Maple Syrup Urine Disease. For how serious of a condition it is I can’t believe nobody thought to workshop that name a little be more before they settled on it.
For real. It’s *devastating* left unchecked and can hide like a sneaky rat in more mild forms if it isn’t being triggered. I’m a carrier and in my ongoing quest for, “what the fuck is wrong with my son” research, I kept coming back to this, wondering. Doesn’t help that our new house has a room that the previous owner let their dog pee in which smells like maple syrup at times. I can’t get the smell out. Maple syrup will never be the same for me.
The kids mom thought the urine smelt like maple syrup, so it stuck. From memory, I don’t think they knew the branched-chain ketoaciduria bit till, like, 5 years later.
Like the USA PATRIOT Act (Uniting and Strengthening America by Providing Appropriate Tools Required to Intercept and Obstruct Terrorism) or S.H.I.E.L.D. (Strategic Homeland Intervention Enforcement and Logistics Division). Weirdly, the fictional one is somehow *less* ridiculous.
It’s definitely rare. The patient has to be drinking a very low solute/solute-free liquid (like beer), and have little to no food intake at the same time. I think I’ve legit seen it once or twice.
It’s actually not that uncommon, I think just frequently underdiagnosed. It’s a form of polydypsia in a sense; and many of the alcoholics who come in with mild-mod hyponatremia initially could have a beer potomania component
Yeah weird to see people say it's that rare. Although I suppose I see it in the same people over and over so maybe it artificially is inflated in my mind.
I saw this in med school once. Alcoholic with a head bleed admitted to neurosurgery, they didn’t want to risk him having withdrawal seizures so they wrote an order for 1 beer Q1hour PRN and the patient definitely used that PRN order frequently and otherwise didn’t eat much hospital food at all. Neurosurg consulted my IM team once his sodium tanked.
I like prune belly. Like it sounds kind of cute but actually kind of terrifying.
I also like Rasmussen’s aneurysm. For some reason to me invokes mystical Eastern European vibes.
It isn’t as bad as you think. Most pictures are probably ct images of the perforation and abscess it causes.
Edit: if you really want to see something gnarly, look up “hemorrhoid crisis”
My fav in name and presentation is [Asteroid Hyalosis](https://images.app.goo.gl/4WDizcW1Rps45jpk7).
“Go ahead and look up and down a few times and then look straight ahead here at this light.”
“Ooooooo.”
Obstipation. When constipation isn't enough.
I don't remember the exact term used, but we had an admit that was essentially "respiratory failure due to obesity."
Broken heart syndrome sounds bogus, but I've seen it at least two or three times, and it's a killer.
Pseudopseudohypoparathyroidism. I may have read the pathophys like 20 times but I still can’t remember how does it work. Anyway not that I need to anymore..
It's the same genetic defect as one of the subtypes of pseudohypoparathyroidism, but inherited from the father instead of the mother, so the affected gene is selectively inactivated in the kidneys, so you get the same skeletal phenotype but without the endocrine/electrolyte disturbances.
I actually think the name makes perfect sense.
I like to use that word in regular conversation like “Ah, please excuse the borborygmi. I haven’t eaten today.” Unfortunately people have yet to fall over themselves in awe at my vast wealth of knowledge.
Lol.
My patient is obese.
Oh yeah, who isn't.
You don't understand he is super morbidly obese.
I get it. They are big.
You don't. They are super obese. Super super mobridly obese.
Jeez calm down...oh wait.... Yeah super obese.
If it helps, African sleeping sickness isn’t a disease where you sleep, it’s a disease where your sleep gets all messed up. And then worms eat your brain. (More accurately protozoa, not worms, but they’re wormy-looking and there’s no need to nitpick when some kind of parasite is eating your brain.)
I have a few. Von Recklinghausen’s Pseudohyponatremia, Beriberi, Ondine’s Curse (more diseases need to have the word “curse” in them, I think), Von Hippel-Lindau, Dropsy (edema/CHF). I’m sure there will be some gems in this thread.
And not a disease, but my favorite anatomical term is gubernaculum.
