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The Clinical Problem Solvers

The Clinical Problem Solvers is a multi-modal venture that works to disseminate and democratize the stories and science of diagnostic reasoning
Twitter: @CPSolvers
Website: clinicalproblemsolving.com

Copyright: © The Clinical Problem Solvers 2018

Latest Episodes:

Episode 55 – Human Dx unknown with Rabih & Brigham & Women’s residents – Drs. Hayes & Mehta – ESRD + dyspnea Nov 24, 2019
Show notes
https://clinicalproblemsolving.com/wp-content/uploads/2017/05/Episode-55-Human-Dx-unknown-with-BWH.mp3
Episode description
Dr. Stephanie Sherman presents a Human Dx case to Rabih and Brigham and Women’s Drs. Sophia Hayes and Pooja Mehta.
Download CPSolvers App here
Show notes
Human Dx case
Dr. Sophia Hayes

Dr. Hayes graduated from the School of Medicine at the Oregon Health and Science University in Portland, Oregon. She is a 2nd year resident of the Brigham and Women’s Internal Medicine Residency in Boston, Massachusetts. Her clinical interests include pulmonary and critical care, the care of geriatric patients in the ICU, ethics and communication, and medical education. When away from the hospital, she is either curled up with a cup of tea and good book, or exploring a new river, mountain bike trail, or ski slope.
Dr. Pooja Mehta
Dr. Mehta graduated from Harvard Medical School. She is an intern of the Brigham and Women’s Internal Medicine Residency/Division of General Internal Medicine Primary Care Program in Boston, Massachusetts. Her clinical interests include primary care,health equity and social justice, trauma-informed care, and medical education. When away from the hospital she loves to explore various styles of dance, hike in the mountains, go for long walks along the river,read and cook.
Dr. Stephanie Sherman
Dr. Stephanie Sherman is an academic hospitalist at Baylor College of Medicine (BCM) at Ben Taub General Hospital and the Houston VA Medical Center. She is also an associate program director for the internal medicine residency with a focus on resident-as-teacher training, clinical reasoning, and bedside rounding. If she’s being truthful about how she spends her spare time, she often finds herself re-watching The Office with her husband and fellow clinical problem solver, Zaven Sargsyan.

Episode 55 – Human Dx unknown with Rabih & Brigham & Women’s residents – Drs. Hayes & Mehta – ESRD + dyspnea Nov 24, 2019
Show notes
https://clinicalproblemsolving.com/wp-content/uploads/2017/05/Episode-55-Human-Dx-unknown-with-BWH.mp3
Episode description
Dr. Stephanie Sherman presents a Human Dx case to Rabih and Brigham and Women’s Drs. Sophia Hayes and Pooja Mehta.
Download CPSolvers App here
Show notes
Human Dx case
Dr. Sophia Hayes

Dr. Hayes graduated from the School of Medicine at the Oregon Health and Science University in Portland, Oregon. She is a 2nd year resident of the Brigham and Women’s Internal Medicine Residency in Boston, Massachusetts. Her clinical interests include pulmonary and critical care, the care of geriatric patients in the ICU, ethics and communication, and medical education. When away from the hospital, she is either curled up with a cup of tea and good book, or exploring a new river, mountain bike trail, or ski slope.
Dr. Pooja Mehta
Dr. Mehta graduated from Harvard Medical School. She is an intern of the Brigham and Women’s Internal Medicine Residency/Division of General Internal Medicine Primary Care Program in Boston, Massachusetts. Her clinical interests include primary care,health equity and social justice, trauma-informed care, and medical education. When away from the hospital she loves to explore various styles of dance, hike in the mountains, go for long walks along the river,read and cook.
Dr. Stephanie Sherman
Dr. Stephanie Sherman is an academic hospitalist at Baylor College of Medicine (BCM) at Ben Taub General Hospital and the Houston VA Medical Center. She is also an associate program director for the internal medicine residency with a focus on resident-as-teacher training, clinical reasoning, and bedside rounding. If she’s being truthful about how she spends her spare time, she often finds herself re-watching The Office with her husband and fellow clinical problem solver, Zaven Sargsyan.

