Discaimer: the cases to follow here are all fictional. If you somehow, for some reason can identify yourself with a character depicted here, it's in your imagination only. The patient workup will be on a problem-orientated basis with an evolving situation and new information being added as we move on. Basically, I ask questions, you answer, ask questions, examine, order tests and I respond with new information or give hints. This thread is semi-serious, opts to be fun, and hopefully will be interesting as well. To have some structural framework I've decided that after I've responded with a new question or given new information, the enlisted docs have 24h to respond, after which anyone in the public can come with suggestions. To enlist just ask here or by pm. I will decide at my discretion if there are too many sign-ups (a good sense of humour helps).
I thought it was disclaimer. Google said that.