Also known as: Chocolate blood syndrome
Two young girls present with blue discoloration of their skin (cyanosis) initially thought to be from dental anesthesia, but later discovered to be caused by toxic exposure to ammonium nitrate from fertilizer in a neighbor's yard. One child develops seizures as the condition worsens.
Also known as: GPA
A patient presents with spontaneous severe nosebleed and is diagnosed with Wegener's disease, a vasculitis affecting blood vessels in the ears, nose, throat and kidneys. It is revealed she was diagnosed six months earlier but concealed her illness from her husband who was considering divorce.
Also known as: Vaginal muscle spasms
A 35-year-old virgin newlywed presents unable to consummate her marriage due to involuntary muscle spasms preventing vaginal penetration. The vaginismus is discovered to be caused by vulvar vestibulitis from chronic yeast infections creating hypersensitive nerve endings. Treatment involves trigger point injections and guided visualization therapy.
Inflammation of the vulvar vestibule caused by chronic yeast infections, making nerve endings extraordinarily sensitive to pain and triggering the vaginismus. Treated with lidocaine and steroid trigger point injections.
Also known as: Fertilizer poisoning
Two children are exposed to toxic fumes from open bags of fertilizer containing ammonium nitrate in a neighbor's yard, causing methemoglobinemia and neurological symptoms including seizures.