Edited by Michael Puisis, with eight others. 375 pp. St. Louis, Mosby, 1998. $86. ISBN 0-8151-2704-9.
Not long after I started working at the prison in Walpole, Massachusetts,a patient came to my office during sick call and breezily announcedthat he had just swallowed 37 Tylenol tablets. He declined ipecac,stating almost as an afterthought, "Oh yeah, and I swalloweda razor." After we had administered acetylcysteine, a bloodtest failed to detect acetaminophen, but a radiograph showedthe presence of a razor blade in his epigastrium and also anail clipper, apparently in his rectum. A day or two later,the patient reported difficulty urinating, and my examinationverified his claim that the nail . . . [Full Text of this Article]
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