Samuel Morganabout 2 years ago
Imagine for a moment...
You are a young doctor in a developing country. It's a Wednesday afternoon, just after lunch, as you wipe the sweat from your brow on an otherwise normal 40degree day with humidities above 90%.
Three weeks ago, you were trawling the wards of the local Australian tertiary hospital, checking on the octogenarians with COPD, the six-foot-five 19yo with bi-lateral spontaneous pneumothorax and now you are here.
A young, 12yo. boy presents with focal convulsions and right-sided weakness. You note his physical appearance to be short statured, low set ears, up-slanting palpebral fissures and suspect he has trisomy 21.
The differentials start to run through your head;
"what's his sensation like?"
"increased chance of stroke due to congenital cardiac disease"
"where does the DCML decussate again?"
"Was it PCA or MCA terminal branches that give a pure sensory thalamic stroke..."
"man i'm thirsty."
But what comes next will stand out for you as a young doctor forever...