Can You Make the Diagnosis?

It’s time for three more case studies to determine if you’d be a good doctor in a super-hero world. So put on your thinking caps and your diagnostic head mirrors and see if you can make the correct diagnosis.

can you make the diagnosis?The previous case studies and a bit more an explanation can be found at Dr. Scott’s Case Studies of Comic Book Medicine

Case Study #11: The patient is a male of indeterminate age who complains of brief episodes of intense central abdominal pain. He rates the pain an 8 (on a scale of 1-10) and each episode lasts fifteen to thirty seconds. He has had the symptoms for the past 1-2 weeks and the pain in getting worse every day. He denies any nausea or vomiting; no fever or diarrhea. He is a heavy drinker and a heavy smoker.
A. Strychnine poisoning
B. Peptic ulcer
C. Alien embryo
D. Appendicitis
E. Ruptured spleen

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Case Study #12: This patient is a thirty year-old female who recently started a new high-stress job after being let go by her previous employer. She complains of several weeks of severe headaches. The pain comes on suddenly and is described as completely debilitating. She denies nausea or photophobia, but notes a feeling of intense weakness. She denies any premonitory aura. She reports that her headaches are so intense that the pain will render her completely unconscious for several hours. She remains tired for several hours after awakening.
A. Migraine Headache
B. Emergence of an alternate personality
C. Tension (stress) headache
D. Repeated psychic attacks
E. Complex partial seizure

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Case Study #13: An elderly woman comes in your office complaining of increasing weakness over the past several months. It has become difficult for her to complete her normal activities around the house due to this weakness as she has started dropping dishes and at times has difficulty standing up. Her past medical history is significant for heart disease and a recent anemia which required a transfusion to correct. She is a non-smoker. She eats a healthy diet, but gets little exercise.
A. Parkinson’s Disease
B. Anemia
C. Heart failure
D. Radiation poisoning
E. Soul used in a black magic rite

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12 Responses to “ Can You Make the Diagnosis? ”

  1. Case Study #13 was interesting: as soon as I read “elderly woman”, I knew it was Aunt May, and then the option that mentioned radioactivity was the only possibility, because Aunt May = Spiderman = radioactive stuff. The transfusion then became the obvious clue linking the two. It’s interesting because of what it says about comics: that elderly woman are even rarer than non-evil psychiatrists. The demographics of comics populations are seriously skewed.

  2. (Which is not to say that I disagree with the general principle that psychiatrists are evil, of course!)

  3. What’s even rarer is any fictional source anywhere getting the distinction between psychiatrists and psychologists right.

    I still like Doc Samson, though.

  4. Ha, two out of three! I’m clearly qualified. But, as my friend points out, not quite ready to be the world’s best neuro/plastic/cardiothoracic surgeon. Damn you, Hush.

  5. Case #11: I wonder if the pain is related to the specific alien species. When Kane is inoculated with alien eggs in Alien (the movie), he does not feel pain, he even eats normally and have excellent mood (if I remember well, the egg hatches when he is laughing).

    Case #12: Reminded me so much of the complaints of the narrator guy in Fight Club.

  6. I figured it was Aunt May, too, but for that reason assumed it was her heart again. Clearly I would be a poor choice for a comic book doctor.

  7. Two out of three for me, too. And even though I went for Black Magic, I also realized it had to be Aunt May. The only other old ladies I can think of are Ma Hunkel and Martha Kent!

  8. You are all forgetting about Miss Senter, the victim of the Beauty Butcher (http://www.politedissent.com/archives/3137)

  9. Only one out of three for me, the Aunt May one. I thought the first one was going to be one of the fake-outs you throw in sometimes.

  10. Interestingly, I guessed the right answer and the right character for 12, but in relation to current events instead of her 80s series.

    Which must say something about the “creativity” of her current title.

  11. Ha, got the last two after I read the whole “comic-book doctor” part. In any real situation for Case Study #11, my bet would be on a peptic ulcer, though.

  12. [...] Scott’s Case Studies of Comic Book Medicine. More here. [...]

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