From wikipedia: An older mitral valve replacement option |
I had an open mouth insert foot kind of moment today. It was unexpected... have you ever have one of those instances where you realize that words are coming out of your mouth but at no point did they pass through the discretionary filters of your brain? That was sort of what happened to me... I was speaking without having made any conscious thought to speak. Completely mortifying. Surprisingly well received though.
*The format is usually a few lines with the symptoms they presented with and relevant history. Then we get a gross and microscopic description and have three to five multiple choice questions about their condition. So it might be something like an 83 year old woman, who immigrated from Malaysia five years ago, presents with low grade fever, cough and enlarged lymph nodes. An x-ray reveals multiple 1-5mm nodules disseminated through the liver, lungs, and spleen. What do you think is the primary cause of the disease? What type of co-infection would you most likely expect?
Hey, no fair not giving the answer to the question in the footnote.
ReplyDeleteI made that up... but I would guess miliary tuberculosis.
DeleteAs for co-infections wikipedia says: tuberculous meningitis and cerebral tuberculomas
DeleteThe "immigrated from Malaysia" part is rather indicative of possible TB infection. Then again, metastatic carcinoma could also be a viable explanation. With her current symptoms, I'd give her a few weeks to live at that point lol.
DeleteDo you remember what you said exactly that gave you the "foot in mouth" feeling? (Picturing you with feet in your mouth is classically hilarious!)