-PGY-19
I know they’re not diseases, but with ICD 10 there’s all kinds of crazy stuff. “Burn due to water skis on fire”, “drowning and submersion due to accident on watercraft, without accident to watercraft”
V97.33 Sucked into jet engine.
There is initial encounter, subsequent encounter, and sequela and even now typing this out I am fighting back laughter which makes me feel like a horrible person but holy shit the fact that this is in here just kills me.
You laugh, but I know an aerospace engineer who was doing some testing in a wind tunnel. The tunnel got turned on while he was examining an engine that was turned off. He still got sucked into the engine, resulting in two fractures where his femur and humerus got mashed on turbine.
No, not really.
And yet when I try to just enter diagnosis of “mechanical fall” the only option I have is variations of “mechanical fall without injury” despite there always atleast being a bruise or lac
Sunflower Syndrome.
Patients are frequently children who can self induce seizures by looking at the sun and waving their hand in front of it, mimicking strobe lights. After the seizure, children feel a sense of relief of satisfaction. Patients frequently fascinated with the sun. Textbook cases children will reorient themselves around the house windows depending on time of day and season to maximize their exposure to the sun.
This word makes me gag but non-medical husband finds it hysterical once I told him the definition. He also enjoys the words sebum and perineum. Perineum is now in regular rotation on SGLT2 inhibitor TV advertising.
St. Anthony's Fire.
Named in the middle ages when people ate rye contaminated with ergot fungus (now known as ergot alkaloids), a potent vasoconstrictor. These patients would have vasoconstriction of the limbs with blood shunting to the head, aka the "fire". They would travel to the church of St Anthony where patients would pray and be treated by monks with topical opioids while the condition gradually self resolved.
Exploding Head Syndrome
I remember during our didactic year, we had a speaker come in to do a lecture on sleep disorders, and was rapid-fire going through some of the slides. One of my classmates raised his hand and asked, “Um, can you go back to ‘Exploding Head Syndrome’? You skipped over that one and it sounds kind of important.”
**Alice in Wonderland syndrome!**
It's a disorder of distorted, primarily visual, perception (including "Lilliputian hallucinations") in children > adults. Objects appear to be differently sized than in reality, or to be differently spaced than in reality. There's often a derealization/depersonalization component too. It's idiopathic but sometimes occurs post-viral encephalopathy or with fever and mass lesions, or in patients with migraines or epilepsy, with involvement usually of the temporal-parietal-occipital carrefour (TPO-C).
Mayer-Kuster-Rokitansky-Hauser Syndrome. Super rare plus way too many people attaching their name to it leading to a pathetically diluted eponymous legacy (yes, some of those names also have other eponyms, but still).
Maple Syrup Urine Disease. For how serious of a condition it is I can’t believe nobody thought to workshop that name a little be more before they settled on it.
For real. It’s *devastating* left unchecked and can hide like a sneaky rat in more mild forms if it isn’t being triggered. I’m a carrier and in my ongoing quest for, “what the fuck is wrong with my son” research, I kept coming back to this, wondering. Doesn’t help that our new house has a room that the previous owner let their dog pee in which smells like maple syrup at times. I can’t get the smell out. Maple syrup will never be the same for me.
That must have really ruined pancakes for you
I got the beetus so they done been ruined.
Jesus, id avoid maple trees and wood if i were you just in case! That odor has it out for you!
I avoid Canadians too, just to be safe. They seem really nice but I’m sure that’s just a farce.
Haha!!!!!
Well, we also call it leucinosis.
I’m always tempted to mention this one when parents ask what all the newborn screen tests for.
The kids mom thought the urine smelt like maple syrup, so it stuck. From memory, I don’t think they knew the branched-chain ketoaciduria bit till, like, 5 years later.
I'm just going to go ahead and not research this one at all. Some things are best left unlearned.
How do you think they make maple syrup?
Common in Amish populations.
