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The Clinical Problem Solvers

Latest episodes

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Feb 11, 2025 • 41min

Episode 378 – #IDLove – Staph Bacteremia

Dan Minter, an assistant professor at UCSF specializing in clinical care and education, and Jim Penoyer, a chief resident at Emory focusing on infectious diseases, dive deep into the clinical complexities of staph bacteremia. They discuss the risks associated with various dialysis methods, especially central venous catheters. The episode highlights how to interpret blood cultures, distinguish true pathogens from contaminants, and the transformative role of AI in clinical documentation. A compelling case study emphasizes the need for personalized care strategies in managing infections.
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Feb 7, 2025 • 40min

Episode 377 – Spaced Learning Series – Cachexia & Irregular Eye Movements

Valeria Roldan presents a fascinating neurological case intertwined with cachexia, sparking insightful discussions with the SLS team. They dive into the complexities of weight loss in chronic diseases and emphasize the importance of systematic evaluations. The conversation also covers gastrointestinal mysteries linked to rectal adenocarcinoma, highlighting the significance of detailed observations in diagnosis. Humor and trivia blend seamlessly with the serious topics, making for an engaging exchange on crucial medical insights.
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Feb 3, 2025 • 38min

Episode 376 – RLR – The Same Start but a different end

https://clinicalproblemsolving.com/wp-content/uploads/2025/02/RLR-2-cases-of-fatigue-1.mp3Title  – The same start, but a different ending Episode descriptionRR discusses 2 cases of fatigue Student discounthttps://www.rlrcpsolvers.com/student-discounts/ IMG discountUse coupon code RLRIMG at check out  https://rlrcpsolvers.com/annual-plan
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Jan 30, 2025 • 51min

Episode 375 – Clinical Unknown Series – Mark presented a case to Debora and Noah

https://clinicalproblemsolving.com/wp-content/uploads/2025/01/CUS-1-2025.wavMark presented a case to Debora and Noah in the year’s first episode.Embark on this diagnostic journey with us! Download CPSolvers App hereRLRCPSOLVERS
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Jan 23, 2025 • 1h 22min

Episode 374: WDx #34: It’s Not a Meritocracy

Description:Kaylin, Sharmin, and Cheryl are joined by Dr. Arghavan Salles. They discuss career transitions/pivots, challenging workplace experiences, social/digital media use, and thoughts on allyship and gender biases/stereotype threat as self-identified angry women.Bio:Dr. Salles is a minimally invasive and bariatric surgeon. She completed medical school and residency in general surgery at Stanford prior to completing her fellowship in minimally invasive surgery at Washington University in St. Louis. She stayed on faculty at Washington University for three years prior to moving back to Stanford in 2019. During the pandemic, Dr. Salles has served as a disaster relief physician, caring for patients with COVID in the ICU. Dr. Salles obtained a PhD in education from Stanford University during her residency training, and her research focuses on gender equity, implicit bias, diversity, inclusion, and physician well-being. Her R01 grant from the NIH focuses on sexual harassment. She is a sought-after speaker and has given over 100 national and international invited talks related to gender equity, physician well-being, and weight bias. She currently serves as the Special Advisor for DEI Programs at the Stanford University Department of Medicine where she is a Clinical Associate Professor.Articles: https://www.usatoday.com/story/opinion/voices/2018/10/24/angry-women-voting-discrimination-column/1696287002/https://shows.acast.com/the-house-of-pod-a-medical-podcast/episodes/epsiode-235-masculinityhttps://clinicalproblemsolving.com/wp-content/uploads/2025/01/WDx-1.23-AUPH.m4a Download CPSolvers App hereRLRCPSOLVERS 
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23 snips
Jan 17, 2025 • 57min

Episode 374 – Rafael Medina Subspecialty Episode – Acute encephalopathy and unresponsiveness

Dr. Paul A. Bergl, an intensivist passionate about diagnostic reasoning, joins Dr. Meghan Nothem, a Pulmonary & Critical Care Medicine fellow. They analyze a perplexing case of a 50-year-old man found unresponsive. Topics include the nuances of diagnosing acute encephalopathy, with emphasis on patient history and systemic causes. They explore lab and imaging findings, the implications of metabolic disorders, and the challenges of toxic alcohol intoxication. Their discussion highlights the importance of critical thinking and collaboration in complex medical scenarios.
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28 snips
Jan 7, 2025 • 51min

Episode 373 – RLR – A Sudden Problem, but where is it?

A young man's sudden abdominal pain leads to a deep dive into the complexities of diagnosing intertwined medical issues. The hosts dissect the impact of EKG interpretations, distinguishing between acute coronary syndrome and unusual presentations. They share insights on the importance of critical thinking in diagnostics, especially when symptoms may mask serious conditions. Humor and personal anecdotes lighten the mood as they reflect on the challenges of technology and friendships, making for a thought-provoking and entertaining discussion.
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13 snips
Jan 3, 2025 • 1h 2min

Episode 372 : Neurology VMR – Generalized Weakness

Sebastian Green, a neurology resident at UCLA, and Aye Chan Moe Thant, a physician from Myanmar and clinical researcher, dive into the complexities of generalized weakness. They discuss differential diagnoses, including cervical spinal cord issues and neuromuscular conditions like myasthenia gravis and ALS. Insights from neurological examinations highlight the importance of proper assessment techniques. Their conversation also touches on the diagnostic journey in cases such as acute intermittent porphyria, revealing the intricacies of rare neurological conditions.
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54 snips
Dec 27, 2024 • 56min

Episode 371 – Spaced Learning Series – Infectious Curiosity

Seyma Yildirim, a recent medical school graduate and newest member of the Space Learning Series team, joins seasoned hosts for an enlightening discussion. They dive into a challenging case of altered mental status in a cancer patient, exploring factors like opioid use and immunotherapy effects. The group emphasizes collaborative learning, the nuances of diagnosing complicated infections, and the critical role of detailed patient evaluations. Insights on antibiotic resistance and the importance of teamwork in patient care round out this engaging conversation.
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11 snips
Dec 19, 2024 • 1h 2min

Episode 370 – Clinical Unknown – Jas & Ibrahim discuss Mukund’s case

Mukund Raguram, a fourth-year medical student at UCSF and co-host of Space Learning, teams up with Jasdeep Bajwa, an academic hospitalist passionate about clinical reasoning. They dive into a complex case of a 65-year-old male with a severe chronic cough and a TB history. The discussion covers the systematic approach needed for accurate diagnosis, examining potential complications from previous TB, and the impact of endemic diseases. They also tackle the intricacies of testing for tuberculosis, emphasizing the importance of thorough clinical reasoning in patient care.

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