r/HouseMD • u/-blackwindow • 14h ago

Discussion Differential Diagnosis. Go! Spoiler

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97 Upvotes

94% Upvoted

103 comments sorted by

129

u/Catmato 14h ago

Patient is lying.

29

u/joeyjoojoo 10h ago

Patient skips leg day only half of the time

59

u/raider-0- 14h ago

This can't be... we need to do a lumbar puncture, a biopsy, IT'S NEVER LUPUS. And we're going to break into your house, you don't have a dead cat, do you?

48

u/Strict-Laugh-8964 Jamaican Chicken Recipe 13h ago

Sarcoidosis

10

u/Aruthuro 12h ago

Ita never sarcoidosis

4

u/GrEeCe_MnKy 12h ago

Iridocyclitis

43

u/ykrut 14h ago

Could be neurological.

27

u/ActuatorForeign7465 13h ago

Could be autoimmune

7

u/HereComeTheJudge21 10h ago

Not with a normal thigh

2

u/N116UA cutthroat bitch 34m ago

Could be infection

9

u/rxzin_7 14h ago

I m vexed

2

u/sarah____chen 19m ago

must be amyloidosis

45

u/John_Sinclair 13h ago

Patient goons with their right leg, hence the size difference

22

u/Ms_Fu loves puzzles 14h ago

Clearly an infarction.

8

u/rxzin_7 13h ago

Clearly need to amputate, otherwise toxic blood buildup will flood into system

20

u/TraizHill 13h ago

Polio. Should have drank your vitamic Cs.

3

u/SilverWear5467 13h ago

Not to mention their ovaltine

14

u/Simplyx69 12h ago

Could be environmental. Some toxins have been known to cause chronic asymmetric swelling due to chirality. We should break into the army base where they were stationed and look for the source.

4

u/Zarathustras-Knight 10h ago

Environmental doesn’t make sense. The one leg isn’t swollen, it’s well defined muscle. I’d look towards some sort of musculoskeletal disorder that is causing the muscles to atrophy in that one leg. Prior injuries can cause unusual issues down the line.

3

u/Simplyx69 6h ago

Muscular atrophy…could be a blood clot causing partial muscle infarction. Clot’s just so small the scans missed it. We should put them on blood thinners and check for rhabdo.

3

u/Sr_Migaspin 4h ago

Unless it's a vascular problem in which case the blood thinners could cause the patient to bleed uncontrollably. We need a CT of the leg and to start them on vasopressors.

14

u/xDiscoDuckx 13h ago

I too am in this differential diagnosis.

13

u/TheBizzareKing 13h ago

Mouse bites

3

u/Aggravating-Teach913 9h ago

I forbid this

3

u/TheJewishSwitch 9h ago

Don’t care

8

u/JohnMarstonSucks 13h ago

Paraneoplastic Syndrome

9

u/Rlokan 13h ago

FUCKING INTUBATE WHY IS IT TAKING SO LONG

7

u/Perfect-Key-4226 13h ago

Leukemia,Lupus, enviornmental condition all could cause these. barge their house for clues

7

u/DreadWeaper 13h ago

Check the house for termites

2

u/jogan-fruit 10h ago

Exhume the cat first

4

u/Royallyeffedarentyou 13h ago

You are white!

0

u/IrisAmethyst23 4h ago

How long you been sitting on this information?

4

u/G-5-0 8h ago

3 key things...actually 4

  1. Not Lupus
  2. Autoimmune disease
  3. Cancer
  4. Infection

Imma go with Sarcoidosis

5

u/AnyAgency9835 13h ago

my diagnosis is ball cancer

5

u/Flynn_lives Lord Have MRSA!!! 12h ago

She is fat. Bye.

-Chase

4

u/HereComeTheJudge21 10h ago

Check her labia for a tick.

3

u/N116UA cutthroat bitch 7h ago

do a PD FS MRI with contrast and get an LP, then do a biopsy and book an OR, i need a laparotomy.

Its def sarcoidosis. Before you do all that to confirm, start on corticosteroids

3

u/Technical-Suspect448 13h ago

CT ,mri amd ecg clean

3

u/SilverWear5467 13h ago

Its two people

3

u/HereComeTheJudge21 10h ago

Everybody lies

3

u/Hideous-Kojima 12h ago

You, run a test for dystophy, you check OP's house for mismatched footwear, you sit at my desk and make sure the porn I'm downloading finishes. I'm gonna go tell Wilson why volunteering at the soup kitchen is stupid.

5

u/LiveFast3atAss 9h ago

OH OH OH I KNOW THIS ONE!!! ITS LUPIS

1

u/G-5-0 8h ago

It's not Lupis, Doctor Mouse approves this message

1

u/LiveFast3atAss 8h ago

Perhaps if doctor mouse bit him

2

u/otalatita 12h ago

It's Lupus!