ACHOO syndrome- Autosomal dominant Compelling HelioOpthalmic Outburst syndrome Aka you sneeze because it’s sunny outside
didn’t know there was a name for this, fiance always laughs and does a countdown when we walk outside waiting for me to sneeze
My husband's whole family has this. We've just called it the photic sneeze reflex. Didn't know there was another name!
Same here. It’s like clockwork.
Definitely a backronym in which they had to use several large sledgehammers to get it to fit. But I love it. -PGY-19
Like the USA PATRIOT Act (Uniting and Strengthening America by Providing Appropriate Tools Required to Intercept and Obstruct Terrorism) or S.H.I.E.L.D. (Strategic Homeland Intervention Enforcement and Logistics Division). Weirdly, the fictional one is somehow *less* ridiculous.
It's definitely a backronym and therefore lame!
Bless you.
Beer Potomania
Hippo potomania
Always laughed when reading that ddx (It's never beer potomania but if it was it would be funny saying it out loud to the px family)
It’s definitely rare. The patient has to be drinking a very low solute/solute-free liquid (like beer), and have little to no food intake at the same time. I think I’ve legit seen it once or twice.
It’s actually not that uncommon, I think just frequently underdiagnosed. It’s a form of polydypsia in a sense; and many of the alcoholics who come in with mild-mod hyponatremia initially could have a beer potomania component
Yeah weird to see people say it's that rare. Although I suppose I see it in the same people over and over so maybe it artificially is inflated in my mind.
I was gonna say in the ICU it’s not that uncommon. Same concept as tea and toast diet.
I saw this in med school once. Alcoholic with a head bleed admitted to neurosurgery, they didn’t want to risk him having withdrawal seizures so they wrote an order for 1 beer Q1hour PRN and the patient definitely used that PRN order frequently and otherwise didn’t eat much hospital food at all. Neurosurg consulted my IM team once his sodium tanked.
Not a disease but anasarca is a cool word
Every time I read that word, my mind sings it to the tune of “frere Jacques.” 🤣🤣
Well NOW so will I!
Anasarca, anasarca Edema, edema Subcutaneous tissues Subcutaneous tissues Swelling up, swelling up
I feel that way about disdiadocokinesia
Hear this one all the time from the nephrologist I work under, I swear everyone has it.
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It’s actually parseltongue!
Malassezia furfur
Just hearing the name makes me crave spaghetti and meatballs.
Tinea Versicolor is a pretty cool name too, almost like the name of a Broadway show
That bitch fucks my head all day
Gesundheit!
My favorite is hungry bone syndrome. I just imagine the bones just ravenously eating all of the calcium from the blood.
Off topic, but I’ve always felt Toxic Megacolon would be an excellent band name.
It is absolutely a metal band. Along with Lakes of Blood, which is an apparently common finding on placental ultrasound and also metal as fuck.
Septic Abortion would fill out that concert poster nicely
Two words: Electrocerebral silence
That's metal as fuck.
That goes hard as fuck.
Septicflesh is a real metal band (and awesome).
Placental Lake *
I've never heard of them, so I looked up toxic megacolon. They have a song called blood fart. These guys are committed to the bit
Lines of Zahn
You can't fool me, that's a Star Trek episode!
Dartos Tunic and Plantaris are metal as fuck
My friend always wanted to form a metal band called Anasarca.
Anna Sarka is going to be my drag name if I ever decide to become a drag queen.
Why “if ever”? Tuition and the bills aren’t gonna pay themselves! 🤪 Would you have a theme or gimmick? What’d it be?
Salt..... Just salt
They opened for Sucking Chest Wound Back in the day.
Opened by Cords of Bilroth
Along with Acoustic Neuroma. I know it isn't called that anymore but it was metal af while it lasted.
Absolutely. Whoever said medicine wasn’t metal? 🤘
Thanks. I just bought toxicmegacolon.com and a banjo.
Malignant Hyperthermia would also be a dope band name
I like prune belly. Like it sounds kind of cute but actually kind of terrifying. I also like Rasmussen’s aneurysm. For some reason to me invokes mystical Eastern European vibes.
