
This is OK for new residents but after being an ER nurse for 20 years I have stories oh so many stories that could curl your hair or make you vomit. True Story: I was working triage a few years ago when this middle aged man checked into the ER with the complaint "my penis turned orange'. Kid you not, this dude had to be drunk and high but did not seem that way so obviously you start the triage process bp/pulse/pulse oximetry and the questions.
1. start with the complaint: When did you notice that your penis turned orange? Oh tonight.
2. How long ago did this happen? about 2 hours ago
3. Is there pain, swelling, or discomfort? No pain, no discomfort, there is some swelling.
4. What were you doing when this occurred? I was eating Cheeto's and watching porn.
It was really difficult not to laugh or give him the Darwin award for the year! So when I brought him back to the room closed the door and put the chart in the rack for the physician to see. She asked what was wrong with him and that she needed a male escort to examine his complaint. I just couldn't resist so I said " He has an acute case of cheetosis".
Or when I had this poor, Older woman with the complaint of Vaginal discharge.
So I ask what the problem is this evening and she starts describing in detail the consistency, color, odor of this discharge but her primary reason for coming in was that it was in her words" It was itch-en, and itch-en, and itch-en so bad that I took my top plate out to scratch it, it is so bad." I said OK and happen to notice after she said top plate that she had both sets of dentures in her mouth. I kept cool and collected even though a little vomit came up to the back of my throat because I couldn't keep from staring at her teeth and looking for a hair.
