Episode 267: RLR – Appetizer and Main Dish
The Clinical Problem Solvers
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Is System Two Thinking Too Much System One Thinking?
A 79 year old man was brought to the emergency department by his daughter for five hours of confusion. He has a white count of 30,000, a creatinine of 2.4, baseline is 0.8, and the UA with pyuria, bacteria. The urine nitrite is negative; there's more than 100 white blood cells, more than 100 red blood cells. His EKG and chest x-ray are normal. And again, not really sure why he's in the hospital.
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