IMreasoning - Clinical reasoning for Doctors and Students 5: Stump the Chumps
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Sep 7, 2015 Join the hosts as they dive into a challenging diagnostic case featuring a young male patient. They work collaboratively to unravel symptoms, prioritizing diagnoses based on medical history. The discussion also explores complex presentations like hepatomegaly and the importance of thorough clinical examinations. They engage in friendly bets on diagnoses, especially tackling rheumatologic conditions and adult-onset Still's disease. It’s a lively session full of insightful clinical reasoning and playful banter!
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Initial Presentation
- A 20-year-old male, Sam, presented to the ED after two weeks of illness.
- Initially diagnosed with a viral illness by his GP, his condition worsened despite treatment.
Beyond a Common Cold
- Sam's prolonged symptoms and ED visit suggest a more serious condition than a typical viral infection.
- Differential diagnoses include HIV, mono, influenza, and meningitis.
Differential Diagnosis
- Consider acute retroviral syndrome and other viral infections like EBV in a young patient with prolonged flu-like symptoms.
- Hematologic or systemic processes should also be considered.