House MD attending rounds

[FootDocStudent]

---

Members do not see this ad.

For you 3rd and 4th year podiatry students:
Imagine you are on Dr. House's rotation for internal medicine during his attending rounds:

House MD asks you this question:

What does a fracture on the big toe have to do with increased intracranial pressure and intense headaches and altered mental status? What should be on top of the differential diagnosis and take first priority on work up?
😕

 

[DPMer]

I think it is abscess on the top of the differential. Workup would consist of CBC w/ diff, blood cultures, gram stain and head X-ray and head MRI for any abscess in the brain secondary to infection of the fractured big toe.

 

[FootDocStudent]

I think it is abscess on the top of the differential. Workup would consist of CBC w/ diff, blood cultures, gram stain and head X-ray and head MRI for any abscess in the brain secondary to infection of the fractured big toe.

House would say: I think not! Try again! 😎

 

[densmore22]

Metastatic tumor. As Arnie would say, "Eet's not a toomur!"

 

[Podfather]

For you 3rd and 4th year podiatry students:
Imagine you are on Dr. House's rotation for internal medicine during his attending rounds:

House MD asks you this question:

What does a fracture on the big toe have to do with increased intracranial pressure and intense headaches and altered mental status? What should be on top of the differential diagnosis and take first priority on work up?
😕

I believe this or a similar case was an actual episode involving a physician at a remote camp at the south pole. I know the answer but let's see what you come up with or how good you are with Google.

 

[PADPM]

Come on, this is an EASY one!!!!! This could even be a board question, and I don't even watch "House".

My guess would be that it would be from a fat/marrow embolism from the fracture, though in my opinion, a fracture of the hallux would REALLY be pushing the limits. I've heard of/read of cases of this happening with fractures of larger bones, and causing lung/heart issues, but not intracranial problems and not from a fracture as small as a hallux.

However, I guess anything is possible in the right situation, IF my answer is even correct.

 

[Marry2Pod]

Is it bone cancer?

 

[Dental Jarry]

I'm gonna go with the fracture of the toe caused the patient to limp, which in turn, caused him to fall down a flight of stairs, hitting his head and causing a concussion. Workup would consist of checking for bumps on his head.

 

[Podfather]

Come on, this is an EASY one!!!!! This could even be a board question, and I don't even watch "House".

My guess would be that it would be from a fat/marrow embolism from the fracture, though in my opinion, a fracture of the hallux would REALLY be pushing the limits. I've heard of/read of cases of this happening with fractures of larger bones, and causing lung/heart issues, but not intracranial problems and not from a fracture as small as a hallux.

However, I guess anything is possible in the right situation, IF my answer is even correct.

Only TV can turn a fractured toe into a hour show. BTW your answer is House like.

 

[FootDocStudent]

Come on, this is an EASY one!!!!! This could even be a board question, and I don't even watch "House".

My guess would be that it would be from a fat/marrow embolism from the fracture, though in my opinion, a fracture of the hallux would REALLY be pushing the limits. I've heard of/read of cases of this happening with fractures of larger bones, and causing lung/heart issues, but not intracranial problems and not from a fracture as small as a hallux.

However, I guess anything is possible in the right situation, IF my answer is even correct.

Dr. House says: yes you are correct. (This was from an actual episode of House). Fat Embolism secondary to an untreated PROLONGED proximal phalanx fracture. The initial, but incorrect, diagnosis was thought to be tuberous sclerosis.

 

[FootDocStudent]

Metastatic tumor. As Arnie would say, "Eet's not a toomur!"

House would say: "NO"! "Eet's not a toomur!" 😱 Try again!"

 

[FootDocStudent]

I'm gonna go with the fracture of the toe caused the patient to limp, which in turn, caused him to fall down a flight of stairs, hitting his head and causing a concussion. Workup would consist of checking for bumps on his head.

House says: No. Try again. But I would rank this probably second in the differential. Good thinking though. 😉

 

[FootDocStudent]

Is it bone cancer?

House says: AAAHAAAAAAAAA! 😱 But no. Good guess though. I'd say you are close. Try again.

 

[FootDocStudent]

I believe this or a similar case was an actual episode involving a physician at a remote camp at the south pole. I know the answer but let's see what you come up with or how good you are with Google.

Yes it was that epidose. PADPM was good though. He never watches House and guessed the diagnosis correctly. 😀

 

[densmore22]

I'd say House is full of S**t. A fat embolism from the proximal phalanx? I think not. The writers of that show must really be struggling to find legit medical issues.

 

[Feli]

...yes you are correct. (This was from an actual episode of House)...

Well then, it must be the medically factual gospel. Class dismissed 😕