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Am I the Genius?

Doctors, what was a SYMPTOM a Patient DIDN'T Mention that was REALLY IMPORTANT?

Am I the Genius?

amithejerk.com

Education, Self-improvement

4.6767 Ratings

🗓️ 16 April 2023

⏱️ 21 minutes

🧾️ Download transcript

Summary

Am I the Genius? on 🔴YouTube - youtube.com/@amithegenius?sub_confirmation=1 Am I the Jerk? on 🟢Spotify - https://open.spotify.com/show/0uEkxvRMpxLuuHeyPVVioF?si=4cb713891a6f4488 Learn more about your ad choices. Visit megaphone.fm/adchoices

Transcript

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0:00.0

Doctors of Reddit? What was a symptom a patient didn't mention that was really important?

0:06.0

16-year-old came in with blood pressure of 6030. Hale is a ghost. Tons of free fluid in his abdomen on ultrasound.

0:14.0

Turns out he had a metastatic testicular cancer that had eroded into his aorta and was bleeding into his belly.

0:20.0

Come to find out later, he had testicle lumps and was too scared to tell anyone.

0:25.2

I had a guy come to the hospital who told me he had seizures every Tuesday like clockwork.

0:30.3

This is highly, highly unusual for somebody with a seizure disorder.

0:34.0

It wasn't until I asked him about his social history that he told me he's a heavy

0:38.0

drinker. I further investigated, and it turns out he binge drinks Thursday, Friday, Saturday

0:42.9

every week. Then stops cold turkey. He was having withdrawal seizures. Black stools. Folks, if you're

0:50.3

having black poops, for God's sake, mention that sooner rather than later.

0:55.1

This lady had been seeing nothing but black for months before she thought to mention anything.

0:59.8

We found several gastric ulcers and a hemoglobin level that circled the drain.

1:05.4

Medical intern here.

1:06.6

Had a woman come to ER complaining about stomach pain.

1:09.7

Took her full history, did the exam in vitals.

1:12.4

She seemed fine.

1:13.6

Mild fever.

1:14.3

Made a preliminary diagnosis of gastrointestinous and presented to my doctor.

1:18.5

My doctor, whose female, goes to her and asks why she came to the ER for something so mild.

1:24.0

She says because she noticed blood in her stool.

1:26.6

The doc comes out and asks me if I asked about her

1:29.1

stool. I did and she said it was fine. And I asked specifically about blood. She goes back in and

...

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