The Clinical Problem Solvers

Join neurologist Aaron Berkowitz and medical graduate Aye Chan Moe Thant as they delve into a fascinating case of a 19-year-old with persistent right-hand weakness. Aye shares her inspiring journey from Myanmar, advocating for health equity while analyzing neurological causes of the patient's symptoms. They explore critical topics like brachial plexus functions, diagnostic techniques, and the intrigued implications of rare conditions like Hirayama disease. Tune in for a captivating discussion that demystifies neurology and promotes understanding!

A team of medical graduates tackles a case of a 40-year-old man involved in a motor vehicle accident who later develops a stroke. They dissect the complexities of diagnosing stroke in young patients, the nuances of lytic bone lesions, and the significance of imaging in identifying ground glass opacities in lung scans. They also unravel a perplexing medical mystery involving persistent fevers and neurological symptoms, leading to the diagnosis of disseminated coccidioidomycosis. Collaborative problem-solving takes center stage in this engaging discussion.

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.

Dr. Sukriti Banthiya, a first-year cardiology fellow at Henry Ford Providence, presents a riveting clinical case of a 78-year-old man facing severe challenges due to end-stage renal disease. The discussion navigates the complexities of managing cardiac arrest in such patients, including critical resuscitation techniques and the role of teamwork in emergencies. The nuances of diagnosing right-sided heart failure and pulmonary embolism are explored, highlighting the importance of tailored patient care and real-time decision-making in acute settings.

Anna Fretz, a second-year pulmonary medicine fellow, and Seyma Yildirim, a resident on the nephrology ward, dive into a compelling case of flank pain tied to hypercalcemia and granulomatous diseases. They explore the intricate links between acute symptoms and chronic conditions like sarcoidosis. Listeners will be captivated by their discussion on the importance of differential diagnoses, the management of kidney stones, and the complexity of diagnosing granulomatous diseases from a clinical perspective.

Dr. Eli Miloslavsky, a rheumatologist and medical educator at Massachusetts General Hospital, joins Ana Valle, a rheumatology fellow focusing on health equity. They delve into a complex case of a patient with joint pain and skin rash, emphasizing the importance of clinical reasoning. The conversation highlights the significance of workforce diversity in improving care for underrepresented communities and explains diagnostic strategies for autoimmune conditions. Their insights into patient relationships and ongoing learning in rheumatology make for an engaging discussion.

A fascinating case of a patient with gum bleeding leads to a deep dive into differential diagnoses, including potential platelet disorders. The discussion highlights the intricacies of thrombocytopenia and anemia, exploring how underlying conditions like anal cell carcinoma can complicate symptoms. Listeners will appreciate the insights into interpreting lab results and the significance of the Immature Platelet Fraction. Key takeaways emphasize the importance of discerning between platelet and coagulation issues for effective patient management.

An intriguing case of atraumatic rhabdomyolysis sets the stage for a discussion on a 41-year-old man with acute leg weakness linked to substance use. The speakers delve into the complexities of diagnosis, emphasizing neurological examinations and the interplay between mental health and physical symptoms. Initial lab results reveal critical indicators, underscoring the importance of monitoring creatine kinase levels. The episode highlights treatment strategies and the serious implications of rhabdomyolysis, enriching the conversation with personal anecdotes and clinical insights.

In this engaging discussion, Bayan Al Zoabu, a passionate senior medical student from Syria known for her work in neurology and ethics, presents a case of a 71-year-old woman with altered mental status to Dr. Aye Chan Moe Thant, a dedicated neurologist focused on health equity. They dive into the complexities of diagnosing conditions like dementia and meningitis, the significance of lumbar punctures, and the essential role of thorough assessments in neurology. They also discuss the neurological implications of autoimmune disorders, revealing the intricacies of patient care.

In this engaging discussion, infectious disease expert Varun Phadke provides insight into a complex case involving a 50-year-old man with fever, altered mental status, and diarrhea. The conversation highlights the intricate link between gastrointestinal and neurological symptoms. Phadke tackles challenging diagnoses, including alcohol withdrawal and the intricacies of Legionella pneumonia. Listeners will appreciate the emphasis on detailed clinical reasoning and the importance of comprehensive evaluations in complex medical cases.