Round 32 (MW) – Altered Mental Status

EM Clerkship

Zack Olson, MD ; Mike Estephan, MD ; Maddie Watts, MD

Education, Science, Life Sciences, Courses, Health & Fitness, Medicine

5 • 795 Ratings

🗓️ 2 June 2025

⏱️ 61 minutes

🔗️ Recording | iTunes | RSS

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0:00.0	Hello, residents. My name is Mike Estefan. I'm joined today by Maddie Watts, and thank you for downloading this month's episode of the EM Clerkship podcast.
0:10.6	This episode is sponsored by Pearson Rabbit's Insurance, my personal independent disability insurance broker.
0:16.7	We will talk more about Pearson Rabbits later in the episode.
0:24.7	Maddie, this is your last case.
0:30.4	I actually spoke with your program director before we recorded this. They told me you won't graduate unless you pass this case. I'm sorry. Are you ready? Oh my gosh. I have been nervous still for every case, but I think I'm especially nervous for this one.
0:42.5	But I can't believe it's my last case.
0:45.6	Yeah, like three years ago, three years ago we were recording your first case.
0:51.9	Time just moves by faster and faster as we get older, and it's such an
0:57.1	unsettling feeling. I know. Yeah. All right. Well, today is the final round of the game,
1:05.3	round 32. Maddie will need to perform today's case in real ABEM oral boards format. You will have 30 minutes to
1:14.9	complete the full case. Yeah, I know. Get ready.
1:18.5	Oh.
1:20.4	Maddie. Let me give you some tips here. Take your time. You have the time. Write down everything and anything you think is relevant.
1:30.8	And for our listeners out there, oral boards will never give you a case like this. This one is for fun. One last hurrah before Maddie graduates.
1:39.7	She does not know what this case is ahead of time. If Maddie hits all 10 of the critical actions that I have listed out beforehand, she wins.
1:48.3	If she doesn't, or if she performs a dangerous action, I win.
1:52.2	These cases were created by me.
1:54.0	They are not derived from actual ABEM cases that I had, and I certainly hope this is not a real patient anywhere in the world because this
2:03.3	this is going to be a train wreck like this is so evil all right mattie take out a piece
2:13.4	of paper in a pencil place the paper sideways in front of you outline a human body on the left side of it, and let me know when you are ready. I think I'm ready. You might want to get a
2:24.1	couple extra sheets of paper. I was going to say, I'll make sure I have some extra. All right,
2:30.8	Dr. Watts, this will be a single patient encounter.
	...

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