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  • Delayed Adverse Reaction to CAT scan contrast medium

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    Old 08-18-2007, 11:19 AM   #1
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    Unhappy Delayed Adverse Reaction to CAT scan contrast medium

    I am a 48 yo male. On Memorial Day 2007 I fell approximately 8-10 feet. I was unconscious for a while. When I awakened I realized my upper arm was broke and I suspected my ribs may be broke also. Once at the ER at a local hospital in Odessa, Texas the staff gave me tetanus vaccine shot, antibiotic and Demerol. X-ray confirmed the surgical head of the left humerus fracture. Initial recorded diagnosis we saw on paper was Joint Dislocation that was repaired in the ER. The recorded statement is false. The initial “specialist” felt it would heal ok with just the sling. Due to lies, bad bedside manners and overall poor initial treatment health care was sought elsewhere. We began seeing another very well bone/orthopedic group in Abilene, Texas. The x-rays showed an abnormal growth at the site of the break. A cat scan with and without medium was justifiably ordered. Almost 24 hours later I developed severe headaches, nausea, vomiting, profuse sweating, numbness in the lips and face, tachycardia, confusion, stupor, lethargic, extreme weakness as if cryptonite were around my neck, diarrhea, chest pain, tremors, shakes, chest rash, difficulty breathing as if I were being squeezed or crushed, dizziness, and I may have missed some other signs and symptoms.. The vomit taste as if I ate rust or some other type of metal. The great ER staff listened to what I had to say and due to their aggressive care I left the ER. This hospital is located south of Abilene towards Winter, Texas. W ether or not the contrast was the reason for the severe anaphylactic type shock is unclear. But the steroid of Solumedrol and the Benadryl turned me around. The next day I felt great. The following day I awaken with almost all of the same symptoms. Before sleep I did take the prescribed Lortab and Methylprednisolone with aspirin. Today on 08/17/2007 I am feeling the same as before except at present there is no tachycardia. Yesterday I really did not want to move or talk. By late evening until this am and present I really do not feel like moving very much. Currently I have severe pain at the break site with painful quivers and twitches at the arm pit. Could I have not only had an delayed adverse reaction to the contrast but now there is either a reaction to the meds due to a new hypersensitivity or the meds that helped have reduced their effectiveness and I need more Benadryl and Solumedrol? Could this also be the reason for any code blues on ventilated patients while receiving a CAT scan? Thank you.

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    Old 08-19-2007, 03:24 AM   #2
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    Re: Delayed Adverse Reaction to CAT scan contrast medium

    First a couple of questions...

    When was the CAT scan with contrast done? Why are you taking Lortab and methylprednisolone?

    Hopefully, you were warned that given your reaction to the contrast (Iodine), you should avoid shellfish. Have you had any shellfish lately?

    Old 08-19-2007, 11:41 AM   #3
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    Question Re: Delayed Adverse Reaction to CAT scan contrast medium

    The CAT scan was performed Tuesday this past week. In ER I was instructed to start the Methylprednisolone and the reason for the Lortab is for pain from the broken off head of my humerus (surgical head). Since the adverse reaction I have refrained from any meds until yesterday when I began aspirin which helped tremendously. Another fact is that in ER I had high pressure, atrial fib, tachycardia up to 175 beats per minute and numerous PVC's. I have not had shellfish but I did eat catfish which is completely without scales. Two days later I was well aware that my breathing patterns were of a Biot's or Kussmaul and Cheyne-Stokes which may be associated with several head traumas I have had in the past. It sounds hard to believe when I say I well aware of the type of breathing patterns that are occurring. Could this have contributed to another delayed reaction?

    Last edited by rlmarr; 08-19-2007 at 01:30 PM. Reason: breathing patterns

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