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Episode 307: Rafael Medina Subspecialty Series – Fever and Chills

The Clinical Problem Solvers

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Approach to a Patient with Fever and Abdominal Pain

The hosts discuss the symptoms and medical history of a patient presenting with fever and abdominal pain, identifying the presence of inflammation and likely infection as the cause. They discuss the patient's risk factors, including abnormal GI anatomy, prior pancreatitis episodes, and being on total parenteral nutrition (TPN), and explore the importance of physical exams in guiding empirical coverage and detecting complications such as endocarditis and intra-abdominal abscess.

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