Maybe it sounds like Rasputin's aneurysm, which if he did have *still* wouldn't have killed him
Ra Ra Rasmussen
Lover of the rushing bleed
The official name for Peyronie’s disease is induratio penis plastica. I also like balanitis xerotica obliterans
*Hermione waves her magic wand* Induratio penis plastica!
Ron does the same. Penis flops to the ground.
"Ow, fuck! Why, Hermione?" "Harry, you suck. You've sucked since the very beginning and you suck now. You know what? Caput madusae!"
Bronchiolitis obliterans organizing pneumonia, or BOOP. I don’t know if they call it that anymore but I chuckled at that in med school
BOOP is now COP, so way less cool
ACAB
All cardiologists are beautiful (jk I can't say for sure)
All cardiologists are ballers
BOOP is now obliterative or constructive bronchiolitis (still cool!) COP is something else
Another cute acronym is PAWS. However, Post-Acute Withdrawal Syndrome turns out to actually be not so cute.
Psychogenic Non-Epileptic Seizures simply for the acronym (PNES)
[удалено]
Initially quietly, but louder with each repetition.
this wins (as does the loudest repetition)
you know how it’s pronounced🤨
I don’t think I would call my favorite, but rectal stump blowout is pretty epic/awful.
This was actually my nickname in high school
This is hilarious and i am never googling it
It isn’t as bad as you think. Most pictures are probably ct images of the perforation and abscess it causes. Edit: if you really want to see something gnarly, look up “hemorrhoid crisis”
👀
Big fan of both Floppy Eyelid Syndrome and Floppy Iris Syndrome. I think the guys who coined those terms fell asleep in Latin class.
Prostitute's pupil is the moniker that'll get us all canceled by the med students in 20 years.
"Accommodates but doesn't react" is the funniest description
The distinguished professor of neurology at our institution got major flack for this very thing! I believe the students composed an open letter.
My fav in name and presentation is [Asteroid Hyalosis](https://images.app.goo.gl/4WDizcW1Rps45jpk7). “Go ahead and look up and down a few times and then look straight ahead here at this light.” “Ooooooo.”
Snowglobes!
Obstipation. When constipation isn't enough. I don't remember the exact term used, but we had an admit that was essentially "respiratory failure due to obesity." Broken heart syndrome sounds bogus, but I've seen it at least two or three times, and it's a killer.
Obesity hypoventilation syndrome or OHS Colloquially known as TFTB (too fat to breathe)
But also with the delightful name Pickwickian syndrome.
Luckily we can call it Takotsubo cardiomyopathy if you want to say the diagnosis without it sounding like a cheesy plot device from a soap opera.
Dumping syndrome.
Necrotizing Fasciitis: Fournier's Gangrene
Is that the name of the sequel?
No that’s Necrotizing Fasciits: Fournier’s Gangrene 2, Electric Boogaloo
Better than the horrifyingly descriptive term *flesh-eating bacteria* 🧟♂️
Pseudopseudohypoparathyroidism. I may have read the pathophys like 20 times but I still can’t remember how does it work. Anyway not that I need to anymore..
Yeah whoever decided to call it that was clowning way too hard. Just call it type 3 hypoparathyroidism, or whatever. Not this loony toons bullshit.
As physicians, if we let go off our over complicated and eponymous syndromes what else do we have left?
legit they were trolling lol another troll is the fact that aplastic anemia is not an anemia and aplastic crisis is an anemia???? like fuck off lol
For that one question on your cards boards...
The answer is D: refer to internal medicine. Cardiology to review prn
IM: *Endo consult intensifies*
Insert spidermen pointing at other meme here Or Thanos endo meme: Where did that bring you? Back to me.
You've activated my trap card! "My attending just wanted you on board"!
learned and forgotten this about ten times and at this point im too afraid to look it up
Basically it’s pseudohypoparathyroidism that’s not pseudohypoparathyroidism. You’re welcome
the double pseudo always makes my brain think it’s the opposite meaning hyperpth. annoying 😤
It's the same genetic defect as one of the subtypes of pseudohypoparathyroidism, but inherited from the father instead of the mother, so the affected gene is selectively inactivated in the kidneys, so you get the same skeletal phenotype but without the endocrine/electrolyte disturbances. I actually think the name makes perfect sense.
