Diagnostic Atypia

Odcinki

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  Episode 30: Diagnostic Dilemma - AKI 13.09.2026 42min

  Mike presents a case of AKI – as the DDx shrinks, things become crystal clear
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  Episode 29: Diagnostic Dilemma - "Ileus" 30.08.2026 40min

  We're back! Andrew presents a case of "ileus" — a gut that's gone eerily quiet, until a twist reveals it was never being lazy.
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  Episode 28: Diagnostic Dilemma - AKI on Allograft + CHF 18.05.2026 52min

  Mike presents a case of AKI with heart failure in a patient with recent TAVR and kidney transplant. When do you reconsider the diagnosis in a patient failing to respond to treatment despite strong evidence for the diagnosis you're treating? Join us for a wild ride where surprise is hiding behind every test.
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  Episode 27: Rapid Response! - GI Bleed 04.05.2026 32min

  Kicking off a new series dedicated to management reasoning, Andrew presents a case of "dark stools" after recent UGIB. Occam's razor vs Hickam's dictum?
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  Episode 26: Diagnostic Dilemma - Painless Vision Loss 20.04.2026 55min

  Mike presents the case of a man with painless vision loss and new colorblindness. The retinal exam suggests ischemic vs inflammatory causes. Are acute symptoms always explained by acute diseases?
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  Episode 25: Guestpisode! - Pan Positive ROS 15.04.2026 1godz

  Dr. Jeffrey Shen presents a perplexing case of a patient with symptoms across nearly all organ systems with some non-specific positive tests but no unifying diagnosis. How can testing characteristics obscure even the most common diagnoses? What does it take to say that a disease has been truly "ruled out?"
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  Episode 24: Diagnostic Dilemma - Subacute Fatigue + BMP Derangements 23.03.2026 44min

  Andrew presents the case of a woman with subacute fatigue but no localizing symptoms. On arrival, every lab is flashing red. The diagnosis remains elusive, but seems so obvious in reflection. Can you recognize the illness script?
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  Episode 23: Diagnostic Dilemma - Readmission with Acute AMS 09.03.2026 50min

  Mike presents the case of a recently hospitalized man readmitted to the hospital for altered mental status with neuropsychiatric features. The case escalates without a diagnosis until suddenly he's "cured." The only issue? You treated with so many agents simultaneously that now you have no idea which one to keep. Turns out, his nurse holds the final clue.
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  Episode 22: Diagnostic Dilemma - Post-operative Ascites with Mystery Guest! 23.02.2026 47min

  Mike works through a case of new-onset ascites, where every test comes back negative. Or did they? When we don't know what test to order next, sometimes the best approach is to reconsider the results we already have. What is hiding in plain sight?
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  Episode 21: Guestpisode! - Bradycardia 22.12.2025 50min

  Dr Nicholas Salter presents the case of an elderly woman evaluated in the ED for confusion & bradycardia. What if the disease marker can cause the disease itself?
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  Episode 20: Guestpisode! - Refractory Shock 24.11.2025 49min

  Dr. Brendan Robinson presents a case of refractory shock after recent CABG. As the 4th pressor is hung, Andrew and Mike realize they don't have the "tincture of time" in this one. Join us for an all-out scramble through the shock differential!
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  Episode 19: Guestpisode! - Sinus Tachycardia 10.11.2025 51min

  Dr. Zaven Sargsyan presents the case of a female patient with the scariest rhythm of them all. The final diagnosis is extremely common, but the path to get there? Let's just say the horses still seem to be wearing their Zebra costumes from Halloween.
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  Episode 18: Diagnostic Dilemma - Non-Healing Wound 27.10.2025 44min

  "I'm here for my leg, doc" *cough cough*
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  Episode 17: Diagnostic Dilemma - Spontaneous Hematomas 13.10.2025 32min

  Grab your RBC inner tube and come flow down the coagulation cascade with us! But let's not forget what lies upstream...
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  Episode 16: Diagnostic Dilemma - Recurrent Acute Chest Pain 01.10.2025 42min

  A patient arrives to the emergency department with chest pain. You can make the diagnosis before even placing your stethoscope on his chest, but only if you're looking closely. Make your Intro to Physical Exam professor proud by remembering, "First, you must inspect."
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  Episode 15: Guestpisode! - Lower Extremity Weakness + Pain 15.09.2025 46min

  Dr. Austin Rezigh joins us to present the case of a woman in clinic with chronic progressive lower extremity weakness & pain. When every lab and study is flashing red, how do you sort the red flags from the red herrings?
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  Episode 14 (Part 2): Choose Your Own Adventure - The Answer 01.09.2025 12min

  Mike provides the results for each potential answer choice from last week. Andrew then discusses his approach to the case, revealing the final diagnosis at the end!
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  Episode 14 (Part 1): Choose Your Own Adventure - The Case 25.08.2025 13min

  Season 2 is here! We kick off the new season with a fun twist on our usual format. This week, Mike presents a case to YOU of recurrent post-prandial abdominal pain and then leaves you with a question. Next week, we'll provide the answer with Andrew's reflections.
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  Episode 13: Diagnostic Dilemma - Subacute Progressive Lower Extremity Weakness 26.05.2025 47min

  Mike presents a case of atraumatic rhabdomyolysis in a patient with worsening lower extremity weakness. Testing will take weeks to return. How do we approach management when we don't have all the answers yet?
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  Episode 12: Diagnostic Dilemma - Acute "Red Leg" 12.05.2025 45min

  Andrew presents a case of acute "red leg" overlying a chronically deformed joint. Is it infectious, or a flare of something else?