Episode 28: Diagnostic Dilemma - AKI on Allograft + CHF

Episode 28: Diagnostic Dilemma - AKI on Allograft + CHF

Mike presents a case of AKI with heart failure in a patient with recent TAVR and kidney transplant. When do you reconsider the diagnosis in a patient failing to respond to treatment despite strong evidence for the diagnosis you're treating? Join us for a wild ride where surprise is hiding behind every test.

Episode 27: Rapid Response! - GI Bleed

Kicking off a new series dedicated to management reasoning, Andrew presents a case of "dark stools" after recent UGIB. Occam's razor vs Hickam's dictum?

Episode 26: Diagnostic Dilemma - Painless Vision Loss

Mike presents the case of a man with painless vision loss and new colorblindness. The retinal exam suggests ischemic vs inflammatory causes. Are acute symptoms always explained by acute diseases?

Episode 25: Guestpisode! - Pan Positive ROS

Dr. Jeffrey Shen presents a perplexing case of a patient with symptoms across nearly all organ systems with some non-specific positive tests but no unifying diagnosis. How can testing characteristics obscure even the most common diagnoses? What does it take to say that a disease has been truly "ruled out?"

Episode 24: Diagnostic Dilemma - Subacute Fatigue + BMP Derangements

Andrew presents the case of a woman with subacute fatigue but no localizing symptoms. On arrival, every lab is flashing red. The diagnosis remains elusive, but seems so obvious in reflection. Can you recognize the illness script?