#46 A 45F with Persistent Bleeding: Hoofbeats Segment

Core IM | Internal Medicine Podcast

Core IM Team

Mental Health, Education, Health & Fitness, Medicine

4.8 • 1K Ratings

🗓️ 7 August 2019

⏱️ 50 minutes

🔗️ Recording | iTunes | RSS

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Summary

20 Qs with Core IM Team vs. Expert Discussant ! Full Transcript and Show notes (https://www.coreimpodcast.com/2019/08/07/a-45f-with-persistent-bleeding-20qs-core-im-team-vs-expert/) Get CME-MOC Credit (https://www.acponline.org/cme-moc/online-learning-center/45f-with-persistent-bleeding-hoofbeats-segment)for listening to this episode (live at 09:00 am EST on 8/7) Time Stamps * 00:20 The game of medical Twenty Questions * 04:37 Case introduction * 05:50 The CoreIM team attempts to solve the case * 15:36 The discussant’s diagnostic schema for abnormal bleeding * 23:37 Primary versus secondary hemostasis * 30:33 The pathology report ! * 37:38 Criteria for the final diagnosis * 38:46 Dissecting a diagnostic coup * 49:42 Conclusion Do you have a good case or an expert you would like to suggest for an episode? Send it our way at [email protected] Tags: Coagulopathy, Bleeding Disorder, Diagnostic Schema, Von Willebrand's Disease, Clinical Reasoning 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 this is Shria we are partnering with ACP the American College of Physicians for
0:06.0	CME Credit. We'll link the exact URL in the show notes so if you're in training send this episode
0:12.4	to your attending or someone else who could benefit from this means of continuing medical education.
0:17.0	And with that, cue the intro.
0:20.0	Hey, Cindy, have you ever listened to that old game show 20 questions?
0:24.2	20 what?
0:25.2	Is it animal or mineral?
0:26.7	Is it a living American man?
0:28.3	Could I hear it at the opera?
0:29.6	Is it as big as a bowling ball?
0:31.0	Would it match one of Crosby shirts?
0:33.1	Yes, everyone is playing 20 questions.
0:36.9	You probably know how the game works.
0:38.8	I mean, it has been around for ages,
0:40.7	although I do think it was this radio show in the 1940s that really helped to popularize it.
0:45.9	So the setup, if you're not familiar, is that listeners write in with an object, and this could be
0:50.3	a thing, a place, a person, real fictional, and a panel of experts would try to guess the object just by asking yes or no questions.
0:58.0	And having listened to some of these clips, I'll say some of these questions are better than others.
1:05.0	Is it ordinarily used in the home?
1:07.2	Yes, they have them in every home.
1:09.5	How they're used in every home, I'm not going to comment on. But they have them in every home,'m not going to comment on but they have them in every home
1:14.3	miss renowned that they have moving parts
	...

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