Friday, March 6, 2009


(a helicopter?)

1. " favorite topic in obstetrics...the men are 'he' and the women are 'she'..." Huh? What? He is referring to Sheehan's syndrome - pituitary infarction as a result of hypotension from postpartum hemorrhage.

2. "'ve got abdominal pain, and did you hear that sounded like a helicopter...." Okay, this one isn't too tough. helicopter = Helicobacter, as in Helicobacter pylori infection as a common cause of peptic ulcer disease.

3. "'ve got abdominal pain and I'm pointing my finger at you..." Referring to Inglefinger's sign in pancreatitis, where patients are more comfortable sitting up and leaning forward.

4. "...this patient has pancreatitis...are you from Trinidad? Are there scorpions there?..." referring to scorpion bites as an unusual cause of pancreatitis. More common etiologies include

  • Gallstones,
  • Alcohol use
  • Hypertriglyceridemia

Other causes include hypercalcemia, viral infections (eg. mumps, vzv, HIV), bacterial infections (mycoplasma, legionella, salmonella), parasitic infections (toxoplasma, cryptosporidium, Ascaris), traumatic (like post ERCP), congenital, and yes, scorpion bites too.

5. " know, in pancreatitis, no man is an island..." referring to the pancreatic Islets of Langerhans. Here, the alpha cells produce glucagon, beta cells produce insulin, and delta cells produce somatostatin.

You can read more on pancreatitis here.

1 comment:

  1. It's morning reports like that one that make me glad that I floated up to pursue my high-er education at U of T.