The Clinical Problem Solvers Episode 375 – Clinical Unknown Series – Mark presented a case to Debora and Noah
Jan 30, 2025
Dive into a fascinating journey of clinical reasoning as a 76-year-old woman's abdominal pain is dissected, revealing layers of complexity. The discussion unveils challenging diagnoses, including a potential case of peritoneal tuberculosis, highlighting the importance of detailed investigations and thorough patient histories. With personal stories and aspirations woven in, the speakers reflect on their growth within the medical community while embracing new technology that enhances charting efficiency. A blend of real-world cases and thoughtful insights makes for a captivating listen!
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Mark's Journey to CPS
- Mark was a longtime follower of Clinical Problem Solvers since his third year of medical school.
- After joining, he felt drawn to the community’s passion and collaborative learning environment.
Approach Abdominal Pain Systematically
- Initial evaluation for postprandial abdominal pain should consider lumen, compression, biliary, pancreatic, and vascular causes.
- Use mnemonics like VIPO (vascular, perforation, obstruction) to rule out life-threatening abdominal pain causes.
Ascites Over Obstruction Insight
- Subacute abdominal pain with normal bowel movements and mild fluid wave suggests ascites is more likely than obstruction.
- Normal bowel movements reduce likelihood of obstruction despite distension and pain.