Hey everyone, John Huang here with Cindy Fang, bringing you another episode of poofbeats where we challenge you to solve

diagnostically difficult real world cases alongside fellow clinicians. Notice how I didn't say master diagnostitions this time.

And that's because the discussions for our episode this week are actually members of our own

CoreIM team.

Now even though none of us here at CoreI am are master diagnosticians yet.

Cindy and I thought that interviewing doctors from our own relatively junior

cohort could still be a valuable source of insight onto the reasoning

process. In the very least, they are easier targets.

But maybe, in all seriousness, we can also trust them to be a little more forthright

when dissecting their own thought processes, including when breakdowndowns occur.

Let me tell you from experience, having no reputation to protect can be tremendously

liberating.

That sounds like me on my teaching rounds every morning.

So we bribed and conjured three of our colleagues to talk through this case with us.

This was a patient John and I had on our service when we were interns, you hear the case presented in discrete

chunks of information and you'll hear our team's reaction after each one.

As always, we want you to play discussing along with them.

So be sure to take a moment after hearing each bolus of information to gather your thoughts.

Also, we're teaming up again with our friends at HumanDX.

They are publishing an interactive version of this case on their

platform for you to solve. Links will be in the show notes. This is also a good time to mention that

HumanDX is running a week-long challenge specifically featuring cases of altered mental status and

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