Had an interesting patient last night… something I had not run into before. I'm wondering if any of you have seen this.
25 year old female presents with chest pain, syncope and vomiting blood. Vitals and physical are essentially normal. She reports a history of Barrets esophagus and nissen fundoplication. She has very poor peripheral veins due to numerous recent iv sticks. Eventually I place a right EJ. Goes in smoothly, good blood return. I'm able to draw all the labs for the nurse off...
Interesting Iatrogenic Complication
25 year old female presents with chest pain, syncope and vomiting blood. Vitals and physical are essentially normal. She reports a history of Barrets esophagus and nissen fundoplication. She has very poor peripheral veins due to numerous recent iv sticks. Eventually I place a right EJ. Goes in smoothly, good blood return. I'm able to draw all the labs for the nurse off...
Interesting Iatrogenic Complication