Morning Report

Episode 37: An approach to dyspnea Oct 24, 2021

Drs. Tom Painter and Alli Dekosky are discussants in our third episode oriented to medical students! Listen along as Dr. Carly Sokach leads this venerable duo through some pearls and pitfalls of clinical reasoning!

Episode 36: An approach to fever Oct 24, 2021

Our second in a series of medical student oriented clinical reasoning podcasts! Drs. Anna Donovan and Andrea Carter provide some great clinical pearls in this case presented by Carly Sokach!

Episode 35: An approach to abdominal pain Jun 21, 2021

This is our inaugural episode specifically catered to medical students! Listen along as Drs. Missy McNeil, Casey McQuade, and Carly Sokach walk through this interesting case!

Episode 34: A Shocking Diagnosis Aug 11, 2020

Dr. Stephanie Maximous is back to help walk us through an exciting critical care case! From shock, to vents, to pulmonary pathology–stay tuned for the clinical pearls!

Episode 33: A clinical case of subacute diarrhea Apr 19, 2020

Listen along as we work through an abundance of metabolic disturbances in this fascinating case! Dr. Casey McQuade and Dr. Michelle Fleshner brilliantly lead us to an unexpected final diagnosis. Have some fun with us as we solve this case together!

Episode 32: A clinical case of fever in a returning traveler Mar 09, 2020

Dr. Alex Viehman is back! He brilliantly drops some great ID pearls throughout this puzzling case! As you listen along, think about how you would build your own framework for this problem.

Episode 31: A clinical case of altered mental status Dec 10, 2019

Chief resident, Casey McQuade, and ID guru, Alex Viehman, discuss a puzzling case of altered mental status. Get ready to learn about frameworks, problem representations, and prioritized differentials!

Episode 30: Progressive dyspnea Sep 26, 2019

Dr. Stephanie Maximous (pulm-CCM) and Dr. Alex Viehman (ID) join us for episode 30! These experts seamlessly narrow down a wide-spectrum of differentials in this immunocompromised patient.

Episode 29: Severe back pain Jul 11, 2019

Chief medical residents Dr. Casey McQuade and Dr. Michelle Fleshner discuss differentials, lumping vs splitting, and (of course) cat videos. Listen along for an hour of clinical reasoning pearls and entertaining discussion as we walk through this challenging case!
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Episode 28: CP & SOB Jul 05, 2019

Dr. Andrea Carter joins our new guest, Dr. Anna Donovan, for this puzzling case. There are several cognitive biases highlighted throughout our discussion — can you catch them all??
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Episode 27: Chronic cough Jun 20, 2019

Dr. Stephanie Maximous joins us for another specialty case! She does a great job breaking down the differentials, work-up, and management of this extremely common condition. Listen along for some great clinical pearls!
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Episode 26: Weight loss & cough Apr 09, 2019

Rheumatologist and clinician extraordinaire, Dr. Mehret Talabi, joins up-and-coming ID guru, Dr. Joe Rocco, for this exciting case!
Listen along and challenge yourself as we discuss some great clinical pearls!
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Episode 25: 56F w/ CP, SOB Mar 28, 2019

Dr. Andrea Carter and Dr. Clark Veet return for a fascinating presentation of clots and bleeding! Listen along as they tackle this case one step at a time.

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Episode 24: Fever & AMS Feb 12, 2019

It’s neuro time! We’re thrilled to have Dr. Ajitesh Ojah, program director for the neurology residency at the University of Pittsburgh, discuss encephalopathy. It’s a master at work, breaking down complex differentials in a realistic and applicable manner.
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Episode 23: Cough + SIRS Feb 07, 2019

Dr. Joe Rocco and Dr. Drew Klein are back to tackle this fascinating and challenging case. Listen along for those great clinical pearls. And don’t forget to challenge yourself by pausing and practicing your clinical reasoning skills!

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Episode 22: Lower Extremity Numbness & Weakness Nov 14, 2018

Dr. Carter and Dr. Sgro return to “redeem themselves” in our latest episode. What’s your framework for peripheral neuropathy? Listen along for some great pearls as you refine your clinical reasoning skills!

