#32 A 34M with Fever, HA, Myalgias

Core IM | Internal Medicine Podcast

Core IM Team

Mental Health, Education, Health & Fitness, Medicine

4.8 • 1K Ratings

🗓️ 16 January 2019

⏱️ 27 minutes

🔗️ Recording | iTunes | RSS

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Summary

Dissect an interesting case and improve your clinical reasoning skills! Time stamps: * Player three has entered the game! [0:15] * Case presentation, part 1 [1:20] * First impressions [3:24] * Rethinking another provider’s diagnosis [4:36] * Interpreting the test of treatment [8:48] * Keeping your instincts on a leash? [10:58] * Case presentation, part 2 [12:33] * Diagnostic schemas [14:30] * Our discussant’s differential and the final diagnosis [17:46] * Shira’s cognitive autopsy [23:02] For full transcript and show notes: https://www.coreimpodcast.com/2019/01/16/hoofbeats-34m-with-fever-headache-and-myalgias/ (https://www.coreimpodcast.com/2019/01/16/hoofbeats-34m-with-fever-headache-and-myalgias/) Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840 Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

Transcript

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0:00.0	Hello everyone, this is Cynthia Fan, and John Wong. And we have something special and new for you this month.
0:14.0	Or someone new rather.
0:16.0	Hoofbeats listeners meet Dr. Sheera Sacks.
0:19.0	Hey, what's up guys?
0:20.0	So Shera, welcome.
0:22.0	Can you tell her listeners a little something about yourself?
0:24.8	For sure, it's great to be here, John.
0:26.6	So I recently moved from Houston, Texas,
0:29.0	where I did my residency and a chief year,
0:32.1	after which I worked as a hospitalist for a year down at Baylor.
0:35.2	And I just moved to New York in July and I've been a hospitalist at Cornell since then
0:39.6	as a part of the Hospital Medicine Fellowship Program there, the Clinical Scholars Program.
0:43.6	Well, it's a real privilege to have you here.
0:46.0	And Shura actually came to us with a case that we think you all enjoy.
0:50.5	Yeah, so today we're going to resume through a great case that I saw in
0:53.6	awards with my team a couple months ago. It's just a really
0:56.3	interesting multi-system disease process and I really hope you guys enjoy
1:00.2	solving it as much as I did. And before Shura gets started, I would like to say thank you to all our listeners for all your support.
1:08.7	Now we're going to pass the mic to Shura and announce our early retirement.
1:14.0	Though as part of our exit clause,
1:16.0	I'm going to present Shira's case,
1:17.8	but after that, you're in her capable hands.
	...

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