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Best of House Med Cases Season 4 | House M.D

House M.D.・35 minutes read

Patients present with various symptoms and conditions, including numbness, cardiac arrest, and possible fungal infections. Medical teams navigate through diagnoses, treatments, genetic disorders, and family revelations to provide proper care.

Insights

  • Patient's medical history and symptoms suggest a complex array of potential causes, including accidental drowning, fungal infection in the lungs, drug use, and familial genetic disorders, highlighting the intricate nature of diagnosing and treating health conditions.
  • The case of Jeff showcases the importance of thorough medical evaluation and consideration of various factors, such as medication reactions, infections like syphilis, and underlying conditions like PFO, emphasizing the need for comprehensive and detailed assessment in addressing health issues effectively.

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Recent questions

  • What caused Jeff's heart attack?

    Syphilis

  • What was the doctor's concern about the patient's mother?

    Genetic disorder

  • What was the patient's prediction about his health?

    Predicted his own death

  • What was the initial diagnosis for the patient's paralysis?

    Paran neoplastic cells

  • What was the treatment for Jeff's heart attack symptoms?

    Prazone for liver issues

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Summary

00:00

Patient's Heart Exam Reveals Surprising Results

  • No valvular regurgitation, wall motion abnormalities, or structural defects found.
  • Good news for the patient, not for someone else.
  • No heaviness in legs reported.
  • Shortness of breath not experienced.
  • Tightness in chest or arms not felt.
  • Boss thinks Cardiac Arrest was due to accidental drowning.
  • Patient prepped for a trans offage EO.
  • Possibility of a fungus in the lungs.
  • Patient's hands feel numb.
  • Patient predicted his own death.

18:32

"Paralysis from Paran neoplastic cells, genetic disorder"

  • Paralysis could be due to Paran neoplastic cells in breast tissue.
  • MRI is used to scan for remaining breast tissue after surgery.
  • Patient history reveals drug use, including occasional marijuana smoking.
  • Doctor questions patient about alcohol consumption and honesty.
  • Discussion about white lies and rationalizations ensues.
  • Doctor inquires about patient's mother's sexual preferences.
  • Patient's mother is revealed to have a genetic disorder, Ca2 deficiency.
  • Bone marrow transplant is suggested for the genetic disorder.
  • Patient's mother refuses a donor test due to mismatch with daughter.
  • Doctor reveals patient's true biological mother and suggests DNA testing.

38:06

"Syphilis Diagnosis Alters Man's Personality"

  • A woman wakes up her husband, Jeff, thinking he moved her book, but he's actually having a heart attack.
  • The medical team debates whether Jeff's symptoms are due to a new issue or a reaction to medication.
  • Jeff is treated with prazone for liver issues, which could lead to Roid Rage and hypertension.
  • The team realizes Jeff's liver is not the problem; it's his syphilis causing the symptoms.
  • They consider a PFO causing the heart attack and the rage, leading to a debate on the possible causes.
  • Jeff tests positive for syphilis, which has been asymptomatic for 10 years, and is treatable with a month-long course of pills.
  • The medical team discovers Jeff's brain swelling due to the infection, altering his personality, but the treatment is promising.
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