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Diagnostic Atypia
Diagnostic Atypia episodes
- Episode 34: Guestpisode! - Fever, Chills, Nausea
Austin Rezigh returns! A young man presents for fever, chills, & nausea. How can fragmentation of healthcare encounters influence the problem representation?
52 min - Episode 33: Diagnostic Dilemma - Hyperleukocytosis
WBC >440k. After cytoreduction, an unexpected, disproportionate hemoglobin drop.
52 min - Episode 32: Diagnostic Dilemma - Diarrhea
Mike brings one of the most humbling cases of his career: a catastrophe hiding behind an ordinary complaint.
54 min - Episode 31: Diagnostic Dilemma - Syncope + Hypotension
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?
42 min - Episode 30: Diagnostic Dilemma - AKI
Mike presents a case of AKI – as the DDx shrinks, things become crystal clear
43 min - Episode 29: Diagnostic Dilemma - "Ileus"
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.
41 min - Episode 28: Diagnostic Dilemma - AKI on Allograft + CHFMike 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.53 min
- Episode 27: Rapid Response! - GI BleedKicking 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?33 min
- Episode 26: Diagnostic Dilemma - Painless Vision LossMike 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?56 min
- Episode 25: Guestpisode! - Pan Positive ROSDr. 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?"1 hr 1 min
About Diagnostic Atypia
From the publisher's feed
Inspired by the Diagnosis community (eg The Clinical Problem Solvers), Drs. Michael Arcieri (@mikearcieri.bsky.social) and Andrew Sanchez (@ASanchez_PS) present a new space for Dx enthusiasts to…
experience diagnostic dilemmas encountered on the general medicine wards and medical ICU service. From puzzling symptoms to rare conditions, Drs. Arcieri and Sanchez highlight the twists and turns of atypical diagnostic journeys. Clinicians and students are invited to bring thought-provoking cases for group reflection ([email protected]). Episode-associated teaching is available at DxAtypia.com