The Medicine Grand Rounders

The consult every resident knows by heart — but are we approaching it right? Matthew Coulter, fourth-year medical student at Case Western Reserve University, sits down with Dr. Yasin Obidat, a recent graduate of Cleveland Clinic's transplant nephrology fellowship, to break down his systematic approach to acute kidney injury.

One of medicine's great masqueraders takes center stage. Francisco Alexandrino sits down with Dr. Christine Jellis, Staff Cardiologist in Cardiovascular Imaging and Vice Chair of Operations for the Heart, Vascular & Thoracic Institute at Cleveland Clinic, to work through a classic case: a 40-year-old woman whose multisystem symptoms and unexplained syncope point toward cardiac sarcoidosis. A high-yield discussion on recognizing, diagnosing, and treating a condition that can imitate almost anything.

In this episode, Dr. Ari Garber joins us to discuss a practical, primary care–focused approach to irritable bowel syndrome. Through case-based discussion, we review the diagnosis and subtypes of IBS, appropriate initial evaluation, alarm features that warrant further testing or GI referral, and the shift toward a positive diagnostic strategy rather than a diagnosis of exclusion. We also discuss management of IBS-D and IBS-C, including dietary strategies, neuromodulators, antidiarrheals, constipation-directed therapies, pelvic floor dysfunction, GLP-1–related GI side effects, probiotics, gut-directed psychotherapy, and the role of multidisciplinary care.

In this episode of The Medicine Grand Rounders, we're joined by Dr. Claire Jansson Knodell as she walks us through the framework—to diagnose avoidant and restrictive eating disorders (ARFID) in patients with celiac disease. This is when appropriate dietary vigilance crosses into Avoidant/Restrictive Food Intake Disorder—ARFID in patients with celiac disease.

In this episode of The Medicine Grand Rounders, we're joined by Dr. Claire Beveridge as she walks us through the evaluation and management of dysphagia. Moderated by: Hussam Kawas, MD.

In this episode of The Medicine Grand Rounders, Dr. Joanna Ghobrial discusses the evaluation and management of adult congenital heart disease, with a focus on late sequelae following childhood surgical repair and the role of advanced imaging and transcatheter interventions. Moderated by Peter Chin, MS4.

In this episode of The Medicine Grand Rounders, we're joined by Dr. Pannekoek, Staff Ethicist at the Cleveland Clinic Center for Bioethics, who discusses common ethical challenges encountered on the inpatient medicine wards and practical frameworks for approaching them. Moderated by: Shwetha Bindu, MS4.

In this episode of The Medicine Grand Rounders, we're joined by Dr. Wilson Tang, research director and staff cardiologist in the section of heart failure and cardiac transplantation, who delves into the cardiorenal physiology, decongestion strategies and future therapies. Moderated by: Faysal Massad

In this episode of Medicine Grand Rounders, we're joined by Dr. Bret Lashner, director of the Center for Inflammatory Bowel Disease (IBD), who explores the fundamentals of IBD, including diagnostic nuances and treatment strategies. Moderated by: Anthony Gallo.

In this episode of Medicine Grand Rounders, Dr. Sanjeeb Bhattacharya - Director of the HFpEF clinic and Associate Program Director of the HVTI heart failure fellowship - goes over various clinical presentations of heart failure with preserved ejection fraction. Moderated by: Yasmine K. Elghoul, MD