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	<title>John Schrom &#187; Case Study</title>
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	<link>http://john.mn</link>
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		<title>Don&#8217;t Eat the Gravy!</title>
		<link>http://john.mn/2010/04/dont-eat-the-gravy/</link>
		<comments>http://john.mn/2010/04/dont-eat-the-gravy/#comments</comments>
		<pubDate>Mon, 05 Apr 2010 01:25:10 +0000</pubDate>
		<dc:creator>john</dc:creator>
				<category><![CDATA[Health]]></category>
		<category><![CDATA[Case Study]]></category>
		<category><![CDATA[hand washing]]></category>
		<category><![CDATA[Infectious Disease]]></category>

		<guid isPermaLink="false">http://blog.johnschrom.com/?p=139</guid>
		<description><![CDATA[There was a recent outbreak of Salmonella subspecies IV among attendees of a scout troupe potluck in Minnesota. Human cases of Salmonella are normally caused by subspecies I&#8230; this type is typically associated with contact with reptiles. This led the investigators to the home of the potluck&#8217;s gravy-preparer: She reported having two pet bearded dragons [...]]]></description>
			<content:encoded><![CDATA[<p>There was a recent outbreak of <a href="http://www.textbookofbacteriology.net/salmonella.html"><i>Salmonella</i> subspecies IV</a> among attendees of a scout troupe potluck in Minnesota.  Human cases of <i>Salmonella</i> are normally caused by subspecies I&#8230; this type is typically associated with contact with reptiles.</p>
<p>This <a href="http://www.health.state.mn.us/divs/idepc/newsletters/bugbytes/1002bb.html#1">led the investigators</a> to the home of the potluck&#8217;s gravy-preparer:<br />
<blockquote>She reported having two pet bearded dragons at home. The gravy was never brought to a boil and drippings were added over several days. We visited her home and took environmental swabs. We found multiple swabs positive for Salmonella Labada, a rare serotype, including inside and outside the dragons’ terrarium, a dragon’s stool sample, a cloacal swab from a dragon (a fun activity!), bathroom sink, and kitchen sink.</p></blockquote>
<p>I don&#8217;t really have anything else to say about this, other than it struck me as oddly funny.</p>
<p>Regardless, the moral of the story is don&#8217;t let your <a href="http://www.the-lizard-lounge.com/content/gallery/lizard-pictures/bearded-dragon-pictures/bearded-dragon-02.jpg">bearded dragons</a> roam your kitchen countertop while you leisurely prepare mashed potatoes and gravy.  Oh, and you should probably wash your hands too.  </p>
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		<title>Grand Rounds</title>
		<link>http://john.mn/2010/01/grand-rounds/</link>
		<comments>http://john.mn/2010/01/grand-rounds/#comments</comments>
		<pubDate>Sat, 16 Jan 2010 06:06:22 +0000</pubDate>
		<dc:creator>john</dc:creator>
				<category><![CDATA[Health]]></category>
		<category><![CDATA[Case Study]]></category>
		<category><![CDATA[Colon]]></category>

		<guid isPermaLink="false">http://blog.johnschrom.com/?p=12</guid>
		<description><![CDATA[You&#8217;re looking at an x-ray of the abdominal area, and there&#8217;s something in there that shouldn&#8217;t be&#8230;can you guess what it is? I found this in a journal (Surgical Rounds) that we get at work. It details a case of an 85 year old man who showed up in the ER complaining of acute abdominal [...]]]></description>
			<content:encoded><![CDATA[<p><img src="http://www.hcplive.com/issues/images/2007-12/2007-12_06-01.jpg" alt="Abdominal x-ray" /></p>
<p>You&#8217;re looking at an x-ray of the abdominal area, and there&#8217;s something in there that shouldn&#8217;t be&#8230;can you guess what it is?</p>
<p>I found this in a journal (<a onclick="javascript:pageTracker._trackPageview('/outgoing/www.surgicalroundsonline.com');"  href="http://www.surgicalroundsonline.com">Surgical Rounds</a>) that we get at work.  It details a case of an 85 year old man who showed up in the ER complaining of acute abdominal pain.  They ended up taking a look, and finding a <a onclick="javascript:pageTracker._trackPageview('/outgoing/en.wikipedia.org/wiki/Perforated_colon');"  href="http://en.wikipedia.org/wiki/Perforated_colon">perforated colon</a>.  No explanation.  They stitch him up, and he shows up again about 2 years later.  This time, there&#8217;s a &#8220;bar of soap&#8221; stuck up there (the patient says it helps with his impacted stools).   They could feel it when they push around on his tummy, and so they took that x-ray.  Turns out, it wasn&#8217;t a bar of soap.</p>
<p>I don&#8217;t want to ruin the surprise.  Feel free to guess, or if that&#8217;s too much work, you can <a onclick="javascript:pageTracker._trackPageview('/outgoing/www.surgicalroundsonline.com/issues/articles/2007-12_06.asp');"  href="http://www.surgicalroundsonline.com/issues/articles/2007-12_06.asp">read</a> the case report (and other information about perforated colons and sexual activity).</p>
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