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Episode 21: Confusion/AMS Oct 12, 2018

Our two new guests, Dr. Greg Bump and Dr. Sarah Jones, deftly maneuver through this presentation of confusion/AMS in an elderly patient. Listen and learn on the go, grab some clinical pearls, and check out the questions below for active engagement!

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Episode 20: Fevers & Nausea/Vomiting Oct 03, 2018

We’ve made it to episode 20 (*!wow!*). Dr. Gaetan Sgro is joined by our new and talented guest, Dr. Andrea Carter, for this fascinating case. There are plenty of diagnostic dilemmas to work through as these clinicians tackle a mystifying presentation of fevers, nausea, and vomiting.

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Episode 19: Generalized Weakness Sep 28, 2018

Dr. Joe Rocco and Dr. Clark Veet will help you overcome your clinical reasoning weaknesses(!) while working through this case. Play along (and stimulate your brain!) by working through your own problem representations and differentials!

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Episode 18: Sore Throat & Const Sx Aug 26, 2018

A myriad of differentials await as our two new guests and clinical reasoning gurus dig through this case! Dr. Casey McQuade and Dr. Tom Painter join us for an interesting presentation of sore throat & const sx.

Reinforce your learning with the following questions. As you listen along, fill out the learning objectives to actively engage and participate with us!
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Episode 17: Dyspnea & Fevers Aug 22, 2018

Dr. Eliana Bonifacino is back alongside our new guest, Dr. Drew Klein. Listen along as Occam’s razor and Hickam’s Dictum fight it out for the final diagnosis/diagnoses(?!)

Reinforce your learning with the following questions. As you listen along, fill out the learning objectives to actively engage and participate with us!
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Episode 16: Abdominal Pain & Swelling Aug 08, 2018

We’re very excited to welcome our new guests, Dr. Eliana Bonifacino and Dr. Gaetan Sgro, to our latest episode. Listen and “play along” as we run through problem representations, cognitive biases, and differentials throughout this interesting case!

LEARNING OBJECTIVES:

(1) List the most common causes of “volume overload”

(2) What are the most common causes of low SAAG (<1.1) vs high SAAG (>1.1)

(3) Discuss ways to overcome premature closure and anchoring bias in seemingly routine cases

(4) Understand the benefits of a hypothesis-driven diagnostic approach to guide further work-up in difficult cases

Episode 15: Acute Dyspnea May 11, 2018

Our new guest, pulmonologist Dr. Frank Jacono, and our veteran hospitalist, Dr. Ronda Mourad, team up to solve this case. Listen along as they uncover their own biases while walking through their clinical reasoning techniques!

Episode 14: More Fevers & Constitutional Sx May 01, 2018

Join Dr. Jessie Donato and Dr. Prab as they “connect the dots” throughout this episode! It’s fascinating to hear how they repeatedly take a step back, reassess the various puzzle pieces, and provide clarity from this patient’s nonspecific presentation.

Episode 13: Headache & Fever Apr 13, 2018

We welcome our new guest Dr. Ashley Mohadjer alongside veteran podcaster Dr. Ronda Mourad for this challenging case. We walk through the “can’t miss” diagnoses as well as common biases that all clinicians need to know!

Episode 12: Syncope Apr 13, 2018

Dr. Keith Armitage is back alongside our new guest Dr. Matthew Hoscheit for this challenging case of syncope! Listen along as they tackle the differential, work-up, and management of this important topic!

Episode 11: Nausea & Vomiting Apr 04, 2018

Join Dr. Mimi Lam and Dr. Ronda Mourad as they run through the differential and work-up of nausea/vomiting in this young female patient. (Spoiler alert: there’s a lot more than GI stuff going on!)

Episode 10: Fever & Constitutional Sx Mar 02, 2018

We’re excited to welcome our new guest, Dr. Anbazhagan Prabhakaran, alongside podcast veteran Dr. Ronda Mourad for our 10th (woohoo!!) episode. Listen along for some interesting clinical pearls as we venture through this common presentation!

Episode 9: Exertional Dyspnea & Fatigue Mar 02, 2018

We welcome our new guest, rising IM chief resident Dr. Susie Vehar, to the podcast alongside Dr. Jessica Donato! In this episode, we approach SOB from a different angle which leads to some important differentials and clinical highlights.

