Hey folks, just a quick reminder that this episode is now meant to be used for medical advice, just good old-fashioned education.

All patient information has been modified to protect their identity and the views expressed in our podcast do not necessarily reflect the opinion of our employers.

Welcome back, clinical problem solvers. I'm Josh Ingalls, an internal medicine reticent at the Royal Adelaide Hospital in Australia. When I'm not at work, I enjoy walking my golden retriever and brewing specialty coffee. I'm very excited for today's episode. I'm here today with Josh Morris.

Hey everyone. I'm Josh, a fourth year student at DelMed in Austin, Texas, Applying Medicine Pediatrics, and I'm here with Vivek. Hey guys, I'm Vivek Nyre. I'm an M2 at Pritzkoo School of Medicine at the University of Chicago. I'm so new to medicine, I don't really know what I want to go into, but I like it all, so I feel like that's a good start. And yeah, Sharmine, what do we have in store for today? I am so excited

to discuss this case with all of you. Tonight, we're featuring a human diagnosis case. We

encourage you all to download the app and solve the daily JMR cases. it's such a great way to keep, to get getting

wraps in a short amount of time.

Josh Vivek and I are blinded to tonight's case.

We will try to solve the case in real time.

So we also encourage you all to pause and reflect after each other call information and before

you listen to our responses.

The case creator is Josh, who's like we're lucky enough

who's presenting the case tonight to us, and the editor of the case is not other than one

of our own, Dr. Anon Patel. Josh, take us away. You're asked to consult on an inpatient.

He's a 55-year-old man who presented to hospital with two weeks of watery

diarrhea and fevers. He reports three bowel motions per day. It's associated with 15 kilograms of

weight loss over the past three months despite his usual diet. He's had no recent travel.

He's been admitted for the last four days and treated with pipporacillam Tazabactam for possible infection. Review of symptoms also reveals three months

of a dry cough. Okay, cool. So I guess I'll start off. Interesting case. So I want to start

first with time course. We have two weeks of watery diarrhea and fevers, and it makes me tempted

to kind of focus on like an acute time process here. But we also have like a longer pathology

with three months of weight loss and also the strange dry cough. And it really makes me move towards

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