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The Clinical Problem Solvers

The Clinical Problem Solversclinicalproblemsolving.com
The Clinical Problem Solvers is a multi-modal venture that works to disseminate and democratize the stories and science of diagnostic reasoning Twitter: @CPSolvers Website: clinicalproblemsolving.com
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Episodes

Episode 428: Neurology VMR – Diplopia and fever

This episode details a complex neurology case of a 36-year-old female presenting with diplopia and fever, later developing facial weakness and ataxia. The initial diagnostic journey involved exploring infectious and inflammatory causes with CT and LP, leading to empirical treatment and a temporary improvement. A subsequent relapse, combined with newly discovered mucocutaneous ulcers and specific MRI findings (the 'cascade sign'), ultimately led to the diagnosis of Neuro-Behcet's disease, highlighting the importance of dynamic history-taking and a broad differential.

Nov 02, 202559 min

Episode 425: Schema Episode – Ground Glass Opacities

The Clinical Problem Solvers delve into a challenging case of a patient presenting with dyspnea and new oxygen requirements, initially treated for community-acquired pneumonia. The discussion navigates through a systematic approach to hypoxia, the interpretation of diffuse ground-glass opacities on imaging, and the critical role of a detailed patient history, especially regarding environmental exposures. Ultimately, a lymphocytic predominance on bronchoalveolar lavage, coupled with extensive bird exposure, leads to the diagnosis of bird fancier's lung, highlighting the diagnostic complexities of interstitial lung diseases.

Oct 15, 202550 min

Episode 408 – Clinical Unknown Series with Dr. Kirtan Patolia

This episode presents a complex case of a 61-year-old male with chest pain, fever, cough, and hemoptysis, progressing to critical illness. The diagnostic journey explores broad differentials including infections, autoimmune conditions, and cardiac issues, ultimately revealing a severe bioprosthetic mitral valve dysfunction as the cause of diffuse alveolar hemorrhage. The discussion highlights the importance of advanced imaging and clinical judgment in challenging cases.

Jul 18, 20251 hr 15 min
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