ABSTRACT
Carbon monoxide (CO) is a non-irritating, colorless and odorless gas produced by the incomplete burning of carbon-containing fossil fuels. CO poisoning remains a leading cause of unintentional poisoning worldwide. During winters, accidental CO poisoning has been reported mostly due to incomplete burning of coal. Here, we report the case of a young female patient who presented with hypoxic brain injury due to CO poisoning while using gas geyser in bathroom. The diagnosis of CO poisoning was made on the basis of history, vital signs, blood gas, and MRI scan. The patient recovered well after high-flow normobaric oxygen therapy and showed significant resolution on follow up MRI. A high index of suspicion, early recognition of symptoms by emergency physicians followed by careful history taking can help in making a clinical diagnosis of CO toxicity.
ABSTRACT
Anorectal foreign bodies are rare but have shown a rising trend in recent times. Various kinds of a foreign object may be observed in the rectum, including sharp instruments which may pierce rectum, colon, or create visceral organ injuries. Most common presenting symptoms include abdominal, rectal pains and bleeding per rectum. Without proper history and examination, these foreign objects can easily be missed in the emergency department as these are still a matter of taboo especially in countries like India. We report a case of an elderly gentleman who presented to the emergency with bleeding per rectum and did not initially give a history of foreign body insertion