heart rate went up which means stroke volume went down. makes sense but i'm not smart enough to know what it meansIn post 297, Masquerade wrote:And while you do that, maybe take a look at his legs as well for signs of infection or trauma or something? I mean, you're working his legs so it should be possible?
House M.D. Diagnostics Test Run - Take Two.
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Patient Event:
Raleo, your patient's circulation seems to have improved. The pain has come back and he has begun screaming.
The results are identical to the one that Antihero presented.
The results of the angiogram show restriction of the blood vessels.In post 294, TellTaleHeart wrote:Procedure:
Run an angiogram to look for any obstruction in the blood vessels.
The EKG show a slightly abnormally fast heartbeatIn post 302, Antihero wrote:if there's a problem with the circulatory system
let's look at the heart
run an ekg
*House steps in front of you.* "Didn't I say in the beginning that it wasn't diabetes?"In post 285, Masquerade wrote:Do glucose tolerance test.
Type 1 diabetes. Prescribe insulin and adjust diet. Monitor patient for a while to adjust to insulin in combination with his exercise and diet.
*Masquerade stands defiantly.* "All the symptoms fit."
"Did you not see the A1C? It's normal!"
"The A1C results only show throughout a three month period!"
"His blood glucose level when he showed up was fine!"
"And obviously it isn't anymore. He was fine up until his six hour car trip. He wasn't exercising and that drove his blood sugar. If it was inflammation, toxins or whatever else, we would have caught it. We've done every test under the sun. What he hasn't done was exercised. He has Diabetes Type 1."
"And you're an idiot, Dr. Masquerade. If he had diabetes, he would have known before now. Before he was ten."
"No. He was hiding it."
*House laughs.* "People lie. The numbers don't."
"Listen to me! Look at his diet. Grilled chicken, vegetables, no bread. His foods don't have any carbs in them. He exercises a lot. That's how he's able to keep his blood sugar down!"
"Fine. Run your damn test. Then when your results come back negative, I'll be right beside you to tell you you're fired."
*Masuerade shuddered then performed the test on Jimmy. House looked at the numbers. His jaw dropped.*
His blood glucose level is 750. That's more than five times the normal level. I guess you get to keep your job.
Final and correct diagnosis: Diabetes Type 1 by Dr. Masquerade
That's why you're my co-mod, Masquerade. lol- Masquerade
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Wouldn't I have seen decreased glycogen storage in the liver through the liver biopsy?My favorite site mod is Zor Tester.
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I mean it's certainly unorthodox, but under EM you would be able to see that.My favorite site mod is Zor Tester.
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I don't think that may have showed. Maybe yes and maybe no, but I was looking for more of cancerous or something that would show with the appearance of the liver, not necessarily with function. But more than that, keep in mind that he's only been feeling sick since his admittance. Not everything will show up.In post 308, FakeGod wrote:Wouldn't I have seen decreased glycogen storage in the liver through the liver biopsy?
Also, this is done to the capacity of someone who works on Google. I'm no doctor by any means.- Antihero
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Diabetes is a progressive disease and it can be unsymptomatic if managed correctly, even if the patient doesn't know he has it.In post 312, Antihero wrote:yeah im googling the type 1 diabetics who can control their blood sugar wo insulin and w the exception of unverified homeopathic crap theyre all saying no- FakeGod
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I kinda suspected that it would end like this.
Oh well, it was fun in the first half.My favorite site mod is Zor Tester.
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Meh... Can't you be a bit more specific? Which areas of his brain are damaged and how does the damage look like?
What kind of restriction?! Clots? Vasospasm?
The results of the angiogram show restriction of the blood vessels.In post 294, TellTaleHeart wrote:Procedure:
Run an angiogram to look for any obstruction in the blood vessels.
Duh. All intervals are normal otherwise?
The EKG show a slightly abnormally fast heartbeatIn post 302, Antihero wrote:if there's a problem with the circulatory system
let's look at the heart
run an ekg
Very weird...
*House steps in front of you.* "Didn't I say in the beginning that it wasn't diabetes?"In post 285, Masquerade wrote:Do glucose tolerance test.
Type 1 diabetes. Prescribe insulin and adjust diet. Monitor patient for a while to adjust to insulin in combination with his exercise and diet.
*Masquerade stands defiantly.* "All the symptoms fit."
"Did you not see the A1C? It's normal!"
"The A1C results only show throughout a three month period!"
"His blood glucose level when he showed up was fine!"
"And obviously it isn't anymore. He was fine up until his six hour car trip. He wasn't exercising and that drove his blood sugar. If it was inflammation, toxins or whatever else, we would have caught it. We've done every test under the sun. What he hasn't done was exercised. He has Diabetes Type 1."
"And you're an idiot, Dr. Masquerade. If he had diabetes, he would have known before now. Before he was ten."
"No. He was hiding it."
*House laughs.* "People lie. The numbers don't."
"Listen to me! Look at his diet. Grilled chicken, vegetables, no bread. His foods don't have any carbs in them. He exercises a lot. That's how he's able to keep his blood sugar down!"
"Fine. Run your damn test. Then when your results come back negative, I'll be right beside you to tell you you're fired."
*Masuerade shuddered then performed the test on Jimmy. House looked at the numbers. His jaw dropped.*
His blood glucose level is 750. That's more than five times the normal level. I guess you get to keep your job.
Final and correct diagnosis: Diabetes Type 1 by Dr. Masquerade
That's why you're my co-mod, Masquerade. lol
Would I be hated now for giving him IV glucose?- Masquerade
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Dude, giving a diabetic glucose (unless they're suffering from hypoglycemia) is probably the single worst thing you could do. When I read that, I was telling myself, "Yeah. This guy needs to pay." In that stage of the game, he was already with a very high blood sugar.
Althoguh the banana bag helped slightly, just nowhere near enough.- KuroiXHF
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Also, a cortical atrophy if I remember correctly creates a lackluster metabolization in glucose and also diabetics are at risk of developing Alzheimers.
I'm sure if I needed to, I would look deeper and find the answer but I know diabetics suffer from restriction of blood vessels. It helps lead to a bunch of issues like glaucoma, kidney issues, etc.
And yes, EKG results were otherwise normal.
Also, Masquerade - Can I get your thought process on when you realized this patient had Diabetes 1?- Masquerade
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