so you think you could be an MD?
 

always see people posting various ailments, illnesses, and diseases they think they might have. here are a few clinical case scenarios for you medical detectives out there.

1 - A 4-year-old boy presents with a five-day history of fever and rash. He has received acetaminophen and amoxicillin without improvement. He is very irritable with a temperature of 103.6� F, bilateral non-purulent conjunctivitis, enlarged cervical nodes, puffy hands, and a maculopapular rash. How would you evaluate and manage this patient?

2 - An eight-year-old female presents with abdominal pain, pruritic lesions on the buttocks and lower extremities, and joint swelling. What is your differential diagnosis? How would you evaluate this patient?

3 - A six-year-old boy presents with pallor and irritability following a week of abdominal pain and blood tinged diarrheal stools. What would you be most concerned about? How would you evaluate and manage this patient?

Re: so you think you could be an MD?
 

they all have AIDS

Re: so you think you could be an MD?
 

Amputate. All three of them.

Re: so you think you could be an MD?
 

What is this, USMLE Step 3?

That reminds me, I gotta start studying for that. Damn ophthalmology, I forgot all my internal medicine stuff over the last 3 years.

Re: so you think you could be an MD?
 

1. It's too late for him now. Euthanasia.

2. This girl has been abused and needs to be moved into foster care.

3. This boy is abusing performance enhancing drugs, most likely anabolic steroids. This is important, because he is probably quick with the punching, and very strong of course. So, security must be called to restrain him. Then, get him into counselling so he can return after his suspension.

Re: so you think you could be an MD?
 

7- theyre vignettes for a 3rd yr peds rotations

others- great responses so far, keep em comin

Re: so you think you could be an MD?
 

For each patient:


Are they stable or unstable? What are their vitals?

What are their past medical histories? What medications are they on?

What is the history of present illness? (i.e. describe the events, signs, and symptoms that have led to the patient's presentation today ...)

We'll also need complete 'Review of Systems' from head to toe.

Are there any illnesses that run in the family?


Adam

Re: so you think you could be an MD?
 

1.) Have his mother blow me.

2.) Anal with her mom.

3.) Anal with his mom.

Re: so you think you could be an MD?
 

Adam- there is no add'l info to be offered. pts are stable, the main issues and pertinent +'s and -'s are in the 2-liner.

Beer$- not worried that any of these kids could be suffering from an STD passed on by mom? just be sure to dbl-bag it at least

Re: so you think you could be an MD?
 

DoubleDown,

You can't get STDs from anal.

Expertly yours,
Mason Hellmuth

Re: so you think you could be an MD?
 

Expert,

maybe my sarcasm filter is malfunctioning, but ummmmm... yes, you can.

unexpertly yours,
DD

Re: so you think you could be an MD?
 

I think they are all candidates for post-third trimester abortion.

PS: I never thought I could be an MD...you proved me wrong. I know this prognosis is correct.

Re: so you think you could be an MD?
 

[ QUOTE ]

2 - An eight-year-old female presents with abdominal pain, pruritic lesions on the buttocks

[/ QUOTE ]

That's so hot.

Re: so you think you could be an MD?
 

1. Sounds like he has measles. So isolate him, vaccinate anyone he's been in contact with that's never had it, and manage his symptoms.

2. Rheumatic fever? The joint swelling made me think that right away but I'd need way more info to make that determination. Either you left out a bunch of symptoms or I am completely off base here. I would ask if the child had a sore throat within the past month or so at least...

3. This is not nearly enough information. You basically just try and get him hydrated and treat his symptoms to maybe get some nutrients in his body. Take a history to try and find out what caused this (like have you been out of the country, etc). That will give you a better idea where to start looking (parasite, virus, etc). The blood in the stool means it's reasonably serious, but that's about all you can get from that info. Need to run some blood tests and take a stool sample to know where the blood is coming from and how much he is losing.

Re: so you think you could be an MD?
 

[ QUOTE ]


1 - A 4-year-old boy presents with a five-day history of fever and rash. He has received acetaminophen and amoxicillin without improvement. He is very irritable with a temperature of 103.6� F, bilateral non-purulent conjunctivitis, enlarged cervical nodes, puffy hands, and a maculopapular rash. How would you evaluate and manage this patient?



[/ QUOTE ]

This kid has sequelae of an accident, probably hit by a Kawasaki.

X

Re: so you think you could be an MD?
 

Alright my last post was in jest. The first kid looks like he has kawasaki disease although he's a little old for it.

