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Episode 173: Clinical unknown with Reza and Rabih at VMR: Dyspnea and finger swelling

The Clinical Problem Solvers

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The Progression of Fibrosis Spinotime

The patient had miliodosis caused by Pseudomonas Pseudomalae, he works in Thailand. He was predominantly working at construction sites in the city. It's not unusual to miss a diagnosis at first pass; every case does not respect Occam's razor here. Usha: Do you think this was TB exacerbating and underlying ILD with RA, or do you think all of this was TB, and the patient's pulmonary pathology completely resolved with ripe therapy?

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