A Cook County Hospital Emergency Medicine Blog for up-to-date medicine and more.
Justice-involved individuals are unique in their right to healthcare, but this right has not come with a guarantee of quality care or significant disparities. Here you will find a discussion of the current and future landscape of correctional care.
Colette A. Beard Baugham, MS4
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Figure 1. CXR with thoracic metallic foreign bodies clinically consistent with an intravascular foreign body in both the SVC and IVC crossing the right atria.
The Case:
The patient was a 27-year-old male with a past medical history of insulin-dependent type 1 diabetes and prior ICU hospitalization in 2006, presenting with one day of isolated right lower quadrant pain. He endorsed compliance with his insulin. The patient was afebrile with isolated tachycardia to 120 bpm without hypotension or other vital sign abnormalities. His exam was notable for McBurney’s point tenderness and left lower extremity varicose veins. The patient’s blood work was notable for hyperglycemia without ketosis or acidosis in addition to mild leukocytosis. A CT abdomen-pelvis was notable for uncomplicated appendicitis and was incidentally positive for intravascular foreign bodies within the inferior vena cava.
Jose Reyes, MD
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Formatted by:
Clara Lee, PharmD; PGY1 Pharmacy Resident
Written and Reviewed by:
Joanne C. Routsolias, PharmD, RN, BCPS
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