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NBME 24 Answers

nbme24/Block 4/Question#5

A 45-year-old man comes to the physician because of ...

Muscle biopsy

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 +7  upvote downvote
submitted by sattanki(27),

Muscle pain + periorbital edema is a classic presentation for trichonella spiralis. Best diagnosis for this is a muscle biopsy, as the wormy likes to hangout within the muscles.

sympathetikey  That's what you get for killing polar bears. +9  
dr.xx  That's what you get for not cooking them well. +  
charcot_bouchard  Theres nothing called "well cooked polar bear meat" +  

 +4  upvote downvote
submitted by neonem(227),

Apparently trichinella lies around in muscle of all of the random exotic animals that most people wouldn't normally eat... things like bear, wild boars/pork (like in Sketchy Micro), big cats, foxes, dogs, horses, seals, walruses. In case you needed another reason to not hunt and consume these animals?