Core IM | Internal Medicine Podcast #119 A 80F with Melena and AKI also with an Unresolved Pneumonia: Hoofbeats Episode
8 snips
Feb 15, 2023 AI Snips
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Episode notes
A Case of GPA
- Dr. Zyrowski diagnosed a patient with GPA after initially suspecting pneumonia and GI bleeding.
- He unified seemingly disparate symptoms like hearing loss, vision changes, and lung opacities, and the melena was from nosebleeds.
Data Quality in Clinical Reasoning
- Clinical reasoning depends on the quality of data acquired.
- Garbage in, garbage out applies to clinical reasoning as well.
Occam's Razor vs. Hickam's Dictum
- Always try to find a unifying diagnosis, but avoid forcing a convoluted explanation (Crabtree's Bludgeon).
- Consider that patients may have multiple conditions (Hickam's Dictum).