Wednesday, October 22, 2008

Morning Report Tapas




HoPingKong-isms

1. "....Did you go camping this summer in a tent..." referring to tenting, or peaked T waves seen on ECG in hyperkalemia. Take a look at this article for more info on ST and T wave changes in various medical conditions.


2. "....Your ankle bone is connected to your knee bone..." referring to Ancylostoma duodenalis, one of two common species of hookworms that infect humans (the other being Necator americanus). This is very common cause of anemia worldwide with an estimated 800 million people infected. Yes, the adjacent picture is of a hungry hookworm. How can you be angry at a punim like that? (if you don't know what 'punim' is come find me).

3. "...Be quick, give me the answer in a flash..." referring to flash pulmonary edema as seen in mitral stenosis. this may also be associated with acute myocardial infarctions, aortic or mitral regurgitation, and renal artery stenosis.

4. "...Anybody here wearing pants, or are you wearing trousers..." referring to Trousseau's Syndrome, a migratory thrombophlebitis typically seen with underlying malignancies and an associated hypercoaguable state.

5. "...You're lagging behind me..." referring to the lid lag, often seen in Graves Disease. Other features of Graves disease include lid retraction, acropachy, and pretibial myxedema. A great review article on Graves Disease Here

6. "...Think about how you make muffins, bread, and bagels..." referring to baking - a Bakers cyst. This was in reference to creating a differential diagnosis for unilateral leg swelling: deep vein thrombosis, cellulitis, chronic venous insufficiency, Achillies tendon rupture or gastrocnemius muscle injury, ruptured bakers cysts, and lymphatic obstrction (with the example of Filariasis - Wuchereria bancrofti)

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