Sunday, March 07, 2010

Top 10 Amazing Diagnoses

Over the years (actually not many years), I've come across some really interesting diagnoses, which I think I can now make it a "Top 10". Some have appeared in my posts before, and some are newly encountered. Let's have a look: (List not in any particular order)

Failure to Thrive
Comment: Looks quite normal, except that this is diagnosed for a 53 year-old man.

Acute urinary retention secondary to benigh prostatic hypertrophy
Comment: Again, looks nothing wrong. But it's for a 70 year-old WOMAN which it'll be the headline if you can find her prostate.

Alleged drug overdose secondary to scolded by mother
Comment: No doubt, the mother's gonna be in deep trouble. (and she'll hate the doc for sure)

Alleged bitten by a living creature
Comment: The other MO told me that, we should be worried that some "monsters" might be in town now. (origin of this diagnosis)

Uncontrolled hypertension secondary to Portal hypertension
Comment: It's simply amazing that how these two unrelated things can be related.

Depression with Sadism
Comment: I was very curious when I saw this, on how the HO could get the history about the "sadism" part. Later I realized that she thought "sadism" means "sad-ism", as the patient feels sad most of the time.
She made me feel sad, too.

Pseudo-pseudo Seizure
Comment: This is new in medicine. I've yet to find out whether this actually is a new term, or maybe someone thinks this is the plural form of "pseudo-seizure"!

Hyperkalemia secondary to excessive bananas
Comment: This is amazing, as the potassium is 6.5mmol/L. I wonder how much bananas has the patient actually swallowed to get potassium this high.
But this remind me of, someone actually tried to use bananas to correct hypokalemia!

PUO (pyrexia of unknown origin) secondary to liver abscess
Comment: So is the origin known or not known now?!

Hypoglycemia attack secondary to his wife
Comment: Ok la, this is by me. Although it's the true "mechanism" of the hypoglycemia but I didn't put the diagnosis as such. You can read the story here.

So these are just some 10 diagnoses I selected, I'm sure there are many more out there. The idea is not to blame anyone but to amuse you, as sometimes we do need some light moments on top of our heavy work time! ;-)

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