Core IM | Internal Medicine Podcast "Best of" | 20Qs Hoofbeats
Jul 14, 2021
A fun game of medical Twenty Questions kicks off the podcast, leading to a complex case of abnormal bleeding. The team delves into primary versus secondary hemostasis and dissects the pathology report for clues. The challenging diagnostic process and considerations for the final diagnosis are highlighted. The podcast wraps up with a positive patient outcome and gratitude towards discussants.
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20 Questions Analogy
- Shreya describes listening to a game show where experts deduce an object by asking yes/no questions.
- This reminds her of diagnosing patients, where clinicians gather information to pinpoint the correct illness.
Cost of Questions
- Doctors should minimize unnecessary questions and tests, as each one carries a cost.
- Wrong questions can lead to incorrect diagnoses and erode patient trust.
Effective Questioning Strategy
- In medical diagnosis, the ideal questioning strategy is similar to "20 Questions": eliminate half the possibilities with each question.
- Expert clinicians understand which questions most effectively narrow down the problem space.