3.19 Act Your Age

The patient's brother suffered from the same illness, and his symptoms and eventual diagnosis are combined here with hers.

Initial Symptoms: Girl with restrictive pericarditis
Diagnosis: Precocious puberty (Foreman) induced by contact with testosterone cream (House)

Contributions by Team
House (3): Idea to bleed patient to prevent blood clots, realizes the patient’s brother has the same illness, diagnosis for exposure to testosterone cream
Chase (1): Notes hemocrits are elevated
Cameron (1): Realizes problem is environmental
Foreman (1): Diagnosis for precocious puberty

Notes: Foreman diagnosed the patient's condition by testing the blood on her clothing and finding that it was menstrual blood.