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.

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?

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?

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!

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.

"I'm here for my leg, doc" *cough cough*

Grab your RBC inner tube and come flow down the coagulation cascade with us! But let's not forget what lies upstream...

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."

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?

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!