Remember 1897?

You are on a cruise ship well-known for its crazy seafood buffets. When passengers start getting sick, a call for, "Is there a doctor on board?" rouses you. Alas, you seem to be working every vacation. At first, you think this is just a viral GI bug because the passengers complain of diarrhea and abdominal cramps. But what's more remarkable is that this is followed by headache, memory loss, and disorientation. In severe cases, you note diminished reflexes, ophthalmoplegia, coma. One person is sent to shore because he needs an intensive care unit.

Challenge: What's the cause of this?

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Slides

Back to basics! I pulled out Robbins ad Cotran for this one.

Challenge: This is the buzzword for which diseases?

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Misleading

Challenge: What's the problem here?

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Big Cat

This adolescent girl started developing these spots during infancy and early childhood. They mostly involve the face, upper trunk, and neck. These were expected since she has some characteristic facial features of a particular syndrome, with abnormally wide set eyes, deafness, and growth retardation. Her astute pediatrician checked an EKG and found conduction abnormalities. A subsequent echocardiogram showed pulmonic stenosis.

Challenge: What's this autosomal dominant disease?

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Matchmaker

Challenge: What are we looking at here?

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Kaleidoscope

Sorry I missed Monday's case of the day! It's been really busy!

Here's a procedure I've never heard about!

It is performed several weeks after a traumatic injury to the eye to look for angle recession or a cyclodialysis cleft.

Challenge: What are we doing here?

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Encapsulated

This woman worries because she feels a painless discrete lump in her left breast. The mammogram is shown above.

Challenge: Luckily, the disease is benign. What is the most likely etiology?

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Challenge

The rash shown in the first image disappears after a few months. The third leg of the triad is a polyarthritis that can last for a couple years. This disease is usually self-limiting.

Challenge: What's the syndrome and what's the underlying disease?

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