Re: so you think you could be an MD?
 

damnit you're right i just ignored the swollen hands [img]/images/graemlins/smile.gif[/img].

Re: so you think you could be an MD?
 

Number 2's got Henoch-Schonlein Purpura.

Re: so you think you could be an MD?
 

Number 3 looks like colitis caused by E. Coli poisoning. Clean up the house dammit.

Re: so you think you could be an MD?
 

X: nice work on #1

Re: so you think you could be an MD?
 

clearly, the diagnosis is that the OP is a moron.

Re: so you think you could be an MD?
 

If you think you are so smart, diagonis this dandy:

A 22 year old male comes into the hospital. His stomach is killing him and he hasn't taken a sh.it in a week. His stomach is also starting to sweel a little bit.
What your diagnosis doc?

Re: so you think you could be an MD?
 

Looking for a little free medical advice?

Re: so you think you could be an MD?
 

gar- he doesnt need free med advice. he's a canuck - he gets free med CARE

Re: so you think you could be an MD?
 

yeah as long as its not teeth or eyes...so how'd I do on number 2 and 3?

Re: so you think you could be an MD?
 

1 - Not too old for Kawasaki's Disease, 80% are less than age 5. Recommend therapy with IVIG, and high dose aspirin. This will decrease the incidence of corronary artery dilation and aneurysm formation.

Swede

Re: so you think you could be an MD?
 

I thought it was two...oh well...

Re: so you think you could be an MD?
 

1. shark attack
2. glaucoma
3. homosexuality

how did i do?

Re: so you think you could be an MD?
 

2 - Probably Henoch-Schönlein purpura. Would want to see a UA looking for gross hematuria, since this causes IgA deposition in the kidneys, as well as the rash, abdominal pain and arthritis described in the case.

Swede

Re: so you think you could be an MD?
 

[ QUOTE ]
If you think you are so smart, diagonis this dandy:

A 22 year old male comes into the hospital. His stomach is killing him and he hasn't taken a sh.it in a week. His stomach is also starting to sweel a little bit.
What your diagnosis doc?

[/ QUOTE ]

To much butter.

Re: so you think you could be an MD?
 

Here's one for you. A 16 year old boy comes in at 3am with a dog bite to his genitals. What's your move, hotshot?

<font color="white"> I was in a hospital emergency room, and there really was a kid in there who this happened to. </font>

Re: so you think you could be an MD?
 

Shoot the hostage

Re: so you think you could be an MD?
 

booooo, i don't like pediatrics

Re: so you think you could be an MD?
 

[ QUOTE ]
Here's one for you. A 16 year old boy comes in at 3am with a dog bite to his genitals. What's your move, hotshot?

[/ QUOTE ]

Take away his peanut butter.

Re: so you think you could be an MD?
 

This thread desperately needs a House gimmick account.

Re: so you think you could be an MD?
 

russ,
when people ask for gimmick accounts they always end up sucking

Re: so you think you could be an MD?
 

But House can answer all the questions and insult you at the same time. It can't miss!

Re: so you think you could be an MD?
 

[ QUOTE ]
1 - A 4-year-old boy presents...

2 - An eight-year-old female presents...

3 - A six-year-old boy presents...

[/ QUOTE ]

http://www.smh.com.au/ffximage/2005/...b__200x272.jpg


"Do an MRI."

Re: so you think you could be an MD?
 

[ QUOTE ]
1 - A 4-year-old boy presents with a five-day history of fever and rash. He has received acetaminophen and amoxicillin without improvement. He is very irritable with a temperature of 103.6� F, bilateral non-purulent conjunctivitis, enlarged cervical nodes, puffy hands, and a maculopapular rash. How would you evaluate and manage this patient?

[/ QUOTE ]

Robitussin

[ QUOTE ]
2 - An eight-year-old female presents with abdominal pain, pruritic lesions on the buttocks and lower extremities, and joint swelling. What is your differential diagnosis? How would you evaluate this patient?

[/ QUOTE ]

Robitussin

[ QUOTE ]
3 - A six-year-old boy presents with pallor and irritability following a week of abdominal pain and blood tinged diarrheal stools. What would you be most concerned about? How would you evaluate and manage this patient?

[/ QUOTE ]

Anal probe with Robitussin

Re: so you think you could be an MD?
 

[ QUOTE ]
If you think you are so smart, diagonis this dandy:

A 22 year old male comes into the hospital. His stomach is killing him and he hasn't taken a sh.it in a week. His stomach is also starting to sweel a little bit.
What your diagnosis doc?

[/ QUOTE ]

I'd tell him to take a sh!t.