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A 14 year old girl with a history of developmental delay is brought into the ER after a car accident. She's stable, but mentions mild abdominal discomfort. As part of the trauma workup, an abdominal X-ray is taken, and it shows numerous radiopaque densities of varying sizes scattered throughout the colon and rectum. Take a look at the imaging and think it through before scrolling for the answer. What do you think is going on here, and what's the most likely diagnosis? Drop your thoughts in the c
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How to douche with a water bottle: Use a sealed bottle of room-temperature water. Cold water may cause cramping. Attach a clean, soft-tip nozzle. Apply lube to the tip to prevent scratching or tearing. Relax and take a few deep breaths. Gently squeeze a small amount of water into the rectum. Never use the whole bottle at once. Hold the water for five to ten seconds. Sit on the toilet and let it out. Keep the attachment clean and stored in a Ziploc bag when you’re on the go. #doctor #sexualhealth
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