The Clinical Problem Solvers
Episode 329 – Spaced Learning Series – Mystery Case
Apr 17, 2024
Anna Fretz, Priyanka Athavale, and Kirtan Patolia discuss a fascinating case of a patient found down, exploring topics like hyperkalemia, lactic acidosis, hypothermia, and hyperammonemia. The podcast delves into challenging medical cases, diagnostic clues, management strategies, and the complexities of patient care.
46:13
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Quick takeaways
- Structured approach essential in diagnosing complex cases with thorough evaluation of history, exam, labs, and context clues.
- Prompt and comprehensive management of hyperkalemia crucial to prevent severe cardiac arrhythmias.
Deep dives
Initial Presentation and Evaluation
The case presented a middle-aged man found unresponsive, lacking medical history, admitted to the hospital after being found in a park with drug paraphernalia and multiple lighters. Despite being minimally responsive, vital signs were stable. Initial physical exam revealed small but reactive pupils, positive cough reflex, and withdrawal to pain. Lab results showed abnormalities like hyperkalemia, hyponatremia, and elevated lactate, prompting thorough evaluation.
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