Episode 54 – Clinical unknown w/ Dr. Paul Sax – Fever and Headache Nov 21, 2019
Show notes
https://clinicalproblemsolving.com/wp-content/uploads/2017/05/Episode54-Clinical-Unknown-with-Paul-Sax.mp3
Episode description
Emma Levine presents a clinical unknown to Dr. Paul Sax
Download CPSolvers App here
Dr. Paul Sax
Dr. Paul E. Sax is Clinical Director of the Division of Infectious Diseases and the HIV Program at Brigham and Women’s Hospital (BWH), and Professor of Medicine at Harvard Medical School. Dr. Sax received his MD from Harvard Medical School, then did his residency in Internal Medicine at BWH, then fellowship in Infectious Diseases at Massachusetts General Hospital. He is Editor-in-Chief of Open Forum Infectious Diseases, is Section Editor of HIV/AIDS in UpToDate, on the Editorial Board of NEJM Journal Watch Infectious Diseases (where he writes the HIV and ID Observations blog), and on the editorial advisory board of Medscape HIV/AIDS. Dr. Sax is also on the core faculty of the International AIDS Society – USA and the New England AIDS Education and Training Center. In addition to his clinical practice and teaching, Dr. Sax’s ongoing areas of research include clinical trials of antiretroviral therapies, cost-effectiveness of management strategies for HIV, and toxicity of antiretroviral therapy. He is presently the principal investigator at the BWH AIDS Clinical Trials Unit, and is a member of the Cost-Effectiveness of Preventing AIDS Complications (CEPAC) Research Group.

Episode 53 – Clinical unknown Dr. Paul Sax – Cough & Rash Nov 13, 2019
Show notes
https://clinicalproblemsolving.com/wp-content/uploads/2017/05/Episode-53-Clinical-unknown-with-Paul-Sax.mp3
Episode description
Dan Minter presents a clinical unknown to Dr. Paul Sax
Download CPSolvers App here
Dr. Paul Sax
Dr. Paul E. Sax is Clinical Director of the Division of Infectious Diseases and the HIV Program at Brigham and Women’s Hospital (BWH), and Professor of Medicine at Harvard Medical School. Dr. Sax received his MD from Harvard Medical School, then did his residency in Internal Medicine at BWH, then fellowship in Infectious Diseases at Massachusetts General Hospital. He is Editor-in-Chief of Open Forum Infectious Diseases, is Section Editor of HIV/AIDS in UpToDate, on the Editorial Board of NEJM Journal Watch Infectious Diseases (where he writes the HIV and ID Observations blog), and on the editorial advisory board of Medscape HIV/AIDS. Dr. Sax is also on the core faculty of the International AIDS Society – USA and the New England AIDS Education and Training Center. In addition to his clinical practice and teaching, Dr. Sax’s ongoing areas of research include clinical trials of antiretroviral therapies, cost-effectiveness of management strategies for HIV, and toxicity of antiretroviral therapy. He is presently the principal investigator at the BWH AIDS Clinical Trials Unit, and is a member of the Cost-Effectiveness of Preventing AIDS Complications (CEPAC) Research Group.
Rash
Radiology

Episode 53 – Clinical unknown Dr. Paul Sax – Cough & Rash Nov 13, 2019
Show notes
https://clinicalproblemsolving.com/wp-content/uploads/2017/05/Episode-53-Clinical-unknown-with-Paul-Sax.mp3
Episode description
Dan Minter presents a clinical unknown to Dr. Paul Sax
Download CPSolvers App here
Dr. Paul Sax
Dr. Paul E. Sax is Clinical Director of the Division of Infectious Diseases and the HIV Program at Brigham and Women’s Hospital (BWH), and Professor of Medicine at Harvard Medical School. Dr. Sax received his MD from Harvard Medical School, then did his residency in Internal Medicine at BWH, then fellowship in Infectious Diseases at Massachusetts General Hospital. He is Editor-in-Chief of Open Forum Infectious Diseases, is Section Editor of HIV/AIDS in UpToDate, on the Editorial Board of NEJM Journal Watch Infectious Diseases (where he writes the HIV and ID Observations blog), and on the editorial advisory board of Medscape HIV/AIDS. Dr. Sax is also on the core faculty of the International AIDS Society – USA and the New England AIDS Education and Training Center. In addition to his clinical practice and teaching, Dr. Sax’s ongoing areas of research include clinical trials of antiretroviral therapies, cost-effectiveness of management strategies for HIV, and toxicity of antiretroviral therapy. He is presently the principal investigator at the BWH AIDS Clinical Trials Unit, and is a member of the Cost-Effectiveness of Preventing AIDS Complications (CEPAC) Research Group.
Rash
Radiology

Episode 52 – Spaced Learning Series – Fever and Rash Nov 06, 2019

Show notes

https://clinicalproblemsolving.com/wp-content/uploads/2017/05/Spaced-Learning-Series-Fever-and-Rash.mp3

Episode description

The CPSolvers share a case of fever and rash – let’s practice those schemas together!

