Diagnostic Atypia
di Drs. Michael Arcieri and Andrew Sanchez
Ultimo episodio
Episode 33: Diagnostic Dilemma - Hyperleukocytosis
Episode 33: Diagnostic Dilemma - Hyperleukocytosis
Informazioni su questo podcast
Inspired by the Diagnosis community (eg The Clinical Problem Solvers), Drs. Michael Arcieri (@mikearcieri.bsky.social) and Andrew Sanchez (@ASanchez_PS) present a new space for Dx enthusiasts to experience diagnostic dilemmas encountered on the general medicine wards and medical ICU service. From puzzling symptoms to rare conditions, Drs. Arcieri and Sanchez highlight the twists and turns of atypical diagnostic journeys. Clinicians and students are invited to bring thought-provoking cases for group reflection ([email protected]). Episode-associated teaching is available at DxAtypia.com
Episodi
I 20 episodi più recenti su 35
- Episode 33: Diagnostic Dilemma - Hyperleukocytosis · 51 minWBC >440k. After cytoreduction, an unexpected, disproportionate hemoglobin drop.
- Episode 32: Diagnostic Dilemma - Diarrhea · 54 minMike brings one of the most humbling cases of his career: a catastrophe hiding behind an ordinary complaint.
- Episode 31: Diagnostic Dilemma - Syncope + Hypotension · 42 minSyncope. Shock. Troponin of 3,872. Her ECG looks just like her old one... or does it not? Three days of antibiotics later, the pressors are still climbing. What is missing?
- Episode 30: Diagnostic Dilemma - AKI · 42 minMike presents a case of AKI – as the DDx shrinks, things become crystal clear
- Episode 29: Diagnostic Dilemma - "Ileus" · 40 minWe're back! Andrew presents a case of "ileus" — a gut that's gone eerily quiet, until a twist reveals it was never being lazy.
- Episode 28: Diagnostic Dilemma - AKI on Allograft + CHF · 52 min · Stagione 2 Episodio 16Mike 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…
- Episode 27: Rapid Response! - GI Bleed · 32 min · Stagione 2 Episodio 15Kicking 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 · 55 min · Stagione 2 Episodio 14Mike 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…
- Episode 25: Guestpisode! - Pan Positive ROS · 1 h 0 min · Stagione 2 Episodio 13Dr. 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…
- Episode 24: Diagnostic Dilemma - Subacute Fatigue + BMP Derangements · 44 min · Stagione 2 Episodio 12Andrew 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…
- Episode 23: Diagnostic Dilemma - Readmission with Acute AMS · 50 min · Stagione 2 Episodio 11Mike presents the case of a recently hospitalized man readmitted to the hospital for altered mental status with neuropsychiatric features. The case escalates without a diagnosis…
- Episode 22: Diagnostic Dilemma - Post-operative Ascites with Mystery Guest! · 48 min · Stagione 2 Episodio 10Mike works through a case of new-onset ascites, where every test comes back negative. Or did they? When we don't know what test to order next, sometimes the best approach is to…
- Episode 21: Guestpisode! - Bradycardia · 50 min · Stagione 2 Episodio 9Dr Nicholas Salter presents the case of an elderly woman evaluated in the ED for confusion & bradycardia. What if the disease marker can cause the disease itself?
- Episode 20: Guestpisode! - Refractory Shock · 49 min · Stagione 2 Episodio 8Dr. Brendan Robinson presents a case of refractory shock after recent CABG. As the 4th pressor is hung, Andrew and Mike realize they don't have the "tincture of time" in this…
- Episode 19: Guestpisode! - Sinus Tachycardia · 52 min · Stagione 2 Episodio 7Dr. Zaven Sargsyan presents the case of a female patient with the scariest rhythm of them all. The final diagnosis is extremely common, but the path to get there? Let's just say…
- Episode 18: Diagnostic Dilemma - Non-Healing Wound · 44 min · Stagione 2 Episodio 4"I'm here for my leg, doc" *cough cough*
- Episode 17: Diagnostic Dilemma - Spontaneous Hematomas · 32 min · Stagione 2 Episodio 5Grab your RBC inner tube and come flow down the coagulation cascade with us! But let's not forget what lies upstream...
- Episode 16: Diagnostic Dilemma - Recurrent Acute Chest Pain · 42 min · Stagione 2 Episodio 4A patient arrives to the emergency department with chest pain. You can make the diagnosis before even placing your stethoscope on his chest, but only if you're looking closely…
- Episode 15: Guestpisode! - Lower Extremity Weakness + Pain · 47 min · Stagione 2 Episodio 3Dr. Austin Rezigh joins us to present the case of a woman in clinic with chronic progressive lower extremity weakness & pain. When every lab and study is flashing red, how do you…
- Episode 14 (Part 2): Choose Your Own Adventure - The Answer · 13 min · Stagione 2 Episodio 2Mike provides the results for each potential answer choice from last week. Andrew then discusses his approach to the case, revealing the final diagnosis at the end!
