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Daryl

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Daryl lost his temper at a football scrimmage and started beating up the player he had been blocking during the play. However, after the incident, he kept hitting himself in the head with his helmet. He was taken to [[Princeton-Plainsboro Teaching Hospital]] and his case was assigned to [[Gregory House|Dr. House]].
 
Daryl lost his temper at a football scrimmage and started beating up the player he had been blocking during the play. However, after the incident, he kept hitting himself in the head with his helmet. He was taken to [[Princeton-Plainsboro Teaching Hospital]] and his case was assigned to [[Gregory House|Dr. House]].
   
[[Remy Hadley|Dr. Hadley]] noted that Daryl’s symptoms appeared to point to [[brain]] involvement. Daryl denied any recollection of the incident that brought him to hospital. Dr. House thought it was merely a [[concussion]], however, the [[emergency room]] had done a [[CT scan]] and had ruled out concussion, [[stroke]] and [[cortical degeneration]]. The patient also had a full [[psychiatry|psychiatric]] workup. Dr. House though it might be [[steroid rage]], but Daryl’s [[tox screen]] was negative for anabolic [[steroids]]. However, Dr. House thought the negative test result just showed he was using good quality steroids that are harder to detect. He noted the patient injected [[Lidocaine|lidocaine]] on a regular basis. [[Eric Foreman|Dr. Foreman]] thought that repeated trauma might have caused a [[pituitary]] [[adenoma]] that caused [[GNRH]] production that would mimic [[steroid abuse]]. Dr. Hadley noted that wouldn’t show up on a CT scan. Dr. House allowed them to do a bilateral [[venous sampling]] to look for excess [[hormones]] and an [[MRI]] to look for pituitary damage. However, if those tests were negative, he wanted treatment for steroid abuse.
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[[Remy Hadley|Dr. Hadley]] noted that Daryl’s symptoms appeared to point to [[brain]] involvement. Daryl denied any recollection of the incident that brought him to hospital. Dr. House thought it was merely a [[concussion]], however, the [[emergency room]] had done a [[CT scan]] and had ruled out concussion, [[stroke]] and [[cortical degeneration]]. The patient also had a full [[psychiatry|psychiatric]] workup. Dr. House though it might be [[steroid rage]], but Daryl’s [[tox screen]] was negative for anabolic [[steroids]]. However, Dr. House thought the negative test result just showed he was using good quality steroids that are harder to detect. He noted the patient injected [[Lidocaine|lidocaine]] on a regular basis. [[Eric Foreman|Dr. Foreman]] thought that repeated trauma might have caused a [[pituitary]] [[adenoma]] that caused [[GNRH]] production that would mimic [[steroid abuse]]. Dr. Hadley noted that wouldn’t show up on a CT scan. Dr. House allowed them to do a bilateral [[venous samplijng|venous sampling]] to look for excess [[hormones]] and an [[MRI]] to look for pituitary damage. However, if those tests were negative, he wanted treatment for steroid abuse.
   
 
[[Chris Taub|Dr. Taub]] asked Daryl if he had any deep persistent [[pain]], but Daryl said that due to the football, his whole body hurt all the time. He explained that they were going to test his pituitary. Daryl asked how long it would take to treat, and [[Glenda|his mother]] explained that he was supposed to be playing in an all-star game where several pro scouts would be in attendance. If he were not there, he would most likely not be drafted into the pros. Dr. Taub assured them if it was his pituitary, the surgery would be minimally invasive and he would only need about two days of recovery.
 
[[Chris Taub|Dr. Taub]] asked Daryl if he had any deep persistent [[pain]], but Daryl said that due to the football, his whole body hurt all the time. He explained that they were going to test his pituitary. Daryl asked how long it would take to treat, and [[Glenda|his mother]] explained that he was supposed to be playing in an all-star game where several pro scouts would be in attendance. If he were not there, he would most likely not be drafted into the pros. Dr. Taub assured them if it was his pituitary, the surgery would be minimally invasive and he would only need about two days of recovery.
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