Download CPSolvers App here

Schemas

Fever in a returning traveler

Episode 51 – Human Dx unknown with Rabih & Jefferson residents – Drs. Redfield & Dikdan – Fever, rash and joint pain Oct 23, 2019
Show notes
https://clinicalproblemsolving.com/wp-content/uploads/2017/05/Episode-51-Human-Dx-unknown-with-Jefferson.mp3
Episode description
Dr. Rebecca Berger presents a Human Dx case to Rabih and Jefferson’s Drs. Rachel Redfield and Sean Dikdan.
Download CPSolvers App here
Human Dx case link
Dr. Rachel Redfield
Dr. Redfield is a third-year internal medicine resident at Thomas Jefferson University Hospital. She is a graduate of University of Maryland and received her MD from University of Texas Health Science Center in San Antonio. Her clinical interests include mental health disease, hepatology and functional gastroenterology. When not in the hospital she enjoys eating, traveling and most importantly spending quality time (her love language) with friends and family.
Dr. Sean Dikdan
Dr. Dikdan is a third-year internal medicine resident at Thomas Jefferson University Hospital. He is a graduate of Boston College and obtained his dual MD/MPH from Rutgers New Jersey Medical School. His clinical interests include atrial fibrillation and medical education. Outside of the hospital, he enjoys cooking, podcasting, and escape rooms. He is applying for cardiology fellowship and creating his own podcast (Med Lit Review), but his most challenging aspect of residency is surviving the streets of Philadelphia as an avid NY Giants fan. #DannyDimes
Dr. Rebecca Berger
Rebecca Berger is an Assistant Professor of Medicine at Weill Cornell Medicine and a Hospitalist at New York Presbyterian Hospital. She completed medical school at Columbia University College of Physicians and Surgeons in New York and residency in internal medicine at Massachusetts General Hospital in Boston. Rebecca worked as an editorial fellow at the New England Journal of Medicine and was on the faculty at MGH before moving back to New York in 2018. Her academic interests include patient safety, quality and process improvement, and medical education.
Human Dx
Learn more here

Episode 51 – Human Dx unknown with Rabih & Jefferson residents – Drs. Redfield & Dikdan – Fever, rash and joint pain Oct 23, 2019
Show notes
https://clinicalproblemsolving.com/wp-content/uploads/2017/05/Episode-51-Human-Dx-unknown-with-Jefferson.mp3
Episode description
Dr. Rebecca Berger presents a Human Dx case to Rabih and Jefferson’s Drs. Rachel Redfield and Sean Dikdan.
Download CPSolvers App here
Human Dx case link
Dr. Rachel Redfield
Dr. Redfield is a third-year internal medicine resident at Thomas Jefferson University Hospital. She is a graduate of University of Maryland and received her MD from University of Texas Health Science Center in San Antonio. Her clinical interests include mental health disease, hepatology and functional gastroenterology. When not in the hospital she enjoys eating, traveling and most importantly spending quality time (her love language) with friends and family.
Dr. Sean Dikdan
Dr. Dikdan is a third-year internal medicine resident at Thomas Jefferson University Hospital. He is a graduate of Boston College and obtained his dual MD/MPH from Rutgers New Jersey Medical School. His clinical interests include atrial fibrillation and medical education. Outside of the hospital, he enjoys cooking, podcasting, and escape rooms. He is applying for cardiology fellowship and creating his own podcast (Med Lit Review), but his most challenging aspect of residency is surviving the streets of Philadelphia as an avid NY Giants fan. #DannyDimes
Dr. Rebecca Berger
Rebecca Berger is an Assistant Professor of Medicine at Weill Cornell Medicine and a Hospitalist at New York Presbyterian Hospital. She completed medical school at Columbia University College of Physicians and Surgeons in New York and residency in internal medicine at Massachusetts General Hospital in Boston. Rebecca worked as an editorial fellow at the New England Journal of Medicine and was on the faculty at MGH before moving back to New York in 2018. Her academic interests include patient safety, quality and process improvement, and medical education.
Human Dx
Learn more here

