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.

AI and surgery is still very much in its infancy, and there are many papers better being

published almost daily.

Today, I'm joined by some co-hosts from Oregon Health and Science University.

From faculty, we have Dr. Rucci, who's a thoracic surgeon at OHSU and also founder of Firefly

lab, an AI-driven platform that is built for competency-based medical education.

In addition, she directs the surgical data and decision sciences lab for the Department of

Surgery at OHSU.

Hi, thank you for having me on here.

I'm very excited to be on this podcast with all of you.

And we're happy to have you.

And we also have Dr. Marissa Sewell, a PTI4 general surgery resident

at OHSU. Hi, very happy to be here. Thank you for having me. So let's just start right with the case.

Imagine we have a 52-year-old woman with the past medical history of hypertension, hyperlipidemia, chronic obstructive pulmonary disease without needing home oxygen,

and a recent admission for a left upper lobe wedge resection for a suspicious nodule.

She was discharged on post-operative day two without any issues,

but now comes into the emergency department on post-operative day five with dysmnia.

Her initial

vital signs and physical exam are notable for a temperature of 39 degrees Celsius, a blood

pressure of 90 over 50, a heart rate of 115, an oxygen saturation of 87% on room air,

and left calf erythema and swelling approximately four centimeters greater in diameter compared to the contralateral side.

Dr. Thunnel, what are some key differential diagnoses and maybe some more rare considerations?

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