The Infirmary

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[velocity78]

bite me

[tank130]

There was just no way this thread was going to succeed with the group of dumb asses we have around here.

[Smokaz]

Treatment: Suggested systematic desensitization therapy by means of overexposure to symptom.

This guy's a real doctor.

There was just no way this thread was going to succeed with the group of dumb asses we have around here.

Nurse Rached? Is that you?

[velocity78]

So aside from Smokaz being himself, any other differentials on the left breast enlargement?

[Cyk0]

cause: Enlarged breast due to increased muscle mass from excessive masturbation.
examination: Tell him to preform a jerking motion while touching his breast (gay doctor here I come) to determine if the cause is correct.
treatment: Send him to left hand jerking course

[Lai]

Case 1: Rai Fei

A boy of 13 years, Rai Fei, from Taiwan enters the examine room with his mother. His worried mother tells you that her son is staying up increasingly late at night by his computer. When she checked RaiFei's computer to see if he had completed his studying for the weekly chinese exam she found pictures of naked women, and to her astonishment he had not fully prepared for his weekly chinese exam! Rai Fei is adamant about the pictures being related to the sex-ed class.

Throughout the mother's history presenting Rai Fei gives you poor eye contact, seems disinterested and you can notice tension between mother and son. No apparent psychotic signs. Pregnancy, delivery and neonatal period normal. Birth weight 3216g. Previously healthy apart from a couple of episodes of otitis. Takes no meds as far as his mother knows. No allergies. His mother believes his son has gotten into drugs.

Your preliminary diagnosis is that Rai Fei has entered puberty. Depression is an important differential diagnosis. Change of sleeping patterns, decreasing interest in things he's previously found enjoyable (in this case school work) and poor emotional contact (eg. eye contact) are signs of depression. However, the above can all be attributed to normal behaviour for his age. http://www.psych.org/Share/Parents-Med-Guide/HTML-Physician-Depression.aspx#6. His poor eye contact is probably because he's ashamed of his behaviour. After all, he wasn't prepared for his weekly chinese exam! Rai Fei, like any teenager, probably also thinks being dragged to the doctor by mom is silly, thus showing disinterest in the ordeal.

From your vast personal experience in malpractice suits cancer is always good to have in mind. Brain tumor can explain a couple of the symptoms but there are no complaints of headache, nausea, somnolence nor any focal neurological symptoms. You write it off as a very unlikely possibility.

As you start to examine from top to toe, an odd finding stops you and make you think: his right breast is larger than his left breast. When you ask his mother about it, she says that this is new.

Your finding does not make you change your mind regarding onset of puberty as being the cause. The breast enlargement is called gynecomastia and is in fact a common symptom among pubertal boys. The enlargement will resolve in 90% of cases within months to years. Palpating the breast and lymph nodes did not evoke any suspicion of a tumorous mass. No other findings in the physical exam, but you want to do one last thing to confirm your diagnosis by checking for the first somatic sign of puberty. You ask the mother to step out and then put on your surgical gloves with a slapping sound to your wrist (for extra drama).

1. Rai Fei gulps and speaks for the first time - "what are you doing?"

2. This exam can be hard to interpret the result from. Is there any tool that can help you more precisely evaluate the finding? What is this tool called?

3. Post a picture of this tool

[Baine]

Case 1: Rai Fei


1. Rai Fei gulps and speaks for the first time - what are you doing?



2. This exam can be hard to interpret the result from. Is there any tool that can help you more precisely evaluate the finding? What is this tool called?

It's an analomatorizor!


3. Post a picture of this tool

[Mysthalin]

1. I'm going to check if your little factory downstairs is making the white stuff(not milk).

2. Well, it'd be easier to check for puberty hairs, but if we're going to be making the kid cum, then... The Suprapubic Cystoscope(Googled prostatoscope and this sounded like fun) should be of use.

3. No.

[velocity78]

Case 1: Rai Fei

A boy of 13 years, Rai Fei, from Taiwan enters the examine room with his mother. His worried mother tells you that her son is staying up increasingly late at night by his computer. When she checked RaiFei's computer to see if he had completed his studying for the weekly chinese exam she found pictures of naked women, and to her astonishment he had not fully prepared for his weekly chinese exam! Rai Fei is adamant about the pictures being related to the sex-ed class.

Throughout the mother's history presenting Rai Fei gives you poor eye contact, seems disinterested and you can notice tension between mother and son. No apparent psychotic signs. Pregnancy, delivery and neonatal period normal. Birth weight 3216g. Previously healthy apart from a couple of episodes of otitis. Takes no meds as far as his mother knows. No allergies. His mother believes his son has gotten into drugs.

