The Clinical Problem Solvers Episode 383 – Clinical Unknown Series with Rabih Geha
Mar 13, 2025
Rabih Geha, representing the CP Solvers Academy, joins the discussion to tackle a captivating clinical case. The conversation navigates life transitions and the importance of diagnostic reasoning while sharing personal anecdotes. Geha uncovers the complexities of diagnosing rhabdomyolysis versus myositis, highlighting critical lab evaluations. The hosts engage in light-hearted banter while emphasizing the crucial role of patient history in understanding ambiguous symptoms. Listeners are encouraged to deepen their clinical skills through the exploration of these challenging cases.
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Systemic vs Localized Symptoms
- Nonspecific symptoms may represent a systemic response rather than localized disease.
- Identifying a focal point impacts diagnostic testing direction, such as swabs versus blood tests.
Key Labs and Diagnosis Verification
- Check creatine kinase and aldolase for diffuse body pain to evaluate for myositis.
- Verify existing diagnoses critically, as skin conditions can mimic others.
Severe Pain May Indicate Limb Disease
- Severe pain prompting a patient to request pain medication may indicate a limb disease, like myositis.
- Presence of anemia or sickle cells would suggest specific diagnoses like vaso-occlusive crisis.