Comments on: 17 days at the VA – Day 10 http://www.medrants.com/archives/5022 Internal medicine, American health care, and especially medical education Sat, 11 Feb 2012 15:15:48 +0000 hourly 1 http://wordpress.org/?v=3.3.1 By: Robyn http://www.medrants.com/archives/5022/comment-page-1#comment-530415 Robyn Thu, 26 Nov 2009 00:28:12 +0000 http://www.medrants.com/?p=5022#comment-530415 Jared - Commercially prepared mayo is pretty good to go even when opened and left out of the refrigerator for hours.  OTOH - I'm not sure why anyone would leave mayo out for hours - or use warm mayo in a salad of any kind (unless the mayo came from an unopened jar and the salad was to be refrigerated).  So I would pretty much rule out GI problems as a result of food poisoning. Not being a doctor (just a decent cook who has never poisoned anyone) - don't have a clue about any other Dx.  I would ask the patient if he experienced constipation - not only diarrhea (some GI problems can present with either or both symptoms).  I would also ask him how much junk food he had - what kinds - and how much beer he drank to wash it down (smile)?  Also how often he ate this way.  Also whether he ever had pain on a scale of 8/10 before - and what it was (many guys are kind of wusses when it comes to pain). BTW - don't know beans about gallstones (never had any - knock wood) - but here is an explanation for non-doctors:  <a href="http://womenshealth.about.com/cs/gallbladder/a/gallstonessymtr.htm" rel="nofollow">http://womenshealth.about.com/cs/gallbladder/a/gallstonessymtr.htm</a> Robyn Jared – Commercially prepared mayo is pretty good to go even when opened and left out of the refrigerator for hours.  OTOH – I'm not sure why anyone would leave mayo out for hours – or use warm mayo in a salad of any kind (unless the mayo came from an unopened jar and the salad was to be refrigerated).  So I would pretty much rule out GI problems as a result of food poisoning.
Not being a doctor (just a decent cook who has never poisoned anyone) – don't have a clue about any other Dx.  I would ask the patient if he experienced constipation – not only diarrhea (some GI problems can present with either or both symptoms).  I would also ask him how much junk food he had – what kinds – and how much beer he drank to wash it down (smile)?  Also how often he ate this way.  Also whether he ever had pain on a scale of 8/10 before – and what it was (many guys are kind of wusses when it comes to pain).
BTW – don't know beans about gallstones (never had any – knock wood) - but here is an explanation for non-doctors:
 http://womenshealth.about.com/cs/gallbladder/a/gallstonessymtr.htm
Robyn

]]> By: Jared http://www.medrants.com/archives/5022/comment-page-1#comment-530348 Jared Wed, 25 Nov 2009 13:30:24 +0000 http://www.medrants.com/?p=5022#comment-530348 Without knowing the thickness of the walls of the gallbladder, I would say that I cannot make a surgical determination. However, just because the mayo was in the fridge, does not mean that it had not previously spent considerable time out of the fridge... or other ingredients/meals.  My feeling is without marked inflammation in the gallbladder it is of gastric or pancreatic origin. Without knowing the thickness of the walls of the gallbladder, I would say that I cannot make a surgical determination.

However, just because the mayo was in the fridge, does not mean that it had not previously spent considerable time out of the fridge… or other ingredients/meals. 
My feeling is without marked inflammation in the gallbladder it is of gastric or pancreatic origin.

]]> By: Un-named http://www.medrants.com/archives/5022/comment-page-1#comment-530270 Un-named Tue, 24 Nov 2009 23:33:07 +0000 http://www.medrants.com/?p=5022#comment-530270 To me, not yet. To me, not yet.

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