Monday, January 30, 2012

Neuro: punked

So I've been punked. My very first day. By the ER residents. I was just minding my business doing rounds when they asked me for help. Ironically, it was thanks to my MRI skillz that got me into trouble.

The ER residents know me now, I think they all might talk about how annoying it is that I hang around so much, but you know. At least they know me. Anyhow, they asked me to come over and read this MRI with them.   They point out this is a female patient with pain. They point to the bottom of the screen and say this is the tibia (pure white triangle upside down) and the thing above it (circle) is the knee cap (big white circle)... what is wrong with the knee surface? And there are some grey swirls in the top circle.  I start trying to guess, cartiledge changes? Fracture? No way its a fracture, what they heck is that? Foreign body? Is that a quarter in the knee?

At this point they are peeing their pants laughing (like i'm pretty sure i saw some darkening of the pants) and I am just ignorantly guessing thinking, Man i am like the worlds worst MRI-reader.  And finally they say, that's a baby.  That's totally not the knee. And I am looking all sheepish and all oh, i totally knew that. (ha. good cover, right).

Now, I'm sure you're thinking I'm going to be the world's worst doctor. But these images are remarkably similiar if you get just 1 picture.  To demonstrate how ridiculously similiar these images are I went to google. However, my image was a lot less obvious. You have to use your imagination, and a lot less arrow signs.  Again, these images (unlike the rest of them on my blog) are from GOOGLE. Not actually my images.




So turns out prego women get MRI's all the time for appendicitis. And no problems with the baby.  However, I guess this 'baby in the knee' on MRI is a big funny joke they do to all the new interns. So I guess they felt like I needed to be broken in.... maybe i'm making an impression after all?

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