The Clinical Problem Solvers Episode 369: WDx #33: Clinical Unknown Discussion with Dr Laila Woc-Colburn
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Dec 11, 2024 In this conversation with Dr. Laila Woc-Colburn, an associate professor specializing in infectious diseases at Emory University, listeners dive into a compelling case of a young pregnant woman with severe headaches. Dr. Woc shares her passion for tackling complex diagnoses, particularly in immunosuppressed patients. The discussion also touches on the challenges of treating conditions like tuberculosis during pregnancy and highlights the importance of mentorship for women in medicine. Her insights on navigating uncertainty in the medical field add an engaging layer to the conversation.
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Imaging for Headaches
- Conduct a CT head scan for headaches with blurred vision and dizziness, especially in pregnant patients.
- Consider a lumbar puncture based on CT head results to evaluate intracranial pressure.
Importance of Geographic Specificity
- Patient's geographic location and environment significantly influence infectious disease diagnosis.
- Knowing the specific town or region provides valuable clues about potential exposures, like endemic fungi or brucellosis.
Ophthalmology Consult for Papilledema
- A bedside fundoscopic exam might not be sufficient for assessing papilledema.
- Consult ophthalmology for a thorough evaluation, especially if increased intracranial pressure is suspected.
