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. Today we have an excellent, excellent case ready for you guys and we're so excited to present this. This is a clinical unknown with an expert discussant. And as you all know, the goal of these episodes is to get a little bit of light into the thought process of seasoned clinicians, and it's not necessarily

to get to the diagnosis, but it's just to look inside the black box of clinical reasoning.

And today is a special, very special episode for me. I'm honored to introduce my friends and

colleagues. We have Dejan Adour,

who's a second year internal medicine resident at Case Western Reserve University Hospital.

Following residency, he hopes to pursue fellowship in gastroenterology. In his free time,

he likes to spend his times in the outdoors, often exploring beautiful parks in Cleveland, and lately learning how to ski.

You can follow him on Twitter at Dayon 1995. That's D-A-Y-Y-Y-A-N-1995.

Next, we have All-Star Keith Albertson. He's one of our current chiefs right now at Case Western Reserve University Hospitals in Internal Medicine.

He completed his internship and residency here, of course, and he's doing his chief year now.

After this year, he's going to continue his training in pulmonary critical care at the University of New Mexico

Medical Center. You can follow him at KRA1 underscore MD. Sounds like a DJ name. I love it. All right. Thanks for

that, Arcelain. It is my pleasure to introduce Dr. Keith Armitage. He's a professor of medicine in the division

of infectious diseases at Case Western Reserve University School of Medicine. He is also

the program director for the Internal Medicine residency here at the Case Western Reserve

University Hospital's Internal Medicine Residency program, where he is currently serving his

29th year as a program director.

In his free time, Dr. Armitage enjoys cheering on his beloved Arsenal football club and spending time with his wife and three daughters.

You can follow Dr. Armitage on Twitter at Keith Armitage, K-E-I-T-H-A-M-I-T-A-G-E.

All right, Dejan, take it away. All right, so we have our first Aliquot. We have a 60-year-old woman who presents to the AD pre-COVID-19 pandemic with three weeks

...