Monthly Archives: May 2026

Andrew Carlson, Grace Ryan, Jesus Cortes 05/08/2026

Case Study: Adam F.

Case Background

A 24-year-old man, AF, is brought to the ED at 02:47 by his guardian and personal physician, Dr. Victor F., MD, of the University of Ingolstadt. The patient is tall, with extensive surgical scarring of varying ages. Dr. F. is agitated. He refers to the patient as “the specimen,” then corrects himself.

When asked for a medical history, Dr. F. provides one. The dates do not align. The operations do not align. They appear to describe at least three different people. Asked about the patient’s mother, Dr. F. asks which one. The resident does not pursue it. Pharmacy notes that Dr. F. has previously attempted to write standing orders for “electricity, prn.”(pro re nata/as needed). These were declined. On examination, AF is jaundiced and edematous (excess fluid build-up). Last meal: ~14 hours ago. Family history: Dr. F. begins to list contributors. After the eleventh contributor, the resident asks him to stop.

After pointed questioning, Dr. F. notes that during construction “appropriate hepatic (liver) specimens had been in short supply,” and that he had used “what was at hand.” When asked what was at hand, he replies “mostly cat.”…