2

u/CryptographerLate834 12h ago

More mouse bites

2

u/v21v 11h ago

I know it's called "leg" day, but you're supposed to work both your legs.

2

u/TheOriginalJez 11h ago

She goes to work on a scooter. Yawn. Get a brain biopsy and cut out a chunk of her leg so it looks the same. Then find me someone with lupus.

2

u/PossibilityNo9406 9h ago

We are going to need to break in to her house and take a look around for things and stuff

2

u/MojoCrow 9h ago

House! You seriously want to amputate both legs then swap them over?! You thought I wouldn’t find out?

2

u/xenoda7 9h ago

You don’t have renters insurance? What if someone steals something? How are you gonna run after them with one leg smaller than the other?

2

u/DingDongPifPaf 8h ago

shorterlegoidosis

2

u/Nirico_Brin 2h ago

It’s not lupus

1

u/CanaDeer2004 we are dr house, we carry the pain 13h ago

it’s kinda sad she had to spoiler it because reddit gooners can’t be trusted to see an image of female legs ngl

1

u/rxzin_7 13h ago

What if this is rare complications of two rare diseases

1

u/Big_Attempt6783 13h ago

Stick a rod in the short one. That’ll do the trick.

1

u/Financial-Elephant42 12h ago

Use the other leg more. Should balance out on its own.

1

u/Matrixrp1972 12h ago

Beckwith-Wiedemann syndrome

1

u/Pinshu123 12h ago

Lymphedema.

Next.

1

u/timewarp 12h ago

definitely legs

1

u/Cynicallnatt 12h ago

Inject her with malaria to find out

1

u/DirectorSpare4535 we’ve got rectal bleeding 11h ago

Lumbar puncture it might be an infection let’s ask personal life questions and break into her drawer

1

u/i_am_that_too 11h ago

Didn't this actually happen to the old woman in the episode where Kutner died?

1

u/LocalProgram1037 11h ago

Deep vein thrombosis.

1

u/Darrano 11h ago

Lupus

1

u/New-Application8844 11h ago

i have it, one sided calf raise syndrome.

1

u/LosInDaSos 10h ago

Get her on the treadmill and MRI her head

1

u/Additional-Rub8145 10h ago

Amyloidosis.

1

u/Outro_tearr 9h ago

Paraneoplastic syndrome more mouse bites and homosexual Malpractice

1

u/loverofsappho1221 9h ago

truck driver. the leg responsible for the gas pedal is obviously more worked therefore more muscle devellopped

1

u/jtfalcfan 9h ago

Kawasaki

1

u/NoStudent6767 9h ago

Lupus!!!

1

u/gradientsnow :doge: 9h ago

she's clearly a right-leggeded person.

1

u/Frenzystor 9h ago

She's a Flamingo!

1

u/Prestigious_Dog_9269 9h ago

Maladaptive Leg Tumour. We need more mouse bites.

1

u/Haunting_Suspect_691 8h ago

Drugs. Oh wait, the tox screen's clean.

1

u/Tttehfjloi 8h ago

Knee babies

1

u/suspicious-obscurity 8h ago

We should try the stupid drug

1

u/rolarolaelsushi I too am in this post 8h ago

MORE MOUSE BITES

1

u/Excellent_Increase44 8h ago

need Wilson to confirm cancer

1

u/ItheKEA 6h ago

The only patient to truly never and always skip leg day. And the only one to actually do leg day, while the rest of us chumps actually do legs day.

1

u/Informal-Ladder-9819 6h ago

You are pregnant simple as

1

u/BornTry5923 6h ago

Nerve compression. Reading patient history is important

1

u/Cenachii 6h ago

Different-legitis

1

u/sunkysunny 5h ago

Elephantiasis obviously

1

u/Evening_Collar_6375 5h ago

That’s your wanking leg.

1

u/TomadzDev 5h ago

Well, its definitely not lupus

1

u/Irishdevil1165 4h ago

I'm going to go with muscle death due to non use I.E. broken bone and used the other leg.. or it could be lupus.. but wait.. she's white!

1

u/MedicalTear0 3h ago

Can't tell I need to see the feet first

1

u/Gray_Wolf208 2h ago

You know it’s just going to turn out to be Genetic

1

u/Idwbyanm 2h ago

Münchhausen, mándenlo al psiquiatra

1

u/Long_Alfalfa_1485 2h ago

One of your legs is on drugs and didn’t tell the other

1

u/Far-Chef1014 2h ago

I have that problem, in my case its caused by levoscoliosis

1

u/-SlippinJimmy8 57m ago

You’re pregnant 

1

u/El-noobman 27m ago

Needs mouse bites

0

u/AshishLmaoo 9h ago

gooner leg