Episode 50 – Human Dx unknown with Reza, Zaven & Baylor/Hopkins residents – Drs. Birnbaum & Varghese – Fever and Orthopnea Oct 21, 2019
Show notes
https://clinicalproblemsolving.com/wp-content/uploads/2017/05/Episode-50-Human-Dx-unknown-with-Baylor.mp3
Episode description
Dr. Jad Al Danaf presents a Human Dx case to Baylor’s Drs. Jacqueline Birnbaum & Zaven Sargsyan, and Johns Hopkins Dr. Bibin Varghese
Download CPSolvers App here
Human Dx Case link
Dr. Jacqueline Birnbaum
Dr. Birnbaum graduated from Boston University School of Medicine. She is a third year Internal Medicine resident at the Baylor College of Medicine, and will be staying in Houston next year for her chief residency. Her clinical interests include primary care and medical education. When not in the hospital and clinics, she enjoys exploring the Houston foodie scene, watching movies, enjoying all things true crime, and spending time with her husband, Tyler, and Olde English Bulldogge, Bella.
Dr. Bibin Varghese
Bibin was born in the United Arab Emirates and moved to Texas as a teenager. He graduated from Baylor College of Medicine and is currently a 2^nd year Internal Medicine resident at the Johns Hopkins Hospital. Bibin’s interests include cooking, watching the Great British baking show, eating, and going to the gym. His clinical interests include cardiology and medical education.
Dr. Jad Al Danaf
Dr. Al Danaf is a third year Cardiovascular Medicine Chief Fellow at the University of Utah and is board certified in Internal Medicine. He graduated from the Lebanese American University School of Medicine and finished his Masters in Public Health in Biostatistics & Epidemiology with a certificate in Quality, Patient Safety and Outcomes Research from the Johns Hopkins Bloomberg SPH. He completed his Internal Medicine training at Thomas Jefferson University Hospital in Philadelphia. He is an aspiring Interventional Cardiologist with interests in cardiac critical care, mechanical support, medical education, provider wellness, and quality improvement projects. Outside of work he enjoys cooking, being a foodie, exploring the outdoors and learning about new cultures with his wife and friends.
Dr. Zaven Sargsyan
Dr. Zaven Sargsyan is a hospitalist and associate residency director at Baylor College of Medicine (BCM). He completed medical school at BCM and medicine residency at Massachusetts General Hospital, and now rounds at Ben Taub Hospital and the VA in Houston. His academic interests include clinical decision-making, physical diagnosis, point-of-care ultrasound, and the language of medicine. In his free time, he likes to play soccer and chess with his nephews and hang out with his wife and fellow clinical problem solver Steph Sherman.
Human Dx
Learn more here

Episode 50 – Human Dx unknown with Reza, Zaven & Baylor/Hopkins residents – Drs. Birnbaum & Varghese – Fever and Orthopnea Oct 21, 2019
Show notes
https://clinicalproblemsolving.com/wp-content/uploads/2017/05/Episode-50-Human-Dx-unknown-with-Baylor.mp3
Episode description
Dr. Jad Al Danaf presents a Human Dx case to Baylor’s Drs. Jacqueline Birnbaum & Zaven Sargsyan, and Johns Hopkins Dr. Bibin Varghese
Download CPSolvers App here
Human Dx Case link
Dr. Jacqueline Birnbaum
Dr. Birnbaum graduated from Boston University School of Medicine. She is a third year Internal Medicine resident at the Baylor College of Medicine, and will be staying in Houston next year for her chief residency. Her clinical interests include primary care and medical education. When not in the hospital and clinics, she enjoys exploring the Houston foodie scene, watching movies, enjoying all things true crime, and spending time with her husband, Tyler, and Olde English Bulldogge, Bella.
Dr. Bibin Varghese
Bibin was born in the United Arab Emirates and moved to Texas as a teenager. He graduated from Baylor College of Medicine and is currently a 2^nd year Internal Medicine resident at the Johns Hopkins Hospital. Bibin’s interests include cooking, watching the Great British baking show, eating, and going to the gym. His clinical interests include cardiology and medical education.
Dr. Jad Al Danaf
Dr. Al Danaf is a third year Cardiovascular Medicine Chief Fellow at the University of Utah and is board certified in Internal Medicine. He graduated from the Lebanese American University School of Medicine and finished his Masters in Public Health in Biostatistics & Epidemiology with a certificate in Quality, Patient Safety and Outcomes Research from the Johns Hopkins Bloomberg SPH. He completed his Internal Medicine training at Thomas Jefferson University Hospital in Philadelphia. He is an aspiring Interventional Cardiologist with interests in cardiac critical care, mechanical support, medical education, provider wellness, and quality improvement projects. Outside of work he enjoys cooking, being a foodie, exploring the outdoors and learning about new cultures with his wife and friends.
Dr. Zaven Sargsyan
Dr. Zaven Sargsyan is a hospitalist and associate residency director at Baylor College of Medicine (BCM). He completed medical school at BCM and medicine residency at Massachusetts General Hospital, and now rounds at Ben Taub Hospital and the VA in Houston. His academic interests include clinical decision-making, physical diagnosis, point-of-care ultrasound, and the language of medicine. In his free time, he likes to play soccer and chess with his nephews and hang out with his wife and fellow clinical problem solver Steph Sherman.
Human Dx
Learn more here

