A case of 40-yo female presented to the emergency department with with active bleeding. Wound measuring 18cm X 8cm and blood stained perioral area. The patient used a toeanil clipper to relocate her forearm, bitten and chewed through most structures of the anterior forearm compartment, including tendons, arteries and nerves. Mental health assessment revealed depression secondary to child abuse with recent multiple episodes of psychotic depression (DSM-V) treated with Adjuvant Psychological Therapy (APT). Investigations showed TSH of 194.6mIU/L confirming the background of uncontrolled hypothyroidism which is linked with the depression 
Slavshit
Sandshit
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When i tell u my jaw dropped when i saw that she chewed on it..
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