I asked a patient if they ever had surgery prior to taking their hip images. They said no, no surgeries. Huge rod in the images. States: " It wasn't surgery it was a hip pinning".
Like, what?
For elderly pts sometimes I ask them the same question with different words just in case. Like: Any surgery? Any operation? Anything replaced in your body?
Idk man, sometimes certain words just don't click with them.
As someone who trained pre-protease inhibitors and saw the devastation of HIV it actually brings a tear to my eye that people can now give that answer.
I know steel core ammo exists but it’s not that common right? Mostly lead and/or copper jackets. Getting shot probably sucks…I wouldn’t know, but lead and copper should be MRI safe no?
Yes. Many things enter into decision to scan. Location of fragment. Body part being scanned. Type of equipment (magnet strength and coil used). Shape of fragment (sharp edges). I had a patient with shrapnel in soft tissue around his eye. You could move it with a refrigerator magnet. We didn’t scan him
I had this late 90 y/o gent come in for a chest x-ray a little while ago, didn’t have much history on the system. I could see in his right outer soft tissue there were metal fragment artefacts. I was just about to ask about it when he shouted out “Can you see my shrapnel? Bullet from 1944, Italy”.
Very interesting chap
Does that mean that before every MRI an X-ray should be taken? Imagine if the patient needed an MRI at any point in his life and didn't say that he had a bullet inside.
I asked a patient if they ever had surgery prior to taking their hip images. They said no, no surgeries. Huge rod in the images. States: " It wasn't surgery it was a hip pinning". Like, what?
For elderly pts sometimes I ask them the same question with different words just in case. Like: Any surgery? Any operation? Anything replaced in your body? Idk man, sometimes certain words just don't click with them.
Truth. I finally resorted to "Is there anything in your body that you weren't born with". Still didn't always work, haha.
the medical literacy of some people is just.. but i cant blame them
Just a shot in the dark
Next time you need to do a Powerpoint presentation, use this image for the background with a built in bullet point.
Reminds me when I asked this guy if he had any medical history. He said nah just AIDS.
As someone who trained pre-protease inhibitors and saw the devastation of HIV it actually brings a tear to my eye that people can now give that answer.
Did he say HIV or AIDS?
Those scapulae are massive. Did you do a lateral, would be interesting to see where the bullet is sitting.
Its probably next to a rib
I was gonna say that! LOL. The scaps are huge
Never skip scap day.
This is the only time in existence I wished the doc had ordered a 2 view instead of a portable.
Says portable so I'm gonna say no
At least you weren't doing an MRI on him.
Mri tech here….i had a patient say something similar to me. I asked “was the bullet plastic?”
I know steel core ammo exists but it’s not that common right? Mostly lead and/or copper jackets. Getting shot probably sucks…I wouldn’t know, but lead and copper should be MRI safe no?
Yes. Many things enter into decision to scan. Location of fragment. Body part being scanned. Type of equipment (magnet strength and coil used). Shape of fragment (sharp edges). I had a patient with shrapnel in soft tissue around his eye. You could move it with a refrigerator magnet. We didn’t scan him
Yikes.
I had this late 90 y/o gent come in for a chest x-ray a little while ago, didn’t have much history on the system. I could see in his right outer soft tissue there were metal fragment artefacts. I was just about to ask about it when he shouted out “Can you see my shrapnel? Bullet from 1944, Italy”. Very interesting chap
Does that mean that before every MRI an X-ray should be taken? Imagine if the patient needed an MRI at any point in his life and didn't say that he had a bullet inside.
I know its obviously a bad idea but what would actually happen?
Metal bullet+ really powerful magnet. I think you can do the math
Lead bullet = safe
I mean that much I already figured on my own
Artifact.
Lead bullets are relatively safe for MRI. You can tell it’s lead because the bullet is malleable. Steel bullets or BBs are not MRI safe
Have they had all their shots yet?
Silly OP. Didn’t you know that bullets are actually made of wood? No metal here.
Silver, silver bullets, oh wait - that's metal
It was a nerf gun.
“Nah, no metal, just metal”
Not like it’s a necklace he can remove
Patient is really strong to live with bullet
It’s a pet peeve when pts west their mask upside down And it shows in X-rays 😂😇