Hey, folks, just a quick reminder that this podcast is not meant to be used for medical advice,

just good old-fashioned education.

Hi, folks. Welcome to the clinical problem solvers. My name isbi jihah a clinician educator at ucsf we also

have arcelon here arslan what's good with you rabbi i'm feeling really good man it's been a while since we

recorded um just the other day i was talking to my intern uh working in the cc u and i asked how she was

doing she said you know I'm really tired.

Came to give her some words of encouragement about February and intern year being hard this time of

year. She said, oh yeah, a little bit of that, but I ran 20 miles yesterday. I was like, oh my God.

I really got to reevaluate my life. So Sharmin, how are you doing?

Oh, I'm good our salon.

I'm just coming off vacation, which was really, really fun and relaxing, and I did not run 20 miles.

I feel pretty bad about myself now.

How are you doing, Reza?

I'm doing great. Thanks for asking, Charmin.

I'm really excited for tonight's topic, which is Eosinophilia.

All right, let's kick it off.

So, a 70-year-old man with a history of asthma presents with six weeks of fatigue,

reduced exercise tolerance, and low-grade fevers.

At baseline, he plays tennis and ping pong, but now gets fatigued when he walks more than a few blocks.

He denies any chest pain, lightheadedness, shortness of breath, myalgas, abdominal pain, nausea, vomiting, or headaches.

In the last three months, he has had three asthma exacerbations, all requiring oral steroids. So for his medical history, he was diagnosed with asthma at the age of 60. He also

has hypertension, gurd, and nasal polyps. He takes omeprosol, albuterol, aspirin, budescine, and a torvastin.

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