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