Your preliminary diagnosis is that Rai Fei has entered puberty. Depression is an important differential diagnosis. Change of sleeping patterns, decreasing interest in things he's previously found enjoyable (in this case school work) and poor emotional contact (eg. eye contact) are signs of depression. However, the above can all be attributed to normal behaviour for his age. http://www.psych.org/Share/Parents-Med-Guide/HTML-Physician-Depression.aspx#6. His poor eye contact is probably because he's ashamed of his behaviour. After all, he wasn't prepared for his weekly chinese exam! Rai Fei, like any teenager, probably also thinks being dragged to the doctor by mom is silly, thus showing disinterest in the ordeal.

From your vast personal experience in malpractice suits cancer is always good to have in mind. Brain tumor can explain a couple of the symptoms but there are no complaints of headache, nausea, somnolence nor any focal neurological symptoms. You write it off as a very unlikely possibility.

As you start to examine from top to toe, an odd finding stops you and make you think: his right breast is larger than his left breast. When you ask his mother about it, she says that this is new.

Your finding does not make you change your mind regarding onset of puberty as being the cause. The breast enlargement is called gynecomastia and is in fact a common symptom among pubertal boys. The enlargement will resolve in 90% of cases within months to years. Palpating the breast and lymph nodes did not evoke any suspicion of a tumorous mass. No other findings in the physical exam, but you want to do one last thing to confirm your diagnosis by checking for the first somatic sign of puberty. You ask the mother to step out and then put on your surgical gloves with a slapping sound to your wrist (for extra drama).

1. Rai Fei gulps and speaks for the first time - what are you doing?

2. This exam can be hard to interpret the result from. Is there any tool that can help you more precisely evaluate the finding? What is this tool called?

3. Post a picture of this tool

I was going to reply with gynomastia, but Hyperandrogenism sounded cooler. ugh gotta go back to class now -.-

[Lai]

I'm extending your tinking time. Everyone is welcome with their theories.

[Unkn0wn]

You could expose the boy to pornographic material during an EEG to establish whether or not puberty has struck.  

[Lai]

Case 1: Rai Fei

A boy of 13 years, Rai Fei, from Taiwan enters the examine room with his mother. His worried mother tells you that her son is staying up increasingly late at night by his computer. When she checked RaiFei's computer to see if he had completed his studying for the weekly chinese exam she found pictures of naked women, and to her astonishment he had not fully prepared for his weekly chinese exam! Rai Fei is adamant about the pictures being related to the sex-ed class.

Throughout the mother's history presenting Rai Fei gives you poor eye contact, seems disinterested and you can notice tension between mother and son. No apparent psychotic signs. Pregnancy, delivery and neonatal period normal. Birth weight 3216g. Previously healthy apart from a couple of episodes of otitis. Takes no meds as far as his mother knows. No allergies. His mother believes his son has gotten into drugs.

Your preliminary diagnosis is that Rai Fei has entered puberty. Depression is an important differential diagnosis. Change of sleeping patterns, decreasing interest in things he's previously found enjoyable (in this case school work) and poor emotional contact (eg. eye contact) are signs of depression. However, the above can all be attributed to normal behaviour for his age. http://www.psych.org/Share/Parents-Med-Guide/HTML-Physician-Depression.aspx#6. His poor eye contact is probably because he's ashamed of his behaviour. After all, he wasn't prepared for his weekly chinese exam! Rai Fei, like any teenager, probably also thinks being dragged to the doctor by mom is silly, thus showing disinterest in the ordeal.

From your vast personal experience in malpractice suits cancer is always good to have in mind. Brain tumor can explain a couple of the symptoms but there are no complaints of headache, nausea, somnolence nor any focal neurological symptoms. You write it off as a very unlikely possibility.

As you start to examine from top to toe, an odd finding stops you and make you think: his right breast is larger than his left breast. When you ask his mother about it, she says that this is new.

Your finding does not make you change your mind regarding onset of puberty as being the cause. The breast enlargement is called gynecomastia and is in fact a common symptom among pubertal boys. The enlargement will resolve in 90% of cases within months to years. Palpating the breast and lymph nodes did not evoke any suspicion of a tumorous mass. No other findings in the physical exam, but you want to do one last thing to confirm your diagnosis by checking for the first somatic sign of puberty. You ask the mother to step out and then put on your surgical gloves with a slapping sound to your wrist (for extra drama).

You palpate Rai Fei's scrotum for testicular growth. You're uncertain if either of the testicles are large enough to signal the onset of puberty. This exam can be hard to interpret the result from. You know a tool/gadget that can help you more precisely evaluate the findings. You ask nurse Vanessa to fetch it for you, but can't remember the name. Did it end on -meter (or did it in fact end with -y). Nurse Vanessa taps her foot impatiently.

