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. Welcome back clinical problem solvers. I'm Madeline Heldman. I'm currently an infectious diseases fellow at the University of Washington, where I have the pliverage of rotating

through consult services as four different hospitals, a tertiary care center, safety net hospital,

a VA, and a children's hospital. I am so delighted and excited to be here. Today I'm here with two

trainees, Mike Rose and Jack Penner. Hey everyone. Thanks, Maddie. My name is Mike Rose. I'm a current

med peds intern at Johns Hopkins Hospital, and I'm so pumped to be on this side of the

recording today, joined by two of my good friends, Jack and Robbie. Jack, how are you doing today?

I'm doing great, Mike. Thanks for asking. Hi, everyone. My name is Jack Penner. I'm a second-year

internal medicine resident at UCSF. And like Mike, I'm really excited to get to be here today and to get to

discuss a great case with you, Robbie, and Maddie. Robbie, what do we have in store today?

Oh, hello, hello. I can't tell you how thrilled I am to be joined by this elite crew. And,

you know, Mike, Mike Rose and Jack Penner, for all of you listening, have done an incredible amount of work in the background for the clinical problem solvers.

As Mike alluded to, he actually has edited almost every single audio since he started with us in May of last year.

And Jack, Jack has done many, many, many things on Twitter, emails, blogs, and we're excited to bring them both to hang out with us today.

As you all know, we are featuring a human DX case, and we really encourage you to download the app and solve their daily global morning report cases.

They're a really great way to get a rep in in a very short amount of time.

We're talking a few minutes. As a reminder, Jack, Mike, and I are blinded to tonight's case, and we'll try to solve it in real time. We think it's helpful to pause and reflect after each Al-Qaeda information, then listen to our responses. Today's case creators, Madeline Helden, and the editor for this case is Dr. Ananjogganoth.

All right, Madeline, take it away.

All right. Thank you, Robbie.

A 69-year-old woman presents the emergency room with headache for the past month.

The headache is located at the top of her head.

...