Joey: Pica, Foreign Body Ingestion, Perforated Abdomen, and Knee Injury

Joey first looks like a knee-injury patient after a car accident. The dangerous problem is that he is eating non-food items, which leads to digestive-tract injury and surgery.

Joey is documented in the episode medical notes with diagnosis: Shattered kneecap, Perforated abdomen, Pica. Treatment listed for the case includes Splinting, Surgery, Psych consult. *Diagnosis: **Shattered kneecap **Perforated abdomen **Pica *Doctors: **Richard Webber (general surgeon) **Callie Torres (orthopedic surgery resident) **Miranda Bailey (surgical resident) **Alex Karev (surgical resident) **Pierce Halley (surgical intern) **Laura (surgical intern) *Treatment: **Splinting **Surgery **Psych consult Joey, 45, was brought into the ER after being in a car accident. He had injured his knee. They gave him pain meds and took an x-ray. He didn't need surgery for his knee, but it was splinted. They later noticed that he was eating multiple non-food items. He had to be rushed into surgery to remove the non-food items from his digestive tract. They determined that he had pica, the impulse to eat non-food items. After his surgery, they got him a psych consult.

Pica, Foreign Body Ingestion, Perforated Abdomen, and Knee Injury

A real team would assess trauma injuries, image the knee, evaluate abdominal pain and foreign body ingestion, use x-ray or CT when perforation is suspected, check infection labs, and assess pica triggers or toxic exposures.

Management may include splinting, surgery for perforation or dangerous foreign bodies, infection monitoring, psychiatric consultation, and follow-up to reduce recurrence.