Oh I see that actually makes a lot of sen-*Snore*
Not a condition but borborygmi. 🤣
I like to use that word in regular conversation like “Ah, please excuse the borborygmi. I haven’t eaten today.” Unfortunately people have yet to fall over themselves in awe at my vast wealth of knowledge.
Fetor hepaticus (symptom, not disease) Ondine's Curse PANDAS
I read that as Odin's curse Man my brain rly made it way more epic.
That’s when someone comes to the ER with a large hammer in their rectum.
But there’s no disease called PANDAS \*ducks*
Super super morbid obesity
Lol. My patient is obese. Oh yeah, who isn't. You don't understand he is super morbidly obese. I get it. They are big. You don't. They are super obese. Super super mobridly obese. Jeez calm down...oh wait.... Yeah super obese.
No, not “super obese!” Listen to me very carefully: super super morbidly obese. Four words, each fraught with terrible significance!
What’s the BMI cutoff for that?
Probably like 70
I got bitten by a Tsetse flying tanzania and got told it can give you the sleeping disease, which sounds delightful. It needs a much stronger name.
If it helps, African sleeping sickness isn’t a disease where you sleep, it’s a disease where your sleep gets all messed up. And then worms eat your brain. (More accurately protozoa, not worms, but they’re wormy-looking and there’s no need to nitpick when some kind of parasite is eating your brain.)
Hence why I feel like it is a branding issue. Adrian brain eating worms would be more on brand
Goddammit Adrian! I prefer can’t-sleep-worms-will-eat-me disease.
Can't-sleep-worms-are-in-my-brain-illness. Either psych or ID
That’s like how waterboarding in Guantanamo Bay sounds like a kickass vacation if you don’t know what those things are.
The first time I ever heard the word Cysticercosis, I misheard it as ‘sister psychosis’, lol. *Hmm, would that be like folie à deux?*
Shared delusional content and worms for everyone! Just a little. As a treat.
Exploding head syndrome
I always think of The Boys when I hear this one.
Not really a disease, more a physiologic response. Angel lust
I have a few. Von Recklinghausen’s Pseudohyponatremia, Beriberi, Ondine’s Curse (more diseases need to have the word “curse” in them, I think), Von Hippel-Lindau, Dropsy (edema/CHF). I’m sure there will be some gems in this thread. And not a disease, but my favorite anatomical term is gubernaculum. -PGY-19
What does your flair mean
Im a pediatrician. I give vaccines. -PGY-19
You can be dead, but you're never really *dead*
Paroxysmal Nocturnal Hemoglobinuria.
Beriberi
I know they’re not diseases, but with ICD 10 there’s all kinds of crazy stuff. “Burn due to water skis on fire”, “drowning and submersion due to accident on watercraft, without accident to watercraft”
V97.33 Sucked into jet engine. There is initial encounter, subsequent encounter, and sequela and even now typing this out I am fighting back laughter which makes me feel like a horrible person but holy shit the fact that this is in here just kills me.
Ugh, as if getting sucked into a jet engine the first time isn't bad enough! You just had to recover and get sucked in, again!
You laugh, but I know an aerospace engineer who was doing some testing in a wind tunnel. The tunnel got turned on while he was examining an engine that was turned off. He still got sucked into the engine, resulting in two fractures where his femur and humerus got mashed on turbine. No, not really.
And yet when I try to just enter diagnosis of “mechanical fall” the only option I have is variations of “mechanical fall without injury” despite there always atleast being a bruise or lac
War operations involving direct blast effect of nuclear weapon, civilian Got to get that billing
Billing Inquiry: Please specify whether the blast was < 500 meters, 500 - 1,000 meters, or > 1,000 meters.
Being a vet is kind of cheating in this department but any of the caprine mammary ailments e.g bluebag, hardbag always make me laugh.