1. What is this tool/gadget called?

You manage to come up with the name after some tinking, but nurse Vanessa isn't completely sure what you're meaning. Fortunately, just as you recall the name a mental image of it appears in your head.

2. Post a picture of this tool/gadget

[Lai]

Case 1: Rai Fei

A boy of 13 years, Rai Fei, from Taiwan enters the examine room with his mother. His worried mother tells you that her son is staying up increasingly late at night by his computer. When she checked RaiFei's computer to see if he had completed his studying for the weekly chinese exam she found pictures of naked women, and to her astonishment he had not fully prepared for his weekly chinese exam! Rai Fei is adamant about the pictures being related to the sex-ed class.

Throughout the mother's history presenting Rai Fei gives you poor eye contact, seems disinterested and you can notice tension between mother and son. No apparent psychotic signs. Pregnancy, delivery and neonatal period normal. Birth weight 3216g. Previously healthy apart from a couple of episodes of otitis. Takes no meds as far as his mother knows. No allergies. His mother believes his son has gotten into drugs.

Your preliminary diagnosis is that Rai Fei has entered puberty. Depression is an important differential diagnosis. Change of sleeping patterns, decreasing interest in things he's previously found enjoyable (in this case school work) and poor emotional contact (eg. eye contact) are signs of depression. However, the above can all be attributed to normal behaviour for his age. http://www.psych.org/Share/Parents-Med-Guide/HTML-Physician-Depression.aspx#6. His poor eye contact is probably because he's ashamed of his behaviour. After all, he wasn't prepared for his weekly chinese exam! Rai Fei, like any teenager, probably also thinks being dragged to the doctor by mom is silly, thus showing disinterest in the ordeal.

From your vast personal experience in malpractice suits cancer is always good to have in mind. Brain tumor can explain a couple of the symptoms but there are no complaints of headache, nausea, somnolence nor any focal neurological symptoms. You write it off as a very unlikely possibility.

As you start to examine from top to toe, an odd finding stops you and make you think: his right breast is larger than his left breast. When you ask his mother about it, she says that this is new.

Your finding does not make you change your mind regarding onset of puberty as being the cause. The breast enlargement is called gynecomastia and is in fact a common symptom among pubertal boys. The enlargement will resolve in 90% of cases within months to years. Palpating the breast and lymph nodes did not evoke any suspicion of a tumorous mass. No other findings in the physical exam, but you want to do one last thing to confirm your diagnosis by checking for the first somatic sign of puberty. You ask the mother to step out and then put on your surgical gloves with a slapping sound to your wrist (for extra drama).

You palpate Rai Fei's scrotum for testicular growth. You're uncertain if either of the testicles are large enough to signal the onset of puberty. This exam can be hard to interpret the result from. You know a tool/gadget that can help you more precisely evaluate the findings. You ask nurse Vanessa to fetch it for you, but can't remember the name. Did it end on -meter (or did it in fact end with -y). Nurse Vanessa taps her foot impatiently.

1. What is this tool/gadget called?
An orchidometer

You manage to come up with the name after some tinking, but nurse Vanessa isn't completely sure what you're meaning. Fortunately, just as you recall the name a mental image of it appears in your head.

2. Post a picture of this tool/gadget



4 ml or larger indicates start of puberty has occured. Adult size 12-25 ml.

You use the orchidometer to evaluate your findings. Left testicle 4 ml. Right testicle 5 ml. Reassured of your diagnosis, you discharge Rai Fei with the advice to seek a general practioner if the gynecomastia doesn't subside within 18 moths. You hurry off, past a disgruntled waiting room, to the 9 AM coffee break.

*CASE CLOSED*

Feedback will be appreciated

[LeoPhone]

what is this topic about?
whats the point of it?

[Mysthalin]

I was sure the answer was going to be ball-o-meter

[Lai]

what is this topic about?
whats the point of it?

If you read my opening post, you should find the answers to your questions.

[Lai]

I was sure the answer was going to be ball-o-meter

You were right then. Orchis basically means ball in greek, just sounds more scientific.

[Baine]

Wow i was shocked for a moment, i thought you wanted to put that thing in his ass.

[velocity78]

Wow i was shocked for a moment, i thought you wanted to put that thing in his ass.

sick man....

[rifle87654]

what is this topic about?
whats the point of it?

If you read my opening post, you should find the answers to your questions.

google says infirmary is somewhere they take care of sick peoples or hospital i guess