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.

We have a great clinical unknown prepared for you, Joel.

As a reminder, in this format, we present a blinded discussant, you, short pieces of information

asking them to share their thought processes in real time.

Tonight, we're lucky enough to have two guests, Dr. Madeline McCrary and Dr. Joel Toff,

also known as Kidney Boy, also known as DeSalt Whisperer.

This is a real case that was presented to me once upon a time, Joel.

Let's go with Aliquot I, Madeline. Tell him the story.

All right. So, it's a 72-year-old lady presented to the emergency department by ambulance

after being found down on the floor, bathroom floor, by her visiting nurse.

She went to the bathroom and fell asleep on the toilet, then fell off.

She was unable to get off the floor. She'd not hit her head

or lose consciousness. She says she feels tired all the time, with significant daytime somnolence,

and has had numerous falls over the past several months. Fell asleep on the toilet. Just the

first review of systems question, is she an intern? Yes, at 72 years old, she has an intern.

No, she was not in the medical field.

But she will be, no.

So she had been having symptoms of urinary frequency, incontinence, in

arcturia, but no dysuria.

...