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Barbell Medicine Podcast

Episode #351: Trouble on The Tee Box

Barbell Medicine Podcast

Barbell Medicine

Health & Fitness

4.81.2K Ratings

🗓️ 6 June 2025

⏱️ 38 minutes

🧾️ Download transcript

Summary

In this episode of the Barbell Medicine podcast, Dr. Jordan Feigenbaum and Dr. Austin Baraki delve into a medical mystery case involving a 38-year-old man who presents with acute severe headache, dizziness, and vomiting after playing golf. The discussion covers the patient's symptoms, differential diagnosis, and the clinical reasoning leading to the eventual diagnosis.


Case

https://pubmed.ncbi.nlm.nih.gov/17254877/ 


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Transcript

Click on a timestamp to play from that location

0:00.0

The weather. Tomorrow, expect a biting cold front. Hmm, how naughty. I wonder what I'll be

0:06.8

wearing or taking off. The night will be wild and untamed. Expect heavy, lashing rain

0:13.0

that'll soak you to the skin. By Monday, temperatures will rise slowly but surely reaching

0:18.7

their peak in the afternoon.

0:23.0

Not in the mood for miserable weather.

0:25.8

Fly cheaply to Turkey with Sun Express.

0:28.7

Sun Express, nonstop sunshine.

0:32.2

Welcome back to the Barbell Medicine podcast where we bring modern medicine to strength and conditioning to modern medicine.

0:36.1

I'm your host, Dr. Jordan Feigenbaum, and this is a medical mystery case.

0:40.7

Cue the mystery music.

0:42.3

This is a real study, a real report of a real patient that was published in the medical literature.

0:47.3

And what I'm going to do is deliver the details of this case piecemeal to Dr. Austin Baraki,

0:53.5

who's on the other end of the line.

0:54.9

And we're going to see if he comes up with the correct diagnosis.

0:57.0

Now I'll also be giving you guys prompts to pause the podcast.

0:59.8

If you're a medical student, if you're a physician or otherwise just, you know, state at a

1:05.7

holiday and express, whatever you want to do, see if you can come up with the correct diagnosis

1:09.2

as well.

1:10.3

Dr. Baraki, what's going on

1:11.3

man? Hey, doing all right. As usual, just my normal alternating life between hospital and

1:18.4

non-hospital things. And so right now I finished rounds this morning, did some teaching

1:22.8

in the hospital with my residence and now ready to do this right before I do some training this afternoon.

...

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