The Prisoner Who Cried Wolf, and Then Swallowed a Sprinkler Head

CASE PRESENTATION: A 37-year-old man presented from jail reporting foreign body ingestion of a sprinkler head. While initial radiography did not reveal the foreign body, subsequent imaging with computed tomography demonstrated the sprinkler head. When confronted with this discrepancy the patient adm...

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Detalles Bibliográficos
Autores principales: Hysell, Matthew, Finch, Jennifer, McClendon, David E.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: University of California Irvine, Department of Emergency Medicine publishing Western Journal of Emergency Medicine 2020
Materias:
Astonishing Cases and Images in Emergency Medicine
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7434285/
https://www.ncbi.nlm.nih.gov/pubmed/32926667
http://dx.doi.org/10.5811/cpcem.2020.4.46449
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author Hysell, Matthew
Finch, Jennifer
McClendon, David E.
author_facet Hysell, Matthew
Finch, Jennifer
McClendon, David E.
author_sort Hysell, Matthew
collection PubMed
description CASE PRESENTATION: A 37-year-old man presented from jail reporting foreign body ingestion of a sprinkler head. While initial radiography did not reveal the foreign body, subsequent imaging with computed tomography demonstrated the sprinkler head. When confronted with this discrepancy the patient admitted to having the sprinkler head in his possession and choosing to swallow it after his initial radiography. DISCUSSION: This case demonstrates the importance of maintaining a high threshold for real illness in situations where there is suspected malingering, a situation not infrequently encountered in the emergency department.
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spelling pubmed-74342852020-08-20 The Prisoner Who Cried Wolf, and Then Swallowed a Sprinkler Head Hysell, Matthew Finch, Jennifer McClendon, David E. Clin Pract Cases Emerg Med Astonishing Cases and Images in Emergency Medicine CASE PRESENTATION: A 37-year-old man presented from jail reporting foreign body ingestion of a sprinkler head. While initial radiography did not reveal the foreign body, subsequent imaging with computed tomography demonstrated the sprinkler head. When confronted with this discrepancy the patient admitted to having the sprinkler head in his possession and choosing to swallow it after his initial radiography. DISCUSSION: This case demonstrates the importance of maintaining a high threshold for real illness in situations where there is suspected malingering, a situation not infrequently encountered in the emergency department. University of California Irvine, Department of Emergency Medicine publishing Western Journal of Emergency Medicine 2020-05-18 /pmc/articles/PMC7434285/ /pubmed/32926667 http://dx.doi.org/10.5811/cpcem.2020.4.46449 Text en Copyright: © 2020 Hysell et al. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) License. See: http://creativecommons.org/licenses/by/4.0/
spellingShingle Astonishing Cases and Images in Emergency Medicine
Hysell, Matthew
Finch, Jennifer
McClendon, David E.
The Prisoner Who Cried Wolf, and Then Swallowed a Sprinkler Head
title The Prisoner Who Cried Wolf, and Then Swallowed a Sprinkler Head
title_full The Prisoner Who Cried Wolf, and Then Swallowed a Sprinkler Head
title_fullStr The Prisoner Who Cried Wolf, and Then Swallowed a Sprinkler Head
title_full_unstemmed The Prisoner Who Cried Wolf, and Then Swallowed a Sprinkler Head
title_short The Prisoner Who Cried Wolf, and Then Swallowed a Sprinkler Head
title_sort prisoner who cried wolf, and then swallowed a sprinkler head
topic Astonishing Cases and Images in Emergency Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7434285/
https://www.ncbi.nlm.nih.gov/pubmed/32926667
http://dx.doi.org/10.5811/cpcem.2020.4.46449
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