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Post by Kuat on Feb 6, 2007 16:10:20 GMT -8
After a convo with Mura, I thought I'd ask you guys some, er, "Medical Riddles".
I had a few interesting cases in the ER today, and I wanted to share them with you guys. When presented with the cases, my fellow students created a laundry list of scenarios, and only after some prodding and hints produced the 'correct' answer. I'm curious in general as to how people would approach these questions and answer them.
1.) Someone comes in with a chronic cough. When they go under a routine physical, they have absent heart sounds (heart sounds are listened to on the left), the right lung sounds muffled, and the liver cannot be felt (the liver is felt for on the right). What is one reason they have those findings on the physical?
2.) If someone has Parkinson's (they twitch alot essentially) with superimposed seizures (you know that drill), what complication do you think would arise that is directly caused by the action of both occuring at the same time? This complication can result in a fatality.
I wonder how y'all will do. It may prove a point about overthinking problems as well, heh. IMHO they answers are intuitive and you don't need medical training or familiarity to answer them.
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Post by Dex on Feb 7, 2007 17:29:28 GMT -8
1.) The liver is in their chest? 2.) Someone thinks they're just normally twitching from the Parkinson's when they're actually having a seizure?
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Post by You probably can't touch this. on Feb 7, 2007 19:44:03 GMT -8
1) The patent failed to offer a decent tribute to the moon god Nombulaque. 2) Head explodes? Yeah, his head explodes.
Jokes aside, I like Shane's answers.
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Post by Muramasa on Feb 8, 2007 0:11:51 GMT -8
You can't take Shane's answers. Without his permission, that's stealing.
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Post by Lady V on Feb 8, 2007 9:23:23 GMT -8
1.) Scenario A- Perhaps he fell asleep at a party. The partiers took the liver and heart and sold them but gave him crappy replacements. So they are so crappy that they can't find them. Scenario B- He fell asleep upside down for a week and caught a cold.
2.) What if he was forced into a seizure somehow. Whenever I see Andrew sneezing it looks like it could initiate a seizure.
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Post by Kuat on Feb 8, 2007 9:29:11 GMT -8
1.) The liver is in their chest? 2.) Someone thinks they're just normally twitching from the Parkinson's when they're actually having a seizure? 1.) Interesting idea. Not close, but on the right track about it being an anatomical abnormality. 2.) That did happen, and is a risk, but the complication is a process, such as, say, the complication from a stab wound is bleeding.
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Post by Dis on Feb 8, 2007 19:14:31 GMT -8
1) Maybe some people are born with their internal organs backwards? Or maybe the guy's a zombie... hmm.. OR maybe he's just plain missing organs? Somebody stole them? I know I'm missing an organ, but at least I've got a pipe in my room. Now I just need to find the other pipes and connect them together... Hey I dunno if this should go in the youtube thread but I think it's appropriate for what we're talking about: youtube.com/watch?v=BFP0q4qzGw4
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Post by Muramasa on Feb 8, 2007 23:22:30 GMT -8
Heh, not bad.
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Post by Lady V on Feb 13, 2007 10:53:30 GMT -8
Are you going to post the answers Kuat?
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Post by Muramasa on Feb 13, 2007 11:24:27 GMT -8
NevAR! You will never know the true answers now! MUWHAHAHAHAHAHAHAHAHA!!!11
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Post by Kuat on Feb 14, 2007 22:25:45 GMT -8
1.) "Mirrored" organs. Liver on the left, heart on the right. Cough can be related to it because it can stem from a cilia mutation, which would interfere with lung clearance. No treatment.
2.) When you're cold, what do you do? You shiver. The work of the muscles has some energy loss due to both friction and the process of contraction itself. Muscles can generate heat when you need it, and in this case, when you don't need it. All the constant twitching caused the man to have a fever of 106, and rising. You start to get organ damage at that point. Treated by simply putting him in a tub of ice.
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Post by You probably can't touch this. on Feb 14, 2007 22:27:55 GMT -8
Aw, I was just about to say those.
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Post by Kuat on Feb 14, 2007 22:33:55 GMT -8
Aw, I was just about to say those. You know what I have to say about that? ... ... ... Reganomics.
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Post by You probably can't touch this. on Feb 14, 2007 22:36:25 GMT -8
God, that face. I could stare at it for hours.
Hours.
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Post by The Dankness on Feb 15, 2007 12:45:17 GMT -8
IMHO they answers are intuitive and you don't need medical training or familiarity to answer them. 2.) When you're cold, what do you do? You shiver. The work of the muscles has some energy loss due to both friction and the process of contraction itself. Muscles can generate heat when you need it, and in this case, when you don't need it. All the constant twitching caused the man to have a fever of 106, and rising. You start to get organ damage at that point. Treated by simply putting him in a tub of ice. That's stretchin' it, doc.
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Post by You probably can't touch this. on Feb 15, 2007 20:34:43 GMT -8
Then again, musical needs an illustrated diagram to help him tie his own shoes.
OOOOOOOOOOO, did I just go there? Yeah, I think I did.
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Post by Kuat on Feb 16, 2007 7:28:11 GMT -8
IMHO they answers are intuitive and you don't need medical training or familiarity to answer them. 2.) When you're cold, what do you do? You shiver. The work of the muscles has some energy loss due to both friction and the process of contraction itself. Muscles can generate heat when you need it, and in this case, when you don't need it. All the constant twitching caused the man to have a fever of 106, and rising. You start to get organ damage at that point. Treated by simply putting him in a tub of ice. That's stretchin' it, doc. See: lordkuat.proboards34.com/index.cgi?action=display&board=general&thread=1125858856&page=59#1171568784I forgot that in Cali there is no cold, and you've probably never shivered in your life. That and googly makes an excellent point.
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