Funtabulously Frivolous Friday Five 107

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 107

Question 1

What is the connection between the image and the 2010 earthquakes in Christchurch, New Zealand?

+ Reveal the Funtabulous Answer

• Takotsubo
• The image is of a Japanese octopus pot or trap, known as a “tako tsubo”.
• The apical ballooning seen in stress cardiomyopathy resembles this, hence the name Takotsubo cardiomyopathy.
• Following the earthquakes in Christchurch a total of 27 presentations to the cardiology department there met the criteria for Takotsubo cardiomyopathy.

Question 2

30 year old male presents with a lesion on his dominant hand. What is his most likely profession?

+ Reveal the Funtabulous Answer

• Sheep or Goat farmer
• The hand lesion is Orf
• Orf is a parapox virus that causes (self-limited) contagious pustular lesions that can take up to ten weeks to resolve.
• It is most prevalent in persons with frequent close contact with livestock such as sheep

Question 3

18th Century slave traders would check for Winterbottom’s sign. What is it and what does it signify?

+ Reveal the Funtabulous Answer

• Neck swelling associated with Trypanosoma infection
• Thomas Winterbottom noted that slavers would check for a swollen neck – more specifically posterior cervical triangle lymphadenopathy
• This was an indicator of infection with Trypanosoma brucei gambiense (sleeping sickness) [Reference]

Question 4

How is Zoon’s balanitis often treated?

+ Reveal the Funtabulous Answer

• Circumcision
• Zoon’s balanitis is also known as plasma cell balanitis or balanitis circumscripta plasmacellularis.
• It is though to reflect chronic inflammation and while steroids have been used, circumcision is thought to provide along-term soltuion.[Reference PMID 2895202 and DermnetNZ]

Question 5

It’s National Jamaica day at work and your ever helpful resident has brought in a crate of Ackee fruit, the national fruit of Jamaica, to celebrate. Three delicious hours later, two of your residents are found vomiting, diaphoretic, stuporous and more importantly…unable to work. Why?

+ Reveal the Funtabulous Answer

• Hypoglycin A
• Hypoglycin A (so named for its hypoglycaemic properties) poisoning can occur by eating unripe Ackee fruit.
• Hypoglycin is toxic if ingested and is the causative agent of Jamaican vomiting sickness.

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