Hey folks, just a quick reminder that this podcast is not meant to be used for medical advice, just good old-fashioned education, and all-patient information has been modified to protect our identity.

Welcome back clinical problem solvers.

My name is Dr. Nick Duka.

I'm a general internist and clerkship director at Penn State College of Medicine in Hershey, Pennsylvania.

I'm also a contributing editor for human diagnosis.

I'm very excited for today's episode, and I'm joined here today with my friend Christina.

Hi everyone. My name is Christina Malarino. I am a third year medicine resident in the University of Pittsburgh.

Very excited to be here today. I just wanted to say thank you to both Ryan and Reza for inviting me to participate in the discussion.

I am excited to be doing this with Ryan. As some of

you might know, he is also a podcaster and so looking forward to trying to solve the case with him

today. How about you, Ryan? Hey, thanks, Christina. This is Ryan Augustine. Second year,

Internal Medicine resident at University of Pittsburgh.

Christine and I just did a whole month together in the VA ICU and had a blast.

So I'm happy to be with her together here.

Reza, I'll pass it off to you.

Well, let me say, Ryan, I'm not sure if I want the mic pass from you to me.

Because if I recall correctly, I was at Pitt discussing an unknown case that you were

presenting and I did not get the diagnosis.

You were very close.

You were very close.

It was a good case.

I forgive you.

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