A person with hemiparalysis caused by chagas disease. Chagas is a protazoa spread by the kissing bug. Memory key is Tom Cruise likes kissing = trypanosoma cruzi. Tom Cruise also has a fat neck = megaesophagus and talks a lot of poop (megacolon). Lesions are normally in the heart but this person had them in her brain. Immunosuppression caused by HIV was a contributing factor. She presented with delayed gastric emptying and gastritis.
Megaloblastic anemia case in an alcoholic where perniscious anemia was suspected but the labs were unavailable to confirm. The residents seemed to relish the challenge as they sat down to solve the case with the history and clinical signs that they had available while they waited for the blood work (autoantibodies to intrinsic factor and folic acid levels) to come back from the lab in a different hospital. The other suspect was chronic folic acid deficiency as a result of alcoholism.
Cobalamine = B12, necessary for DNA synthesis and many other reactions.
Sjogren´s syndrome is an autoimmune disease that attacks exocrine glands that make tears and saliva. Memory aid is stoic sweeds who never cry and have dry vaginas.
Arthritis associated with Crohn disease. I don´t really understand why this happens. More antigens get into the body, and somehow this makes the body more likely to react agaist itself...? How does this fit with the hygene hypothesis? Mr. Gears?
Lots of lupus. Inflammatory disease with antinuclear antibodies. That´s about all I know so far.
Pneumococcal vaccination adverse event in an adult. I refrained from mentioning at that moment that the vaccine had been developed at the University of Rochester.
Also interesting, a cellulitis rapidly diagnosed and for which were prescribed antibiotics. What is this mixed up with sometimes?
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