#34 47M with chest pain : Hoofbeats segment

Core IM | Internal Medicine Podcast

Core IM Team

Mental Health, Education, Health & Fitness, Medicine

4.8 • 1K Ratings

🗓️ 13 February 2019

⏱️ 37 minutes

🔗️ Recording | iTunes | RSS

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Summary

Dissect an interesting case and improve your clinical reasoning skills! Time Stamps: * New features in this episode [00:25] * Data point 1: Early hypothesis generation? [03:20] * Data point 2: Pertinent negatives? [11:18] * Data point 3: Representativeness heuristic over-represented in medical education? [13:28] * Data point 4: Economical hypothesis generation by expert clinicians [19:20] * Data point 5: Diagnosing diagnostic error [22:10] * Data point 6: Moving toward a final diagnosis [27:11] * Case resolution [29:50] For full transcript and show notes: https://www.coreimpodcast.com/2019/02/13/hoofbeats-47m-with-chest-pain/ 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	Hi everyone John Huang here and welcome back to another episode of
0:11.4	hoofbeats where we challenge you to solve
0:13.4	diagnostically difficult real-world cases alongside experienced clinicians.
0:17.2	As always, I'm here with my partner, Dr. Cindy Fang.
0:19.6	Hello everyone, this is Cindy.
0:21.3	For this episode, we actually will be doing a few things
0:24.0	differently. First change in past episodes we've been presenting you four cases
0:29.2	with all the details available to the original providers, usually in one continuous chunk.
0:35.0	But, over the next couple of episodes, we're going to be using cases that have been stripped down to just a few data points.
0:42.0	We're thinking that presenting cases like this
0:44.8	reductively will provide us a different perspective on the diagnostic
0:48.7	reasoning process. In this episode for example, we'll challenge you to solve the case of a man with chest pain
0:56.0	that's presented in just six chunks of information which will provide to you sequentially.
1:01.0	They are still actually pretty meaty chunks.
1:04.5	And as usual, we encourage you to pause during the episode after each bit of information to
1:09.6	collect their thoughts, before hearing what our discussants have to say.
1:13.7	And if you'd like to tackle this case just like the discussants did, chunk by chunk,
1:18.4	check out the HumanDX app on your mobile device or go to the HumanDX website. We'll include links to this case in the
1:25.8	show notes. And actually, HumanDX is dedicating next week to highlighting nothing but chess
1:30.8	pain cases on their global morning report.
1:33.4	So if you tackle the entire week, you should be an expert on that in no time.
1:37.8	Second change, for this episode we sat down with twoossents rather than just one.
	...

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