Friday, June 27, 2008

Typical Case

You are finishing up your family medicine rotation and feeling good about all the typical cases: allergies, URIs, UTIs, asthma, hypertension, diabetes, obesity... Confident you can handle anything, you meet the last patient of the day.

He is a hunter who says that he has nausea, vomiting, vertigo, blurry vision, drowsiness, and malaise following a trip to the Arctic Ocean where he hunted and ate the animal shown above.

Challenge: You must have learned this one in medical school. What's the obvious diagnosis here?

Image is in the public domain.


tree said...

Hypervitaminosis A

Alex said...

there's the classic polar bear liver - hypervitaminosis A thing. but the symptoms don't match. did he get stung by a scorpion and get pancreatitis?

Craig said...

The symptoms are the ones I found in UpToDate - is there anything I missed or shouldn't be there?
Typical Case

According to Wikipedia, the Inuit knew not to eat polar bear liver because of its toxic high levels of vitamin A. This is the presentation of vitamin A toxicity.

Sources: UpToDate; Wikipedia.