Funtabulously Frivolous Friday Five 165

Just when you thought your brain could unwind on a Friday, you realise that it would rather be challenged with some good old fashioned medical trivia FFFF, introducing the Funtabulously Frivolous Friday Five 165

Question 1

When might the “Halloween sign” be reassuring?

Reveal the funtabulous answer

On a CT as a rule out for epiglottitis

If a halloween sign is seen on a CT it relates to a normal appearance of the epiglottis.


Question 2

What is this?

Reveal the funtabulous answer

The first DC defibrillator

ID-1-VEI for external transthoracic and internal use made in the USSR in 1952. [Reference]


Question 3

What is acrodynia?

Reveal the funtabulous answer

Pain and dusky pink discolouration of the extremities secondary to heavy metal poisoning, commonly mercury.

It is less common since the recognition of mercury toxicity and hence it is no longer given as a laxative, diuretic or to treat syphilis.

Its presentation in children can be very similar to kawasaki’s disease. Affected children have erythematous cheeks, lips, loss of hair/teeth/nails, transient rashes, photophobia, renal impairment and neuropsychiatric symptoms. [Reference]


Question 4

What is Typhlitis?

Reveal the funtabulous answer

Inflammation and/or necrosis of the cecum, appendix, and/or ileum

That is associated with infection and neutropenia (also called neutropenic enterocolitis)

It often occurs in the immunocompromised, diagnosed on CT with thickening of the bowel wall and stranding. Prognosis is poor unless treatment is commenced (often a right hemicoloectomy). [Reference]


Question 5

What is Mills manipulation?

Reveal the funtabulous answer

A manipulative procedure used to treat tennis elbow (lateral epicondylitis).

The examiner fully pronates the affected forearm, flexes the wrist, and then forcibly extends the elbow


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Funtabulously Frivolous Friday Five

Dr Neil Long BMBS FACEM FRCEM FRCPC. Emergency Physician at Burnaby Hospital in Vancouver. Loves the misery of alpine climbing and working in austere environments. Supporter of FOAMed, toxicology, tropical medicine, sim and ultrasound

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