The Clinical Problem Solvers

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Episode description: A fascinating case that started as flank pain … ultimately seen in outpatient pulmonology! Join us for this adventure in clinical reasoning.  

Featuring: 

Priyanka Athavale

Anna Fretz

Kirtan Patolia

Seyma Yildirim

Schemas:

Flank Pain

Hypercalcemia

Granulomas

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In this Rheumatology Rafael Medina Subspecialty episode, Dr. Ana Valle presents a case of Joint pain and skin rash to Dr. Eli Miloslavsky. 

Session facilitator: Rahul Pottabathini

Case Discussant: Dr. Eli Miloslavsky is a rheumatologist and Associate Professor of Medicine at the Massachusetts General Hospital and Harvard Medical School. Dr. Eli’s Career has been focused on medical education across all stages of training. He Serves as a curriculum phase director at Harvard Medical School, Firm Chief in the MGH Internal Medicine Residency Program and an Associate Program Director in the MGH Rheumatology Fellowship. He also leads the MGH Clinician Educator Track for Department of Medicine subspecialty fellows. 

Case Presenter: Dr. Ana Valle, MD, MHS is a rheumatology fellow at Brigham and Women’s Hospital. She attended Johns Hopkins University and the Johns Hopkins Bloomberg School of Public Health where she studied public health during her undergraduate and graduate years. Afterwards, she worked as a research coordinator which introduced her to the field of rheumatology and instilled a passion for clinical research. She then obtained her medical degree from the Zucker School of Medicine at Hofstra/Northwell and completed residency at Montefiore Medical Center in the Bronx, NY, where she was awarded Intern of the Year and Ambulatory Chief. She is pursuing a clinical research career where she dedicates her time to address health inequities within rheumatology and further understand idiopathic inflammatory myopathies. In her free time, she enjoys barre, podcasts, and spending time with her two cats (Dolly & Stevie). 

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Title  – Gum bleeding

 

Episode description

RR discuss a case of gum bleeding

 

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IMG discount

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Maddy presents a case of atraumatic rhabdomyolysis to Youssef, Andrew, and Noah.

Myopathy Schema

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We continue our campaign to #EndNeurophobia, with the help of Dr. Aaron Berkowitz. This time, Bayan presents a case of altered mental status to Aye. 

Neurology DDx Schema

Bayan Al Zoabu 

Bayan is a senior medical student from Syria with a passion for neurology and a drive to make a difference in healthcare. From founding a screening initiative for congenital conditions in children to working with other students and residents to create the NeuroAnki flashcard deck to help neurology residents prep for board exams, Bayan is all about supporting others. As a passionate advocate for ethics, she is the co-leader of the journal club team in the neuro-ethics group. Outside of medicine and in her free time, Bayan loves to relax with a cup of tea and a book.

Aye Chan Moe Thant (@AyeThant94)

Aye graduated from University of Medicine, Mandalay, Myanmar, and has been working with her mentor neurologist, one of only three neurologists covering the Upper Myanmar region of 23 million population. Through her experiences witnessing the challenges faced by patients in underserved areas and hearing their stories, Aye is dedicated to advancing health equity, global health initiatives, and various aspects of neurology, both in clinical practice and medical education. She is going to apply for a neurology residency program this year. Outside of work, she spends time playing piano, jogging along trails, and listening to music.

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Illness script discussed in this episode (This will reveal the final dx)

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Welcome to another episode of the Clinical Unknown Series! Mark presented a case with a chief complaint of constipation to Debora and Mengyu, and there was an unpredictable turnover.

Embark on this diagnostic journey with us! 

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https://clinicalproblemsolving.com/wp-content/uploads/2025/06/audio1466716723-1-2.mp3

Title  – Ascites

 

Episode description

RR discuss a case of ascites

 

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Description: Kaylin and Sharmin are joined once again by Dr. Julia Armendariz to learn from her approach to a “struggling” learner. The discussion focuses on the value of using low-inference statements to accurately describe the behavior, how to identify the underlying problem(s) the behavior may represent, and tailoring a path to improvement based on the learner’s level of insight.

Feedback Episodes

Julia’s bio:

Julia Armendariz, MD, is a hospitalist and clinician educator in the Bay Area who works closely with trainees on the wards and in the classroom.  She is the co-director for the Medical Education Elective for the Stanford Internal Medicine Residency, where she shares her passion for Med Ed with Stanford junior and senior residents.  Her special areas of interest within Med Ed are communication, specifically feedback, and the struggling learner. She is also a facilitator for a national CME course called MODEL (Maximizing Ongoing Development and Educational Leadership) within the Veteran’s Administration, where she delivers a feedback workshop for attending physicians.  She is currently collaborating with faculty at Stanford and other academic programs for research projects, including resident perspectives on faculty feedback delivery, how to improve feedback skills for attending physicians, and how to coach feedback givers. Outside of medicine, Julia loves gardening, the ocean, and spending time with family and friends

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In this Maternal-Fetal Medicine (MFM) Rafael Medina Subspecialty episode, Dr. Mary Peeler presents a case of headache in a pregnant patient to Dr. Greg Kirschen.

Session facilitator: Maddy Conte

Case Discussant: Dr. Greg Kirschen is a Maternal-Fetal Medicine fellow at the Hospital of the University of Pennsylvania with a particular interest in pharmacology and metabolism in pregnancy. Before fellowship, he completed an MD/PhD at Stony Brook University in New York with a PhD in molecular pharmacology and then completed residency training in Ob/Gyn at Johns Hopkins Hospital in Baltimore. Teaching and clinical reasoning are his passions and he continues to teach and mentor students from the undergraduate to medical student and resident level.

Case Presenter: Dr. Mary Peeler is originally from Memphis, Tennessee. She completed her undergraduate degree in Health Policy and Management at the University of North Carolina, Chapel Hill. She pursued medical school and residency in Ob/Gyn at Johns Hopkins in Baltimore, Maryland. She also completed a Master’s of Public Health at the Harvard TH Chan School, concentrating in Social and Behavioral Health. She is now in her first year of Maternal Fetal Medicine fellowship back at UNC. Outside of medicine, Mary loves hiking, exploring new places and gardening. 

Correction to discussion: – Outcomes for mode of delivery at 24 weeks: outcomes are comparable between c-section and vaginal delivery for breech singletons

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