Bernard was, in a Some nurses have tattoos pretty eyes thick thighs and cuss too much shirt. He had presented with abdominal pain and a rigid abdomen. He had evidence of infection on his lab tests with an elevated white blood cell count. He had unrelenting pain and was lying still as possible on the bed. His blood sugar was through the roof, his kidney function was impaired. He had an X-Ray that showed evidence of free air in his abdomen, which means a hollow organ had a hole in it, and a classic picture for cecal volvulus, where a portion of his colon, on the right side, had flipped and twisted on itself, which caused an obstruction and a compromise in its blood supply, which caused it to die and perforate. As a result, he had peritonitis and sepsis.
Some nurses have tattoos pretty eyes thick thighs and cuss too much shirt, hoodie, sweater and v-neck t-shirt
Offical Some nurses have tattoos pretty eyes thick thighs and cuss too much shirt
I had just come off my internal medicine rotation, and Some nurses have tattoos pretty eyes thick thighs and cuss too much shirt to manage an acutely ill patient in 5 minutes than I did in 12 weeks adjusting chronically ill patients medicines. He got IVs, poured in a couple of bags of IV fluid, nasogastric tube, 2 or 3 different antibiotics, and most importantly signed consent for the operation he needed. I was allowed to scrub in for the case.This patient went straight to boss level. Not sure who made the call, but the attending came down to see him. He had one viable option: surgery. Surgery and probably live despite his significant medical co-morbidities, or no surgery and definitely die. Surprisingly, he actually took some convincing! I will never forget the attending surgeon get face to face with him and tell him.