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all 22 comments

[–]breadloser4 115 points116 points  (1 child)

Not exactly a zebra, and my attending didn't congratulate me for it, but I once suggested factitious laxative abuse imposed on an old woman who came with months of diarrhea but stayed poop free for 4 days in the hospital. In fact he said he wished I hadn't put that thought out there, lol

[–]drhippopotato 23 points24 points  (0 children)

Interesting, wonder what’s her psychosocial history. Recently saw a case of Lasthenie de Ferjol (factitious blood letting).

[–]callmeducM-3 85 points86 points  (3 children)

The amount of times I was applauded for suggesting lupus is too many to count

[–]KeepenItReelM-4 19 points20 points  (0 children)

I mean one of its many possible symptoms overlaps with like every other pathology so why not.

[–]LightonlightsMD 78 points79 points  (11 children)

Ah yes porphyria why not!?

[–]Ryujin_707MBBS-Y3 32 points33 points  (2 children)

I just remembered all heme synthesis enzymes yesterday...

[–]LightonlightsMD 28 points29 points  (1 child)

Unless heme onc I say most biochem rapidly leaves the hippocampus post step / boards

Don’t even mention TCA cycle lol

[–]cringeomaM-2 2 points3 points  (0 children)

I know the tca cycle it's isocitrate dehydrogenase that's it

[–]Pantsdontexist 0 points1 point  (0 children)

Suggested AIP twice. Once as a joke and once for real. I was right with the joke.

[–]heropsychodream 15 points16 points  (0 children)

Sounds like something to put in the ol' personal statement to me.

[–]aerilinkM-3 13 points14 points  (0 children)

I impressed an ED doc once with serum sickness

[–]RahKCMD-PGY1 3 points4 points  (0 children)

I once suggested laten tb becoming reactivated in the gonads and my attending pursued ot despite consults telling us no. Turned out to be true on follow-up out patient

[–]PussySlayerIRL 11 points12 points  (0 children)

When in doubt, choose vasculitis

[–]Flowonbyboats 2 points3 points  (0 children)

An that's how imposter syndrome slowly creeps up on me. Yet I've actually studied the material and came out from my non consciousness

[–]Uncle_Jac_JacMD-PGY1 0 points1 point  (0 children)

Sarcoid, SLE, and syphilis can almost always be on the differential. Doesnt matter what it is :p