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Tough Vignette Question. Help Needed.

Discussion in 'General International Discussion' started by BellKicker, Jun 21, 2002.

  1. BellKicker

    BellKicker Twisted Miler
    7+ Year Member

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    27-year old man presents with multiple complaints. Chiefly, he's concerned with a pulsating mass in his abdomen which he interprets as an aortic aneurism. Nightly, he listens for skipped beats with a Sprague-Rappaport stethoscope, whcih was given to him 2 months ago. On his abdomen he demonstrates a discoloration, which he interprets as petechiae, tinea, melanoma or a rose spot (but quite possibly a combination of the four). Due to prostatic a enlargement, which he managed to diagnose digitally, micturition is often impaired. On non-specific questioning he admits to throbbing priapismus often lasting up to 5 minutes some mornings. He has brought several stool- sputum- and 2 CHF-samples to the ER. Overall, he attributs his illnesses to possible (multiple) malignancies, The Black Death, Ebola or infection with Diphyllobothrium Latum (The Giant fish tapeworm of man).

    Of the following, which is LEAST likely to be true?

    A: He's med student.

    B: His condition means "under the cartilage" in Latin.

    C: A team of medical experts should be called in to diagnose this case.

    D: He's studying for Step 1

    E: Maybe he should take a break and post something stupid on SDN.

    PS: I know we're not supposed to reveal Step 1 material but I thought this one was interesting.
     
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  3. rajal

    rajal Junior Member
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    he has somatization disorder
     
  4. Stormreaver

    Stormreaver The Blade of Tyshalle
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    Definitely C <img border="0" alt="[Laughy]" title="" src="graemlins/laughy.gif" />
     

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