Episode 8: Fever & AMS Mar 02, 2018

We welcome our new guest, Dr. Keith Armitage, on this episode! We invite you to listen along as he and Dr. Ronda Mourad discuss fever, altered mental status, and an array of clinical pearls!

Episode 7: Respiratory Distress Feb 12, 2018

Dr. Ronda Mourad and Dr. Jessica Donato are back to highlight the critical differentials and management steps of a patient presenting in “respiratory distress.” Listen along for some great clinical pearls!

LEARNING OBJECTIVES:

(1) Define “respiratory distress” by clarifying the HPI and VS

(2) Formulate a differential by:
(a) understanding the pathophysiology, “what’s driving the process?”
(b) investigating the anatomy / respiratory tract for pathology
(c) using a systems-based approach

PDF link: SOB flowsheet

**Episode 6: Joint Pain** Feb 04, 2018
Polyarthralgias, arthritis, joint pain….join us for some twists and turns as Drs. Donato and Mourad solve this interesting case!

LEARNING OBJECTIVES:

(1) Develop a systematic approach for a patient presenting with joint pain based on acuity, inflammatory state, number of joints involved, and comorbidities

(2) When stuck with an unclear diagnosis, beware of anchoring bias; readdress the problem from a new vantage point

PDF link: Joint pain flowsheet

**Episode 5: Lower Extremity Swelling** Feb 04, 2018
The clinical pearls abound in this case! Listen along as Dr. Ronda Mourad and Dr. Mimi Lam work through this very important and common presentation.

LEARNING OBJECTIVES:

(1) Develop a differential using a systems-based approach for a patient presenting with lower extremity edema

(2) Differentiate the cause(s) of edema in your patient based on the likely pathophysiological mechanisms

(3) Review the physiological feedback loops related to volume status

PDF link: LE edema flowsheet

**Episode 4: Altered Mental Status** Jan 19, 2018
Dr. Mimi Lam and Dr. Ronda Mourad return for an interesting but challenging case! Listen along as they unravel this presentation of altered mental status.

LEARNING OBJECTIVES:

(1) Develop a differential using a systems-based approach for a patient presenting with AMS

(2) Use appropriate HPI questions to define AMS; use these answers to tailor your ROS, PE, and W/U

(3) Learn when and how to re-approach the drawing board when the diagnosis remains unclear

PDF link: AMS flowsheet

PDF link: AMS mnemonic

**Episode 3: Abdominal Pain** Dec 13, 2017
Dr. Ronda Mourad and Dr. Jessica Donato are back to discuss abdominal pain. It’s a great case filled with differentials, imaging, common mistakes, etc!

LEARNING OBJECTIVES:

(1) Develop a differential using a systems-based approach for a patient presenting with abdominal pain

(2) Combine your knowledge of anatomy with your HPI, PE, labs & imaging to develop a refined differential

PDF link: Abdominal pain flowsheet

**Episode 2: Shortness of Breath** Dec 11, 2017
We welcome Dr. Mimi Lam alongside Dr. Jessica Donato for our second case! Our nephrologist and internist, respectively, highlight the differentials of SOB and walk through the various steps necessary to solve this interesting case.

LEARNING OBJECTIVES:

(1) Develop a differential using a systems-based approach for a patient presenting with shortness of breath.

(2) Quickly assess risk factors for common and life-threatening conditions

(3) Refine your differential using pertinent HPI, ROS, and PE questions/techniques.

PDF link: SOB Flowsheet

**Episode 1: Lightheadedness** Dec 11, 2017
Dr. Jessica Donato and Dr. Ronda Mourad tackle our first case! We highlight the differential diagnoses and clinical reasoning steps throughout this interesting patient presentation. Stay tuned for the final diagnosis (and some bloopers!) at the end.

LEARNING OBJECTIVES:

(1) Develop a differential using a systems-based approach for a patient presenting with lightheadedness / dizziness.

(2) Narrow your differential using pertinent HPI, ROS, and PE questions/techniques.

(3) Learn when and how to take a step back and re-approach your differential when the diagnosis remains unclear.

PDF link: Lightheadedness flowchart

Introduction Dec 10, 2017

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