The irrational yet irrestible urge to know or make known. The CC is a "club" founded by a small group of medical professionals, who have made a pastime of turning medical cases and discussions into medically irrelevant history lessons, philosophical rants, and displays of one-upsmanship. The official premise, since the "club" was named, has been to exchange and discuss various books, movies, and ideas. Sometimes we eat sushi.
Friday, March 08, 2013
Saturday, November 03, 2012
Loss of Nails Following Hand Foot and Mouth Disease Infection in 2 Children
I present an unusual case of 2 unrelated children who coincidentally presented to me on the same day with Hand, Foot, and Mouth Disease and then returned 7 and 8 weeks later with the same uncommon complication of this disease.
The first was an otherwise healthy 3 year old boy whose symptoms at presentation were a 2 day history of fever up to 102 degrees, and a vesicular rash on the hands, feet, buttocks and around the mouth. A diagnosis of hand, foot and mouth disease was made, he and mom were sent home with reassurance. No further contact was made until he presented 7 weeks later with his mother who was complaining that his nails were peeling off. He had no other symptoms. I had no specific explanation for this, so I inquired about any recent systemic illnesses. She reminded me of the recent HFM infection so I did some quick research - Google Search: "hand foot mouth disease onycholysis" and I found this article. It describes 4 cases of onycholysis and/or onychomadesis following HFM infection.
Thursday, September 06, 2012
A Large Brown Recluse
Most of the times I am able to get a picture of a brown recluse (Loxosceles reclusa), the subject is already pretty smashed up. I found this one on a bag in my garage and pulled it out on the driveway where I knew it could not escape so I could get pictures. I have been seeing more of these here recently. This one was rather large for a brown recluse. Of course the characteristic marking on the dorsum of its cephalothorax which resembles a violin is the best known identifying feature.
Here is a good article on the bite of a brown recluse spider from Wikipedia. It mentions that an estimated 80% of reported brown recluse spider bites are misdiagnosed and it gives a nice list of infectious and noninfectious conditions that have previously been misdiagnosed as brown recluse bites. I do find this portion lacking in that it does not mention specifically the classic case of an attack from 'The Methicorn'.
Thursday, July 26, 2012
Saturday, July 21, 2012
Tuesday, April 03, 2012
Hand, Foot and Mouth Disease
Monday, April 02, 2012
Friday, March 23, 2012
Monday, March 12, 2012
www.khanacademy.org I saw this on 60 minutes last night. Very interesting for families with young learners. Also the free app 3-D brain is interesting.
Saturday, February 25, 2012
Morula or Raspberry ?
Labels: Fruit of the vine/body
Monday, December 12, 2011
The Sartorius Muscle
The other night I awakened with severe muscle pain(cramp) in my leg. As usual I got up to stretch by walking around. This time no improvement. It hurt so bad I thought I was going to vomit. The next morning I decided it was my sartorius. Located in the medial thigh, the Taylor's muscle responds to sitting cross legged or putting your foot on your opposite knee and pressing the knee toward the floor. This is the longest muscle of the body and crosses 2 joints(hip and knee). Hope you never have a sartorius spasm but if you do now you know how to treat it.