Hey folks, just a quick reminder that this episode is not 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.

My name is Travis Smith, a fellow CP solvers team member and associate professor emergency medicine with Lecom.

I'm very excited for today's episode.

We have a great clinical unknown prepared for you.

As a reminder in this format, we present a blinded discussant,

short pieces of information, asking them to share their thought processes in real time.

I'm joined today by case presenter, Dr. Brandon Pierce, and two wonderful discussants. I think

most people have listened and followed along with you guys either on Twitter on VMR, Saman, and

Kishal. They're going to be our expert dual ID discussants for today. And I just want to introduce

Brandon, take it away. Tell us a little bit about yourself. Yeah, so my name is Brandon Pierce.

I'm a third year internal medicine resident at St. Vincent Ascension in Indianapolis, Indiana.

Awesome, Brandon.

Thanks for the case and thanks for volunteering to present.

And Kishal, how are you, my friend?

Hey, I'm good.

So I'm Kussela Wichnani.

I'm a hospitalist based in North Carolina.

And I like diagnostic reasoning and occasional debil and infectious diseases. I'm looking

forward to the case presented by Brandon today. And we'll see what we are going to face with my.

Kashal, you got to give everyone your Twitter handle so they can see how fast you are to reply to the

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