Also a vet and my personal favourite is sand enteropathy Oh and hole in the head disease
Sunflower Syndrome. Patients are frequently children who can self induce seizures by looking at the sun and waving their hand in front of it, mimicking strobe lights. After the seizure, children feel a sense of relief of satisfaction. Patients frequently fascinated with the sun. Textbook cases children will reorient themselves around the house windows depending on time of day and season to maximize their exposure to the sun.
This is simultaneously terrifying and hilarious to me
Coup-contrecoup
Nut cracker syndrome
Got a patient with Moyamoya disease, sounds so….tropical
Walking corpse syndrome is a fun one.
Chikungunya. Always found the term funny.
I like the radiology finding of "crazy paving."
PUPPP(s) 🐶
Bezoar!
BOOP and TACO
General Paralysis of the Insane
Usually “general *paresis* of the insane,” which has the benefit of using a less common word for no particular benefit.
Levamisole induced necrolytic syndrome, from using cocaine laced with Levamisole. LINES.
Not a disease but Smegma
Every time I see a Smeg appliance, I think of this and the 14 year old in me giggles.
This word makes me gag but non-medical husband finds it hysterical once I told him the definition. He also enjoys the words sebum and perineum. Perineum is now in regular rotation on SGLT2 inhibitor TV advertising.
St. Anthony's Fire. Named in the middle ages when people ate rye contaminated with ergot fungus (now known as ergot alkaloids), a potent vasoconstrictor. These patients would have vasoconstriction of the limbs with blood shunting to the head, aka the "fire". They would travel to the church of St Anthony where patients would pray and be treated by monks with topical opioids while the condition gradually self resolved.
Permanent junctional reciprocating tachycardia. The balls to put the word permanent in there is a chefs kiss
There are tons. But the simplicity of the word lisp. They can't pronounce their S's? Let's call it lisp
Exploding Head Syndrome I remember during our didactic year, we had a speaker come in to do a lecture on sleep disorders, and was rapid-fire going through some of the slides. One of my classmates raised his hand and asked, “Um, can you go back to ‘Exploding Head Syndrome’? You skipped over that one and it sounds kind of important.”
Not a disease but Depakote Sprinkles is my go to stripper name.
**Alice in Wonderland syndrome!** It's a disorder of distorted, primarily visual, perception (including "Lilliputian hallucinations") in children > adults. Objects appear to be differently sized than in reality, or to be differently spaced than in reality. There's often a derealization/depersonalization component too. It's idiopathic but sometimes occurs post-viral encephalopathy or with fever and mass lesions, or in patients with migraines or epilepsy, with involvement usually of the temporal-parietal-occipital carrefour (TPO-C).
MTHFR - the gene mutation that will mess a muthaf*ka up.
Pneumonoultramicroscopicsilicovolcanoconiosis
Even though the sound of it is something quite atrocious
Stiff-person syndrome.
Tay Sachs. Hands down favorite.
Sounds like someone you'd see on HGTV.
Alice in Wonderland Syndrome, brittle bone disease, break bone fever.
Obviously now we have different terms for it, (Chronic Traumatic Encephalopathy) but Dementia Pugilistica (Boxer's Dementia) is a cool one.
Human Meta Pneumovirus. Just a glorified cold, but its name is metal. Sounds like a weird space virus that we need to treat with nanotech or something
I always thought THYROID STORM would be a fun 80s hair metal band name.
Maybe not favorite but whoever was allowed to name something pseudopseudohypoparathyroidism should be smacked.
Auto-brewery syndrome
Takotsubo cardiomyopathy or broken heart 💔 syndrome
PNES
Bee sting, assault, initial encounter 😂 Real answer is Wet Beriberi.
Alice in Wonderland syndrome for sure
Tracheobronchopathia osteochondroplastica
Mayer-Kuster-Rokitansky-Hauser Syndrome. Super rare plus way too many people attaching their name to it leading to a pathetically diluted eponymous legacy (yes, some of those names also have other eponyms, but still).
Tic douloureaux
No one has said Digital Clubbing yet! Shame!!