Funtabulously Frivolous Friday Five 236
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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 Funtabulously Frivolous Friday Five 236.
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Question 1:
You see a patient who has returned from Uganda complaining of pain in his arm whenever he turns the key. What is the diagnosis?
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African trypanosomiasis (sleeping sickness).
Kérandel symptom or ‘signe de la clef‘ named after Jean Francois Kérandel (1873-1934) is a sharp, deep pain in the bones or muscles when a patient with sleeping sickness turns a key in a lock.
Kerandel sign is a delayed hyperasthesia following a painful stimuli.
Both are two distinct symptoms of African human trypanosomiasis [Reference]
Question 2
A patient from S.E. Asia presents with 5 days of fevers, being the maverick diagnostician you are you perform the tourniquet test to rule in Dengue fever. But how sensitive and specific is the tourniquet test?
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Sensitivity 58% (95% CI,...
Source: Life in the Fast Lane - Category: Emergency Medicine Authors: Neil Long Tags: Frivolous Friday Five African Trypanosomiasis amblygeusia Cabot's rings Darwin award dengue fever Jean Francois Kerandel Kerandel's sign Kerandel's symptom male idiot theory MIT sleeping sickness Tourniquet test Source Type: blogs
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