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Post by Dr. House on May 26, 2007 11:00:57 GMT -5
"And get paid without working? You're working the mail room today," *House said, walking over to his desk, taking out a huge stack of files and then dumping them on Renn.* "You're going to be doing my billings. There's another stack in the trashcan. I kinda accidentally dropped there. And get me a BP cuff and a pillow."
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Post by Renn on May 26, 2007 11:10:41 GMT -5
There was no way Renn was spending all day doing billings, even with a hangover.
"Well," she said, making a guess, "You seem to have no idea what's wrong with that girl. You should do a Differential diagnosis."
She quickly opened Wikipedia, so she'd know what he's talking about.
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Post by Dr. House on May 26, 2007 11:12:53 GMT -5
"Hey! No cheating!"
*House gave it a thought. Beside the fact that he didn't really know, he was supposed to be teaching her so...* "Keep an eye on her," *he said to Richard.*
"What causes absence seizures?" *he asked Renn as he walked into the DDx office and headed over to the white board.*
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Post by Renn on May 26, 2007 11:24:05 GMT -5
"Epilepsy?" Renn suggested, thinking hard.
That's all she could find on wiki, anyway.
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Post by Dr. House on May 26, 2007 11:27:53 GMT -5
*House sighed, resisting the urge to roll his eyes.* "Absence seizures are epilepsy. Just minus the jerking and flailing."
*He picked up his marker and wrote coughing, pain and absence seizures on the board.* "If you're incapable of any original thoughts, go do the billings."
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Post by Renn on May 26, 2007 11:36:08 GMT -5
Renn glared.
"Hypoglycemia would give her the seizure. Maybe she just skipped breakfast"
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Post by Dr. House on May 26, 2007 11:47:18 GMT -5
*House thought for a moment.* "You wake up late for school one morning because you were Myspacing all night. You're mom's rushing you out of the door and you don't eat your usual breakfast of Frosted Flakes in the morning. Do you pass out during 1st period because of a seizure?"
*House looked back to the board.* "Hypoglycemia might explain the seizure but not the coughing or the pain," *he said, tapping the marker on the white board.*
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Post by Renn on May 26, 2007 11:57:52 GMT -5
"I don't have a myspace," she said. "And I don't have hypoglycemia."
"Anyway, how do you know about the coughing or he pain? She didn't say anything about it."
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Post by Dr. House on May 26, 2007 12:14:50 GMT -5
"She was trying to steal cough suppresants and codeine from a cabinet. Which is pretty stupid because we've got a free clinic. She could've just asked Kate for some."
"Hypoglycemia might not have caused all these symptoms but if it's bad enough to cause a seizure, it's worth looking at. Prick her finger and run a blood sugar test. Then have Kate run an EEG to see if there's a neurological cause."
"What would cause hypoglycemia?" *he asked, wanting to see if she knew the answer. Maybe she was brighter than he thought.*
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Post by Renn on May 26, 2007 12:21:26 GMT -5
"Diabetes can cause it. Or, um, what was it... Addison's disease?"
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Post by Dr. House on May 26, 2007 12:45:38 GMT -5
"Get her out of my office and test her for diabetes. If she has low blood sugar, check her ACTH which should be through the roof if she has hypoglycemia. Check the pancreas for insulin production and thyroid for cortisol production. And run an MRI to check her pituitary and hypothalamus for tumors, lesions and all the other possible suspects."
*House walked over to the coffee pot.* "And do a patient history. The seizure can also be a psychological response to stress."
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Post by Renn on May 26, 2007 12:57:52 GMT -5
Renn had a difficult time getting Diamanta out of the room and onto a bed, especially with her headache made worse by having to think.
A while later she reappeared in House's office with the test results. She gave him the paper to look at.
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Post by Dr. House on May 26, 2007 13:04:56 GMT -5
*House took the MRI image, put it on the light board and turned it on.*
"What do you see?" *he asked, sitting down in his chair and reading the test results.*
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Post by Renn on May 26, 2007 13:21:59 GMT -5
She studied it for a few moments, then smiled triumphantly.
"There." She pointed. "There's some kind of mass."
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Post by Dr. House on May 26, 2007 13:27:11 GMT -5
"And where is 'there'?"
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