I received an 85 year old patient with vaginal bleeding.... Just hearing the motive for consultation, the diagnostic hypothesis was serious; a gynecological cancer.
A vaginal evaluation at speculum showed at first a black mass on the vaginal mucous membrane. When evaluating the consistency of this mass, I could see that it was an animal firmly attached to the vaginal wall by two suction cups...
After extracting this water worm called leech, the patient suffered continuous bleeding from an anticoagulant substance called hirudine... whose animal injected into the lady's blood circulation.
NB.. You must be careful before diving into a stream because the leech can enter any hole of the body (nostrils, vagina) and above all protect your children.
Credit: Better NURSE.
A vaginal evaluation at speculum showed at first a black mass on the vaginal mucous membrane. When evaluating the consistency of this mass, I could see that it was an animal firmly attached to the vaginal wall by two suction cups...
After extracting this water worm called leech, the patient suffered continuous bleeding from an anticoagulant substance called hirudine... whose animal injected into the lady's blood circulation.
NB.. You must be careful before diving into a stream because the leech can enter any hole of the body (nostrils, vagina) and above all protect your children.
Credit: Better NURSE.
I received an 85 year old patient with vaginal bleeding.... Just hearing the motive for consultation, the diagnostic hypothesis was serious; a gynecological cancer.
A vaginal evaluation at speculum showed at first a black mass on the vaginal mucous membrane. When evaluating the consistency of this mass, I could see that it was an animal firmly attached to the vaginal wall by two suction cups...
After extracting this water worm called leech, the patient suffered continuous bleeding from an anticoagulant substance called hirudine... whose animal injected into the lady's blood circulation.
NB.. You must be careful before diving into a stream because the leech can enter any hole of the body (nostrils, vagina) and above all protect your children.
Credit: Better NURSE.
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