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.

All right. Well, thank you guys so much for being here. I feel like it brings me back to discussing together. I'm Smitha Ganesian. I'm a second year resident at the University of California at San Francisco. I love clinical reasoning and love this community.

But when I am not being a resident or doing CPS things, I love running, I love hiking.

I'm Monty Kamal.

I'm a fourth year medical student at the University of Alabama in Birmingham, applying into internal medicine.

And when I'm not at the hospital, Samara Smith, I love running,

I love exercising and just being outside. My name is Amora Finch. I'm an intern in the combined internal medicine and peds program at the University of Arizona in Phoenix. And outside of the

hospital, I also love running, hiking, biking, writing, and fermenting foods like kimchi and hot sauce.

Hi, I'm Maria. I'm a last year medical student in Guatemala.

I really like neurology and general surgery.

And I'm not an outside person, but I love Korean food. And actually,

kimchi is one of my favorite foods in the whole world. So very excited to hear that. Amira.

Hi, everyone. My name is Anna Fretz. I'm a second year resident at UCSF along with Smitha. I love clinical reasoning.

And my journey in clinical reasoning kind of started a medical school and was amplified in residency.

I love discussing cases. Smith and I often discuss cases together while doing a quick workout at the gym.

So I am presenting a case today of a 34-year-old man. He presented to the hospital with a five-day

history of progressive nausea, vomiting, and abdominal pain. His abdominal pain was diffused,

though most concentrated in the epigastric region.

He characterized it as mostly dull pain like a punch, but occasionally sharp and crampy.

He started vomiting one day after the onset of abdominal pain and described his emesis as

non-bloody, non-billus, and occurring five times daily. He believes these symptoms

...