viernes, 21 de agosto de 2015

Funtabulously Frivolous Friday Five 113

Just when you thought your brain could unwind on a Friday, you realise that it would rather be challenged with some good old fashioned medical trivia…introducing Funtabulously Frivolous Friday Five 113

Question 1

What did Valsalva (1666-1723) note as “..leaving the tongue tingling unpleasantly for the better part of the day

  • Gangrenous pus
  • He also noted that it did “not taste good“.
  • The things we do for science…. [Reference]

Question 2

What does the acronym “gomer” (or goomer) stand for? Which book first featured the use of the acronym – “gomer”? What is the sequel to that book?

  • Get Out of My Emergency Room
  • Features heavily in the Samuel Shem book “The House of God” (1978) and used to refer to patients who have “..lost —often through age- what goes into being a human being”.
  • The lesser known sequel is “Mount Misery

Question 3

The non-fiction book “The Hot Zone” by Richard Preston, features a scene when two scientists sniff a culture flask for the distinctive smell of Pseudomonas contamination. What does the flask actually contain?

  • Reston virus
  • Reston virus is one of the filoviruses.
  • While this belongs to the Ebola virus genus, it is not known to be pathogenic to humans. Not such good news if you are a crab-eating macaque…

crab-eating-macaque.

Question 4

A Great Physician should not pay attention to status, wealth or age; neither should he question whether the particular person is attractive or unattractive, whether he is an enemy or friend, whether he is a Chinese or a foreigner, or finally, whether he is uneducated or educated. He should meet everyone on equal grounds. He should always act as if he were thinking of his close relatives” – what is this from and who wrote it?

  • Sun Simiao (581-682)
  • Sun Simiao wrote the text – “On the Absolute Sincerity of Great Physicians“, from which the excerpt is taken. It is often referred to as the “Chinese Hippocratic Oath”.[Reference]

Question 5

While examining your patients neck you notice that the carotid pulse is absent on one side. What might this be due to, and what is this sign called?

  • Berry’s sign
  • Eponymous sign named after Dr James Berry relating to malignant thyromegaly – tumour encasing the carotid and muffling the pulsations.

 

…and in other news

//www.youtube.com/watch?v=RVv8VdHReh0

The post Funtabulously Frivolous Friday Five 113 appeared first on LITFL: Life in the Fast Lane Medical Blog.



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