Can you please make a post with some of the most interesting cases youâve had? In whatever way you interpret that. I really love reading the unexpected or rare or shocking cases; I think theyâre so fascinating!
Youâre lucky I keep a file of interesting stuff. Here goes (I definitely have posts in the archive about some of these things):
Genetic: Marfan Syndrome, Type 1 Ehlerâs Danlos, Mayer-Rokitansky-Kuster-Hauser (MĂźllerian agenesis) syndrome, Treacher-Collins Syndrome, Turner Syndrome, Osteogenesis Imperfecta, Rett Syndrome, Huntingtonâs disease, Apert Syndrome, Neurofibromatosis, Tuberous Sclerosis, Cornelia de Lange Syndrome
Neuro: Too much ALS, Progressive Supranuclear Palsy, Chronic Immune Demyelinating Polyneuropathy, a bilateral occipital stroke causing complete blindness (pretty rare), Guillain-BarrĂŠ syndrome, Lennox-Gastaut Syndrome, Wernicke-Korsakoff Syndrome, Reflex Sympathetic Dystrophy as a late sequella of venomous snakebite
Heme-Onc: Bilateral Wilms Tumors, an intra-aorta tumor, Retinal Metastases of Breast cancer, Carcinoid Syndrome, Paraneoplastic Parkinsonâs from Small cell lung cancer, hemophilia, systemic mastocytosis, Kaposiâs Sarcoma, SĂŠzary Syndrome, Cutaneous B cell Lymphoma
Infectious (remember that Iâve done a good bit of tropical medicine):  Tertiary Syphillis + HSV Encephalitis in an AIDS patient, tons of Cerebral Malaria (and regular malaria) and typhoid, Elephantiasis, Onchocerciasis, Fournierâs Gangrene, Pericarditis, Endocarditis, Rheumatic Fever, Brucellosis, Sporotrichosis, Histoplasmosis, Pasturella Multocida infection of a tendon, MAC, disseminated MAC, lots of Pulmonary TB/Scrofula/Pottâs Disease, Congenital Rubella, Congenital Syphillis, lots of Zika and Chikungunya, Necrotizing Fasciitis, Empyemas, Giardia, Campylobacter infections, cutaneous leishmaniasis, Buruli ulcer, a possible case of Monkeypox (though we couldnât test thisâŚdefinitely a poxvirus tho), lots of intestinal worms, pulmonary nocardiosis, joint infection with Leuconostoc
Endocrine:Â Thyroid storm, Myxedema Coma, Addisonian Crisis, Cushingâs Disease, Pheochromocytoma, MEN Syndrome, Precocious puberty in a 5 year old
Nephro:Â Bartter and Gitelman Syndromes, Malaria-induced Nephrotic syndrome, Synthetic marijuana-induced end stage renal failure requiring dialysis
Toxic:Â Serotonin Syndrome, Neuroleptic Malignant Syndrome, tons of venomous snakebites including a few causing consumption coagulopathy and death, Carbon monoxide poisoning, Organophosphate poisoning, Formaldehyde poisoning from homemade vape juice gone wrong, lots of pica (although itâs sort of a cultural thing to eat clay)
Psych:Â Fixed Erotomanic Delusion, Cotardâs Delusion, Conversion Disorder, Depressive Pseudodementia, Menopausal psychosis, post-partum psychosis
Cardiac: Long QT Syndrome (congenital and acquired), HOCM, Takotsubo Cardiomyopathy, Prinzmetal angina secondary to diet pills, isolated dextrocardia, Tetralogy of Fallot - corrected and once uncorrected in an adolescent! Hypoplastic Left Heart, WPW, Dextrocardia + transposition of the great vessels.Â
Injuries:Â Shot self in foot; rode motorcycle blind and high on meth (head injury), chainsaw dropped on leg while in operation, run over by tractor (several), caught leg on fire when a controlled burn got out of hand, severed finger in cow gate, caught ear in barbed wire, crushed by scoreboard, jumped from bridge onto highway below, near-fatal hanging, caught hand in skeet trap, paralysis after falling from tree, forcible tattooing as a form of domestic abuse, spiral fractures in an infant from abuse, near-drowning from driving car into a lake
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