We cranked up the frivolity to 55 funtabs on the frivolometer last week. This week, we’re in danger of breaking through the funtabosphere as we pack in 555 funtabs into the 53rd FFFF!
This one’s for all the eponymomaniacal LITFLers out there… you’ve been warned.
Q1. What is Curtis-Fitz-Hugh syndrome and how many people is it named after?
- The eponym refers to perihepatitis occurring in sexually active females as a result of ascending infection from pelvic inflammatory disease (PID). Chronic peritonitis may ensue. It was originally described as arising from gonococcal infection but may be used regardless of the causative organism.
- It is named after two people – Arthur Hale Curtis and Thomas Fitz-Hugh, Jr.
- Some consider it an ‘end of the bed’ diagnosis: anecdotally, the presence of RUQ pain in a female with a tattoo, umbilical piercing and a black G-string is pathognomic. Some consider those who consider it an end-of-the-bed diagnosis as worthy of a punch on the nose…
- They both have eponymous diseases named after them in conjunction with Marchiafava.
- Marchiafava-Bignami sydrome is necrosis of the corpus callosum in the chronic alcoholic whereas Marchiafava-Micheli syndrome is better known as paroxysmal nocturnal hemoglobinuria (an intracorpuscular defect that affects young adults and results in hemolysis during the night).
Q3. What is May-Thurner syndrome?
- Although the anatomical relationship is normal, May-Thurner syndrome results when there is clinically significant compression of the left iliac vein by the artery which crosses over it. It may mimic a proximal deep vein thrombosis.
- Yet again Stigler’s law prevails, the syndrome was actually first described by James Playfair McMurrich (1859-1939), professor of anatomy at the University of Michigan, in 1908.
Q4. What is Ganser syndrome?
- Named for Sigbert Josef Maria Ganser, this condition was originally considered a factitious disorder and goes by many other names: nonsense syndrome, balderdash syndrome, syndrome of approximate answers, pseudodementia, hysterical pseudodementia or prison psychosis.
- These days it is considered a very rare form of dissociative disorder, often a reaction to extreme stress or head injury. There are only about 100 cases reported in the literature. The Man from Malawi with the Shrinking Feet was suspected of having the disorder.
- The DSM-IV-TR criteria for the diagnosis is: The giving of approximate answers to questions (e.g. “2 plus 2 equals 5″) when not associated with dissociative amnesia or dissociative fugue. Other common symptoms include clouding consciousness, somatic conversion and hallucinations. [reference: emedicine]
- This is an extract of a conversation with one of his original patients, presented by Ganser in 1898:
Q. Are you able to count to ten?
A. Yes (But he does not, and is silent.)
Q. Well, then, count.
A. (But he does not, and only counts on being prompted.) 1, 2, 3, 4. (Then he is quiet again.)
Q. What follows 1?
A. 12, 93 and . . .
Q. And after 93?
A. (He continues in that fashion.)
(On another occasion)
Q. How much are 2 and 1?
Q. 3 and 2?
Q. 5 and 2?
Q. What is 4 minus 1?
A. 5 (Then he corrected the answer to 3.)
Q. In what city are we?
A. In Berlin, in Russia.
Q, What are you doing here?
A. We wanted to go hunting, and we unhitched our horses.
Q. How many noses do you have?
A. I don’t know
Q. Have you any nose at all?
A. I do not know if I have a nose.
Q. Have you eyes?
A. I have no eyes.
Q. How many fingers do you have?
Q. How many ears?
A. (He first touches his ears, and then says: 2.)
Q. How many legs does a horse have?
Q. An elephant?
Q. After being shown a coin and asked, What is that?
A. A map which a person hangs on his watch chain. Glancing at the eagle stamped upon a coin: I don’t know that person. Is it Kaiser Wilhelm?
Q. He was shown a dollar and was asked: Do you know a dollar?
A. I don’t know a dollar. That is a toy which one gives to children.
Q. What is your name?
A. My name is Furst. (Incorrect)
Q5. This is an artist’s depiction of a van. Who owned this van?
- The van belonged to the Nobel prize winning physicist Richard Feynman (1918-1988). It apparently still exists somewhere near Caltech.
- Feynman used to tell an anecdote (that went something like this) about a guy who walked up to him one day and said:
“Dude, why have you got Feynman diagrams on your van?”
“Because I’m Feynman.”, Feynman replied.
Parting piece of Funtabulous Wisdom…
Choose your ingredients wisely!