The Clinical Problem Solvers

Episode 353: Rafael Medina Subspecialty Series – AMS “Treat before Diagnosis”

Sep 12, 2024

Rafael Medina, a pivotal figure in clinical reasoning, joined by Kuchal Agadi, John Woller, and Areeb Masood, dives deep into a compelling case of altered mental status in a 67-year-old patient. They emphasize the crucial balance between treatment and diagnosis, advocating for a systematic approach in urgent care. The discussion also touches on the nuances of stroke diagnosis, the importance of thorough evaluations, and the significance of personalized patient care. Their insights not only shed light on complex clinical scenarios but also showcase dedication to medical education.

01:03:08

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Quick takeaways

The introduction of the AI medical scribe Freed demonstrates a significant advancement in clinical documentation efficiency, allowing providers to focus more on patient care.

Dr. John Waller emphasizes the critical role of clinical reasoning and a broad differential diagnosis in successfully navigating complex patient cases in internal medicine.

Areeb Masood highlights the value of frameworks like MISNOMIC for diagnosing altered mental status, while also stressing the importance of patient history for accurate assessment.

Deep dives

The Role of AI in Clinical Documentation

An AI medical scribe called Freed is introduced, designed to relieve clinicians from the burdens of documentation. Freed offers instant transcription of clinical notes based on the clinician's style, usable across various specialties for both in-office and virtual visits. Over 10,000 healthcare professionals are utilizing Freed to save time, reporting a potential savings of up to two hours of work each day. With its ease of use and HIPAA compliance, Freed provides an efficient solution to the often dreaded task of clinical charting.

Intro

2min

The Journey of a Hospitalist: Balancing Medicine and Passion

6min

Understanding Altered Mental Status

5min

Evaluating Altered Mental Status in Emergency Care

16min

Differentiating Central and Peripheral Facial Weakness

2min

Navigating Stroke Diagnosis and Management

20min

Navigating Stroke Care: A Multidimensional Approach

12min

In this Clinical Reasoning Rafael Medina Subspecialty episode, Dr. Kuchal Agadi presents a case to Dr. John Woller and Dr. Areeb Masood of a 67 year-old male with altered mental status.

Session facilitator: Hui Ting Ruan

The goal of this session is to expand access to subspecialty, primary care, and internal medicine-adjacent specialty education to learners around the world. If you would like to get involved as a case presenter or discussant (or nominate an attending/educator), fill out the form HERE.

Case discussant:

Dr. John Woller is an academic hospitalist working in the Johns Hopkins Hospital in the Division of Hospital Medicine. As a clinical coach and Associate Program Director for clinical reasoning and bedside medicine, John is enthusiastic about teaching medical students and Osler residents at the bedside.

And Dr. Areeb Masood, is a third-year internal medicine resident at Johns Hopkins Hospital in the Osler Internal Medicine Residency and Urban Health Track. He earned his undergraduate degree from The University of Texas at Austin and his medical degree from The University of Texas Rio Grande Valley School of Medicine. After completing his residency, he aims to practice a blend of hospital medicine and HIV primary care. @areebmasoodMD

Case presenter:

Dr. Kuchal Agadi, is first year Resident at a community hospital in Chicago. Kuchal is passionate about medical education. Apart from medicine she is a fitness enthusiast, and enjoys a good workout routine with Kettle bells.