Also known as: OTC deficiency
Infant presents with persistent vomiting, dehydration, and electrolyte imbalance. Condition worsens to seizure requiring intubation. Diagnosed with OTC deficiency causing ammonia buildup in blood, requiring immediate hemodialysis and eventual liver transplant.
Also known as: Liver scarring
Patient with B-negative blood type awaiting liver transplant develops diffuse brain edema and impending brain herniation during pre-op, requiring emergency ICP management before successful transplant surgery can proceed.
Also known as: Schizoaffective disorder
Patient with previously well-controlled schizophrenia experiences breakthrough psychotic episode with auditory hallucinations causing him to step into traffic. Investigation reveals St. John's wort in herbal tea reduced effectiveness of risperidone by increasing its metabolism.
Also known as: Rat lice-borne typhus
Patient presents with first-time seizure, fever of 102, jaundice, and enlarged liver. Diagnosed with typhus contracted from flea bite on infected rat, revealing she had been secretly living in a storage locker after job loss.
Also known as: Head laceration
Patient struck his head on pavement after being pulled from traffic, resulting in brief loss of consciousness and minor hematoma requiring imaging and observation.
Also known as: Severe dehydration
Infant with reduced wet diapers and electrolyte imbalance from persistent vomiting, initially treated with IV fluids before underlying OTC deficiency diagnosis.