badge CLINICAL PHARMACOLOGIST AND THOUGHTS OF A DOCTOR

Tuesday, September 24, 2013

Fish bone.

This is one of my experience in ENT posting. We all like fish isint it.this incident will make you to fear of fish. On one of my stay duty in ENT a adult male who is a fisherman came from karaikudi GH for complaints of dysphagia for 3 days. He was not able to take any food orally. So he came to our hospital around 6 pm. He gave history of fish bone swallowing.A xray soft tissue was made to take. On seeing we recognised it was a retro pharyngeal abscess. We were amused at seeing the extent up to the floor of tongue. A emergency D OT was decided to take. PG sent me for taking all the inv andThen assessment for GA. I took all instruments madre to D OT. By 10 30 Ganesh sir started the procedure. There was so much risk involved and death on table consent was obtained. Sir was very dedicative. Leo sir was anaesthetic in charge. Endoscopy is contraindicated too. So the procedure was done with patient fully conscious. that was more dreadful. Think of a rigid oesophagoscopy inside Ur mouth and with all knife inside Ur mouth. NG tube cannot be put even. The procedures were not fully successful. Asst were calling HOD for. Assistantance. The case was then shifted to ICU. I was given the in charge of taking care of patient at night. The night was uneventful. The case was taken again for surgery the next day. Again attempts were made to drain abscess but as such in the form of pus nothing came. The patient was in ICU for one more Day. After one day he began to drink liquid food followed by slid food

No comments:

Post a Comment