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The Clinical Problem Solvers

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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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32 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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42 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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18 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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8 snips
Dec 11, 2024 • 59min

Episode 369: WDx #33: Clinical Unknown Discussion with Dr Laila Woc-Colburn

In this conversation with Dr. Laila Woc-Colburn, an associate professor specializing in infectious diseases at Emory University, listeners dive into a compelling case of a young pregnant woman with severe headaches. Dr. Woc shares her passion for tackling complex diagnoses, particularly in immunosuppressed patients. The discussion also touches on the challenges of treating conditions like tuberculosis during pregnancy and highlights the importance of mentorship for women in medicine. Her insights on navigating uncertainty in the medical field add an engaging layer to the conversation.
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8 snips
Dec 7, 2024 • 49min

Episode 368: Rafael Medina Subspecialty Episode – Eruptive Nodules

Dr. Steven Chen, an expert in cutaneous lymphoma at Massachusetts General Hospital, joins Dr. Eamonn Maher, a specialist in complex medical dermatology from the University of Minnesota. They dive into a fascinating clinical case of eruptive nodules, discussing diagnostic challenges and the differing perspectives of internists and dermatologists. The conversation also touches on the dermatological implications of immunotherapy in cancer patients, illustrating the critical link between skin conditions and cancer treatments, highlighting collaboration for effective patient care.
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10 snips
Dec 3, 2024 • 34min

Episode 368 – RLR – Fever and photophobia

Delve into a riveting case featuring fever, photophobia, and diarrhea. The hosts humorously grapple with chaotic energy while unpacking the difference between fever and hyperthermia. They analyze a complex patient scenario, emphasizing the vital distinction between bacterial meningitis and encephalitis. Expect insights on rotavirus and its potential CNS complications. The blend of clinical reasoning and engaging discussion makes for an enlightening journey through intricate medical challenges.

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