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Core IM | Internal Medicine Podcast

#51 A 65M with Fatigue: Hoofbeats Segment

Core IM | Internal Medicine Podcast

Core IM Team

Mental Health, Education, Health & Fitness, Medicine

4.81K Ratings

🗓️ 16 October 2019

⏱️ 45 minutes

🧾️ Download transcript

Summary

1st outpatient clinical reasoning case on Core IM Hoofbeats! Get CME-MOC Credit (https://www.acponline.org/cme-moc/online-learning-center/a-65m-with-fatigue-hoofbeats-segment) (live at 9AM EST on 10/16) Time Stamps * 01:18 Case introduction * 11:40 The Casablanca strategy * 23:17 The diagnosis revealed * 25:30 Logical fallacy: Denying the antecedent * 33:22 Components of illness scripts * 41:37 Conclusion Show notes, transcripts and references (https://www.coreimpodcast.com/2019/10/16/hoofbeats-a-65m-with-fatigue/)! Do you have a good case or an expert you would like to suggest for an episode? Send it our way at [email protected] ([email protected]) Tag: normocytic anemia, splenomegaly, CoreIM, endocarditis, clinic case 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 quorum episode this month will count for

0:03.2

CME Credit with ACP yay

0:05.9

we will link the exact URL in the show notes so click on the link

0:08.8

answer three questions and get ceme credit it's an episode with lots of food for thought.

0:13.4

I know for myself I will not look at illness groups the same way again.

0:17.5

And with that, Cindy Feng here.

0:25.0

Welcome back to another episode of Poopi's,

0:31.0

where we challenge you to solve dynastically difficult real-world cases alongside experienced clinicians.

0:38.0

And as always, I'm joined by my co-host, Dr. Jean Huang.

0:41.0

Hey everyone.

0:42.0

By now, you probably know that Cindy and I like to try something a little different with each

0:46.2

episode.

0:47.2

Well, some of our listeners have pointed out that our cases to date have essentially all been presented

0:51.9

from the perspective of an inpatient physician.

0:54.6

And so we decided to change that.

0:56.3

For this episode, we're going to present you a case where the patient initially presented

1:00.9

to an outpatient provider, and the diagnosis was made purely in the outpatient setting.

1:06.0

Our discussion is a general internist who practices both inpatient and outpatient medicine,

1:11.0

who is invited to solve this case wearing his clinic hat.

1:15.0

And at the end of the episode, we'll get to hear from the clinician who made the final diagnosis in real life, right in his office.

1:22.0

Without further ado, let's hear the case first from Dr. Sri A

1:25.0

Triag Travedi.

...

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