Episode 27: Rapid Response! - GI Bleed

Austin Rezigh returns! A young man presents for fever, chills, & nausea. How can fragmentation of healthcare encounters influence the problem representation?

WBC >440k. After cytoreduction, an unexpected, disproportionate hemoglobin drop.

Mike brings one of the most humbling cases of his career: a catastrophe hiding behind an ordinary complaint.

Syncope. Shock. Troponin of 3,872. Her ECG looks just like her old one... or does it not? Three days of antibiotics later, the pressors are still climbing. What is missing?

Mike presents a case of AKI – as the DDx shrinks, things become crystal clear

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.

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.

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?

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?

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?"