Hunt post! Silap liao!

Anyway.. what I wanted to say was.. eve also talked about a CXR taken for a pregnant lady... actually a CXR has negligible effect onthe foetus... An abdominal X-ray might be slightly higher risk but it depends on the trimester.. in the third trimester it should be ok..

Chen said...

kyh,
so, u like the cat & the rat..
the -at family..
LOL

I haven't watch those classic Disney cartoon for ages liao..

may,
Kkkkkkk...
I never realised tat leh..
Poor Kermit kena cekik :P
must piak the person who strangle him liao :P
piak with wat leh?
use katak to piak !!

bernard,
LOL.. u must be having a long & tiring day, hence the mistake? ;)
hehehhee....

Oh.. Eve also talked about this in the past? Yeah, the impact of radiation from taking CXR is not so great compared with AXR since the radiation is not directed directly towards the womb, but nevertheless, the pregnant mum still needs to use the abdominal shield when she goes for CXR. That lady is in the earlier trimester...

_butt said...

cookie monster? the one in the garbage? Kkkkkkkkkkk...

Chen said...

butt,
wah.. u know all their names ah?
Cookie Monster is the one who always hide inside the garbage bin ah?
I dunno his name leh..
Kkkkk...
I only know a small handful only..
such as Big Bird, Kermit, Piggie etc
LOL

vagus said...

baby should be ok. xray doses are pretty low. about 50-100 uSv. You get more radiation flying from USA to Malaysia.