Just when you thought your brain could unwind on a Friday, you realise that it would rather be challenged with some good old fashioned medical trivia. The format is starting to take shape – we will be trying to post questions on:
- Rare or eponymous syndromes
- Medical history or biography
- Bizarre and ‘out there’ medical trivia to baffle your colleagues
Question 1
- What hereditary condition is associated with urinary odor of swimming pools?
- Hawkinsinuria
- 4-hydroxyphenylpyruvate hydroxylase deficiency
- Characterised by failure to thrive; ketosis; mental retardation; metabolic acidosis and no clinical signs or symptoms other than a swimming pool odor
Question 2
- What do the French call a Smiths fracture?
- Goyrand Fracture
- So named after the prominent French surgeon Jean-Gaspar-Blaise Goyrand (1803–1866) who clarified the anatomy of the many varieties of fractures of the distal radius.
- The French have alternative names for other eponymous fractures
- A Pouteau fracture is the name used in France for a Colles fracture. Named after Claude Pouteau (1725–1775) the famous French lithotomist
Question 3
- Who wrote,
All things are poison and nothing is without poison, only the dose permits something not to be poisonous.
- Paracelsus
- Paracelsus (born Phillippus Aureolus Theophrastus Bombastus von Hohenheim, 11 November or 17 December 1493 in Einsiedeln, Switzerland – died, 24 September 1541 in Salzburg, Austria)
- Paracelsus was a Renaissance physician, botanist, alchemist, astrologer, and general occultist and widely accepted as the Father of Toxicology.
Question 4
- How did the James Bond villain Dr. No survive a shot to the chest?
- He had dextrocardia
- The wound would have penetrated his heart, except that he had dextrocardia.
[Reference: Common Chest X-ray findings]
Question 5
- Name an ocular complication of bungee jumping?






![Retinal detachment [NEJM]](http://cdn.lifeinthefastlane.com/wp-content/uploads/2010/04/Figure-1.gif)





























Dr No had dextrocardia, and Scaramanga had an extra nipple. Robert Carlyle’s arch baddie had a time bomb in his head. Ian Fleming had an interesting take on his bad guys.