Monday, September 13, 2010

Classic Gas

Saw the most awesome X ray I have ever seen- 40 something guy with MR and hydrocephalus who keeps swallowing air. Also gets opiates for an ankle fracture and is immobile from it. So guess what shows: a hugely distended stomach, small bowel distended as well; colon is at least 20 cm in size with a Chiladiti sign.

It sounded like the Rime of the Ancient Aviator:
Air , air everywhere, and all our planes did float
Air air everywhere, watch his belly bloat!!!!

Obviously I cannot reporduce the image due to privacy concerns etc- but it is coming at a journal near your library soon.

The perforated sheet

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