Monday, August 31, 2015

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?

Image is in the public domain.

Thursday, August 27, 2015


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

Challenge: This is the buzzword for which diseases?

Image is in the public domain.

Monday, August 24, 2015


Challenge: What's the problem here?

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Thursday, August 20, 2015

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?

Image shown under Fair Use.

Monday, August 17, 2015


Challenge: What are we looking at here?

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Thursday, August 13, 2015


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?

Image shown under Fair Use.

Thursday, August 6, 2015


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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Monday, August 3, 2015


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?

Both images shown under Fair Use.