044. Diagnosis

[vicodincrutch]

DIFFERENTIAL DIAGNOSIS

SYMPTOM(S): Uncontrollable Laughter
                          Chest Pain
                          Clumsiness
                          Which caused cranial bleeding.

POSSIBLE DIAGNOSIS:
Amyotrophic Lateral Sclerosis--it explains the chest pains, clumsiness and the laughter. The curse is accelerating the effects the degeneration process of the disease, usually it's a lot more slow. Search for DNA abnormalities or any hereditary link.

Pseudobulbar palsy onset by a tumor in the high brain stem or motor neurone diseases that would cause the disorder int he brain stem and spinal column.

Dementia (scribbled in) by Kuru causes the laughter as well as the inability to cooperate. The laughter would be causing the chest pains all the way down to clumsiness if that's the case.

CJD-?

The first two are not entirely treatable. A sample of tricyclic antidepressants would rule out dementia.

[ooc;  Curse or not, he'd want to diagnosis this. Since House is kind of an investigatory doctor, for nowit is just ruling out different diagnosiseses since tomorrow is OH SNAP THIS ISN'T NORMAL day. Any questions, comments or things I shouldn't be doing plz do AIM me. That's why God LJ made edits.]

Comments

[vicodincrutch.livejournal.com]

That must make for awkward conversation.

Duh. If the new diagnosis proves right, then it isn't hereditary and we have a Donner Party reunion.

[hercount.livejournal.com]

And you believe it is one ... virus?

[vicodincrutch.livejournal.com]

The conspiracy theorist and X-Files fan in me says yes. The doctor that I am says no. There's too much going on and too many openly prominent symptoms. If they aren't laughing, they're coughing. Not both.

[hercount.livejournal.com]

Different physiologies causing different symptoms?

How many doctors do you have in you?

[vicodincrutch.livejournal.com]

I could see that as being possible with other diseases but not CJD. Tainted beef would start with dementia. Coughing wouldn't be in the picture. Now unless the people currently coughing began laughing and have a history of lung problems that would be a different story entirely.

It's usually the other way around if you have to know.

[hercount.livejournal.com]

Nn. That is sensible. Viruses mutating after contact with alien viruses, a possibility in your opinion?

Usually? But not always...

[vicodincrutch.livejournal.com]

The City is an unstable environment. I wouldn't rule that out.

Variation keeps a person flexible.

[hercount.livejournal.com]

What would you rule out?

And flexible people allow for more variation.

[vicodincrutch.livejournal.com]

Tissue samples, blood samples and an MRI.

Everyone ends up happy. Or at least I do.

[hercount.livejournal.com]

A curse or infection?

Heh, there are some that samples cannot be taken.

[vicodincrutch.livejournal.com]

Midnight would tell us unfortunately. There's no test to see whether or not it is a curse unless someone breaks out into plaid or leopard stripes.

...right.

[hercount.livejournal.com]

Mm I'll show you sometime.

And if it does not dissipate at midnight?

[vicodincrutch.livejournal.com]

If the showing comes with a time share lecture, count me out.

Then we have a problem.

[hercount.livejournal.com]

Time share?

Hn.

[vicodincrutch.livejournal.com]

I'll take that as a no. Sure. Show me sometime.

[hercount.livejournal.com]

Count on it.