Friday, June 23, 2006

12-Journal Club #2: I may have tried it during college, but i *did not* inhale

Exam over. If anyone has taken the USMLE Step 1 then...well...don't. I would much rather have had a month of daily colonoscopies. And they would have still seemed like a luxury cruise in comparison to the never-ending hell that is the 8 hour exam. And it has Biochemistry in it. All those dehydrogenases and carboxylases. Just makes you want to go phosphorylate yourself.

Anyways...another contribution from Jen, my exclusive insider source from deep within the US. What with the Vatican relaxing their rules, and the global burden of AIDS and stuff, this week's article has an even more serious public health message than last time. Let's see you if you can guess the missing word...

"Accidental ?????? inhalation"
Arya CL, Gupta R & Arora VK. Indian J Chest Dis Allied Sci 2004;46:55-58

Let's set the scene:

"A 27-year-old lady presented with persistent cough, sputum and fever for the preceeding 6-months. Inspite of trials with antibiotics and anti-tuberculosis treatment for the preceeding 4-months, her symptoms did not improve."

OK. Any thoughts?

"A rigid bronchoscopy was then performed & the object was easily removed with biopsy forceps, though, it tore into pieces during procedure. The pieces were identified as being those of a ‘condom’."

For those of you that thought it was infact a rather large nut, you weren't far off.

"Retrospectively, both the husband and wife accepted to having undergone a fellatio. They could recollect that the condom had loosened during the act, and at that time, the lady had also experienced an episode of sneezing or coughing."

Now I'm not quite sure if 'a fellatio' is any different to 'fellatio', but either way, make sure you ladies dose up on strong anti-histamines before. Sneezing appears to be a bit of a boo-boo. In addition:

"The possibility of seminal aspiration also taking place simultaneously may not be ruled out. Perhaps, the young lady in our case was also quite apprehensive
about fellatio, a fact, that could have played a part in the condom inhalation."

Stage-fright or over-enthusiasm? You kids take care now. There is a very important lesson to be learnt here. And I think we all know what that is.

Anyone for strawberries?

18 Comments:

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And yet, the rewards are great. Enough that such stories will ever be told. You're aware, I'll assume, of one of the somewhat uncommon, but reported, causes of subdiaphragmatic air? If not, just imagine the happy couple in reciprocating mode.

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