you may already know of my aversion to the proffered envelope or other item in the exam room (sure to contain something gross). so when my patient reached into her purse and pulled out a sealed envelope, i
i bravely pulled on my gloves and set out a drape to catch the worms. i carefully unsealed the envelope and shook the contents out onto the drape. oh, dear.
which of these things is a pinworm?
a) a down feather
b) a piece of a pretzel stick
c) the stem from a grape
answer: d) none of the above
what is this woman's diagnosis?
answer: sadly, hallucinations related to her underlying dementia.