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.

I'm Steph Sherman, an academic hospitalist at Baylor College of Medicine in Houston,

and I'm incredibly excited for today's episode,

from which I'm here with two awesome residents from the Brigham, Sophia, and Pooja.

Sophia, how's it going? I'm doing great. Thank you so much. I'm really thrilled to be on with all of you.

And I am joined by my amazing colleague and friend Pujia. Pujia, my friend, how are you?

Well, thanks, Sophia. I'm so excited to be here with all of you as well, especially with one of my favorite residents, Sophia. Robbie, how are you? What do we have in store today? That's a great question, Fujia. I'm so thrilled to have all three of you on. The clinical problem solvers will recognize the voice of Steph Sherman, who is part of one of our most popular episodes, the Syncope Schema. If you haven't listened to it, please, please, please check it out. And I'm super excited to hang with Sophia and Puget today, who are part of the team from the Brinan and Women's Residency Program. And I will tell you that as part of this human DX series, we actually spent an hour or so just practicing. And their discussion was absolutely incredible. So I'm really, really excited to do round two today. In terms of more specific, so as you all know, today we're going to be featuring a human diagnosis case. And we really encourage you to download the app and solve the daily global morning report cases. They're a great way to get a rep in in a short amount of time. So all three of us, Sophia

Pooja and I are blinded to tonight's case and we'll solve it in real time as we always do.

We encourage you to pause and reflect after each Aliquot of information and before you listen to

our responses. The case creator is none other than Steph Sherman who's here with us today and

the editors are Dr. Zavent Sarassian and Dr. Anand Patel.

All right, staff, please take it away.

All right.

I'm excited to share with you guys a case from the County Hospital here in Houston,

Ben Tau, of a 59-year-old man with end-stage renal disease, depression, and hypothyroidism,

who's presenting with leg swelling in dysmia. The story goes that his leg swelling is bilateral and chronic, but really has worsened over the last month. His

legs are so tight now that he really can't even walk. Associated with this is progressive dysmia

over the same time period, both with exertion and

lying down. And he also has weight gain and fatigue, but no fevers, cough, chest pressure,

...