A 35-year-old male presented to the emergency room with a pencil penetrating his right cheek The pencil was self-inflicted
The patient had a psychiatric history but was otherwise healthy. The patient was informed of the risks and complications and consented to its removal. The extraoral and intraoral areas were prepped, local anesthetic infiltrated, the throat was protected with a gauze, and the pencil was removed. The wound was thoroughly irrigated and the small fragments of glossy yellow pencil coating in the area and within the wound track were removed. The wound was then closed in layers.
They don't use lead in pencils for years it graphite now
Extraction of the pencil possible lead poisoning iv stat something 4mgzoloft for nausea something for toxicity and I've vancomycin regular Motrin every four hours novacaine too numb area start extraction process and discharge papers return to er if access or fever over 101.farenheight and if nausea persists
