Core IM Hoofbeats: A 66M w RUQ pain, a 41M in Afib w RVR and a 50M w Syncope

April 10, 2019


By Cindy Fang MD, David Kudlowitz MD, John Hwang MD || Illustration by Amy Ou MD || Audio Editing by Richard Chen, Harit Shah

For a transcript of the podcast and show notes: https://www.coreimpodcast.com/2019/04/10/a-66m-w-ruq-pain-a-41m-in-afib-w-rvr-and-a-50m-w-syncope/

Time Stamps

  • New features in this episode [0:30]
  • Case one: 66M w RUQ pain [1:09]
  • Case two: 41M w Afib in RVR [9:26]
  • Case three: 50M w Syncope [14:33]
  • Reveal [19:57]
  • Retrieving illness scripts [22:29]
  • Typical versus Atypical presentation of diseases [26:12]

References

  • Feinstein, A R. “An analysis of diagnostic reasoning. I. The domains and disorders of clinical macrobiology.” The Yale journal of biology and medicine vol. 46,3 (1973): 212-32.
  • Nayar, et al. Venous Thromboembolism in Upper Extremity Fractures. J Hand Surg Asian Pac Vol. 2018 Sep;23(3):320-329. doi: 10.1142/S2424835518500303.
  • Wyse, et al. Lone Atrial Fibrillation: Does It Exist? Journal of the American College of Cardiology May 2014, 63 (17) 1715-1723; DOI: 10.1016/j.jacc.2014.01.023
  • Lubarsky, et al. Using Script Theory to Cultivate Illness Script Formation and Clinical Reasoning in Health Professions Education. Using script theory to cultivate illness script formation and clinical reasoning in health professions education. Canadian medical education journal vol. 6,2 e61-70. 11 Dec. 2015
  • Charlin, et al. Scripts and Clinical Reasoning. Medical Education, 41: 1178-1184. doi:10.1111/j.1365-2923.2007.02924.x

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