Day 127 - It Could Be Meningitis (29/01/2018)

I'm ashamed to say I did not make in for the first two lectures of the morning. My plan had been to go straight from Coventry bus station to the university and just power through the day hyped up on caffeine. Instead I decided to come home, get enough sleep to be functional for the day and learn what I could with some cognitive ability intact.

Just CBL and a lecture on eye movement in the afternoon, but I'm very glad I attended both. This CBL case has been very interesting - a young female student with classic symptoms of meningitis, which we think it is, but we're enjoying teasing apart all the other things we think it could be and how we differentiate them clinically, which I suppose is sort of the point. Virtually everyone knows at this point that it is in fact meningitis (I presume one of the second years let it slip), but we're still trying to do it as innocently as possible.

God help anyone who didn't make the eye lecture. It was all about the different axes on which the eyeball can rotate and the muscle contractions that do the rotating - having it explained with the lecturer moving his hands around to indicate the movements made all the difference. I don't think I'd have much of a chance trying to learn it for the first time from the slides. The striking example is the fact that the eyes can rotate not just vertically and horizontally, but around the axis that the optic nerve protrudes into the back of them, if that makes any semblance of sense. Basically look at your eyes in a mirror and tilt your head to one side - you'll see one of them rotate to keep your horizon level.