The Clinical Problem Solvers Episode 408 – Clinical Unknown Series with Dr. Kirtan Patolia
6 snips
Jul 18, 2025 Kirtan Patolia, a physician and member of the Clinical Problem Solvers, joins the discussion to tackle a surprising clinical case with an impressive outcome. They delve into the complexities of respiratory distress and the nuances of acute chest pain, emphasizing critical diagnostic strategies. Personal anecdotes about medical training provide levity, while serious topics like thrombocytopenia and complex diagnoses highlight the importance of collaboration in healthcare. Listeners are invited to explore the intricate world of diagnostics alongside these expert insights.
AI Snips
Chapters
Transcript
Episode notes
Chest Pain Differential Approach
- Use the four plus two plus two mnemonic to focus on no-miss causes of chest pain in acute settings.
- Prioritize ruling out life-threatening causes like pericarditis, pulmonary embolism, and ACS-related inflammation.
Hemoptysis Differential Insight
- Hemoptysis etiology can be anatomically categorized to narrow diagnosis effectively.
- Prosthetic valve dysfunction can cause pulmonary capillary hypertension leading to hemoptysis.
Assess Hemoptysis Clinically
- Assess hemoptysis severity clinically rather than only by volume.
- Prioritize airway and hemodynamic stability over quantitative measurement during massive hemoptysis.