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

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Hey, clinical problem solvers.

Due to technical difficulties, you may hear a high-pitched buzz or squeak in this audio,

especially when listening with headphones.

It may help to listen to this episode with speakers or in a lower volume.

We apologize for the sound quality, but we couldn't resist sharing this great discussion with you.

We hope you enjoy this superb case. Okay, welcome back, clinical problem solvers. My name is David Jesse, and I am

an academic hospicepologist and internist at VCU Medical Center, as well as an educator in the VCU

School of Medicine here in Richmond, Virginia. VCU Health is a tertiary care regional safety net and referral hospital here in Central Virginia, and I am privileged to rotate through a variety of clinical roles, including our faculty and advanced practice provider service, as well as our academic medicine resident and student teaching teams. And I'm thrilled to be here today to present today's

episode. I'm here today with David and Antoinette. I'm a third year internal medicine resident

at the Ohio State University in my hometown of Columbus, Ohio. And I'm here with David Dang.

Hey, this is David Dang. I am also a third-year internal medicine resident at the Ohio State Internal Medicine Program.

I'm an avid listener of the clinical problem solvers, and I'm excited to tackle today's case.

All right.

I'm so excited to be here with you all.

So tonight you are featuring a human diagnosis case.

We encourage you all to download

the app and solve their daily GMR cases. It's a great way to get in wrap and a short amount of time

and hone those skills. David Antonin and I are blinded to tonight's case. We will try to solve this case

in real time and we encourage all of you to pause and reflect after each

aliquov information and before you listen to our responses.

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