The Clinical Problem Solvers

The hosts share their reflections on California's wildfires, weaving humor into serious discussions. They analyze a complex case of a 60-year-old man struggling with abdominal issues, emphasizing diagnostic challenges. The conversation transitions to bowel obstructions, dissecting CT scans and surgical needs. They delve into the intricacies of managing acute situations, focusing on hernias and the importance of clinical reasoning. The exploration of abdominal distention highlights the criticality of recognizing symptoms for effective patient care.

This episode features Sharmin, who presents a compelling case study on neuropathy and its link to frequent falls, driving the conversation among Maddy, Youssef, and Andrew. They delve into the complexities of neurological data, analyzing lab results and imaging. The hosts also reflect on a patient’s progressive paresthesia and what it reveals about diagnosis. Additionally, they discuss the critical role of vitamin B12 deficiency in neurological health and its implications, making for an engaging exploration of clinical challenges.

Aye Chan Moe Thant, a physician from Myanmar focused on global neurology, and Valeria Roldan, a recent medical graduate passionate about LGBTQ+ health, dive into the complexities of diagnosing double vision. They tackle a case involving a 73-year-old man with sudden-onset diplopia, exploring differential diagnoses like myasthenia gravis. The conversation also covers the intricacies of one and a half syndrome and the significance of precise clinical observations in neurology. Their insights illuminate the critical connection between eye movements and neurological health.

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.

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.

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

Dive into a fascinating journey of clinical reasoning as a 76-year-old woman's abdominal pain is dissected, revealing layers of complexity. The discussion unveils challenging diagnoses, including a potential case of peritoneal tuberculosis, highlighting the importance of detailed investigations and thorough patient histories. With personal stories and aspirations woven in, the speakers reflect on their growth within the medical community while embracing new technology that enhances charting efficiency. A blend of real-world cases and thoughtful insights makes for a captivating listen!

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 

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.

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.