4.8 • 1.4K Ratings
🗓️ 15 May 2025
⏱️ 13 minutes
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0:00.0 | Behind the Knife, the Surgery Podcast, relevant introducing our new AI Journal Club series, where we discuss the clinical case and AI-related papers and tools that fit into the patient's care. |
0:33.4 | AI and surgery is still very much in its infancy, and there are many papers better being |
0:37.5 | published almost daily. |
0:39.6 | Today, I'm joined by some co-hosts from Oregon Health and Science University. |
0:44.2 | From faculty, we have Dr. Rucci, who's a thoracic surgeon at OHSU and also founder of Firefly |
0:50.4 | lab, an AI-driven platform that is built for competency-based medical education. |
0:55.3 | In addition, she directs the surgical data and decision sciences lab for the Department of |
0:59.5 | Surgery at OHSU. |
1:02.2 | Hi, thank you for having me on here. |
1:04.1 | I'm very excited to be on this podcast with all of you. |
1:07.9 | And we're happy to have you. |
1:09.6 | And we also have Dr. Marissa Sewell, a PTI4 general surgery resident |
1:14.4 | at OHSU. Hi, very happy to be here. Thank you for having me. So let's just start right with the case. |
1:23.1 | Imagine we have a 52-year-old woman with the past medical history of hypertension, hyperlipidemia, chronic obstructive pulmonary disease without needing home oxygen, |
1:31.4 | and a recent admission for a left upper lobe wedge resection for a suspicious nodule. |
1:36.6 | She was discharged on post-operative day two without any issues, |
1:39.6 | but now comes into the emergency department on post-operative day five with dysmnia. |
1:44.1 | Her initial |
1:44.6 | vital signs and physical exam are notable for a temperature of 39 degrees Celsius, a blood |
1:49.5 | pressure of 90 over 50, a heart rate of 115, an oxygen saturation of 87% on room air, |
1:57.4 | and left calf erythema and swelling approximately four centimeters greater in diameter compared to the contralateral side. |
2:05.1 | Dr. Thunnel, what are some key differential diagnoses and maybe some more rare considerations? |
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