The irrational yet irrestible urge to know or make known. The CC is a "club" founded by a small group of medical professionals, who have made a pastime of turning medical cases and discussions into medically irrelevant history lessons, philosophical rants, and displays of one-upsmanship. The official premise, since the "club" was named, has been to exchange and discuss various books, movies, and ideas. Sometimes we eat sushi.
Saturday, March 19, 2011
Friday, March 04, 2011
The Next Day
Remember we were in Honduras and leaving this area the next day. We had various concerns: ? necrosis of distal finger tips, possible compartment type syndrome of the hand due to obvious swelling and severe pain, secondary bacterial infection, or possible autoimmune problems.
We had limited medications but did give 1 gram of Rocephin, 40mg of prednisone , 20mg of tramadol q 6 hrs for pain. The morning before we left we got to see our patient before getting on our school bus to leave. She was much better, smiling , happy , and obviously better. This is the photo at that time. It may not look very different and doesn't to me now, but the patient looked much better.
What can we credit with the improvement? Antibiotics, steroids, analgesics ?? I am not sure but I think the steroids probably helped the most.