Episode 49 – Clinical unknown with Drs. Saman Nematollahi and Jennifer Babik Oct 17, 2019

Show notes

Episode 48 – Congestive Heart Failure – HFrEF with Dr. Amit Goyal Oct 09, 2019
Show notes
https://clinicalproblemsolving.com/wp-content/uploads/2017/05/CHF-HFrEF.m4a
Episode description
Dr. Amit Goyal joins the CPSolvers to share his approach to heart failure with a reduced ejection fraction
Download CPSolvers App here
HFrEF schema
Patreon website
Dr. Amit Goyal
Amit Goyal (@AmitGoyalMD) is a cardiology fellow at the Cleveland Clinic. He completed his medical school at the University of California, San Diego and went on to enjoy residency training in the Osler Program at Johns Hopkins, where he served as the Assistant Chief of Service of the Barker Firm (aka Firm of Choice!). As ACS he co-founded (with Reza Manesh!) Osler Grand Rounds, an interactive mystery case discussion guided by expert discussants, and helped establish a novel morning report structure integrating bedside skills education. Amit is looking forward to a career as an interventional cardiologist and clinician educator. He began the Osler Program’s twitter account (@OslerResidency) and now co-manages the CCF Cardiology fellowship twitter account (@CCFcards). He relishes time with friends and family including with his wife Riddhi and son Dhruv.

Episode 47 – Spaced Learning Series – Altered Mental Status and Hypercalcemia Sep 25, 2019

Show notes

https://clinicalproblemsolving.com/wp-content/uploads/2017/05/Episode-47-Spaced-Learning-AMS-HyperCal.mp3

Episode description

The CPSolvers share a case of altered mental status and hypercalcemia – let’s practice those schemas together!

Download CPSolvers App here

Schemas

Altered mental status

Episode 46 – Human Dx Unknown with Rabih and UAB residents Drs. Shipley & Urquiaga – Anorexia and cough Sep 18, 2019
Show notes
https://clinicalproblemsolving.com/wp-content/uploads/2017/05/Episode-46-Human-Dx-Unknown.m4a
Episode description
Dr. Anand Jagannath presents a Human Dx unknown to Rabih and UAB residents Drs. Shipley & Urquiaga
Download CPSolvers App here
Human Dx case link
Case referred by Dr. Robert Thomas
Dr. Mariana Urquiaga
Mariana Urquiaga is a second-year internal medicine resident at the University of Alabama at Birmingham. She is from Lima, Peru, where she graduated from Universidad Peruana Cayetano Heredia. She has an interest in disorders of gut immunology. Outside of the hospital, she enjoys reading, swimming, and spending time with her boyfriend, Mauricio, and her dog, Otis.
Dr. Lindsey Shipley
Lindsey Shipley is a second year internal medicine resident at the University of Alabama, Birmingham. She was raised in Jackson, TN and received her medical degree from East Tennessee State University, Quillen College of Medicine. After residency, she hopes to pursue a career in gastroenterology. In her free time she enjoys lifting weights and spending time with family, friends, and her Airedale Terriers, KC and Izzy.
Dr. Anand Jagannath
Dr. Anand Jagannath is a clinician-educator at the University of California, San Diego (UCSD) and hospitalist at the VA San Diego. He completed medical school at the Tufts University School of Medicine and internal medicine residency and chief residency at Albert Einstein College of Medicine/Montefiore Medical Center. At UCSD, Anand’s interests include bedside team rounding, teaching clinical reasoning to medical students and residents, learning from his learners, and promoting a safe and inclusive learning environment. He is also a Section Editor for adult medicine cases at the Human Diagnosis Project. When he’s not getting excited about medicine, you’ll probably find Anand cooking food, watching shows about food on Netflix, running, or playing basketball or his violin.
Human Dx
Learn more here

Episode 46 – Human Dx Unknown with Rabih and UAB residents Drs. Shipley & Urquiaga – Anorexia and cough Sep 18, 2019
Show notes
https://clinicalproblemsolving.com/wp-content/uploads/2017/05/Episode-46-Human-Dx-Unknown.m4a
Episode description
Dr. Anand Jagannath presents a Human Dx unknown to Rabih and UAB residents Drs. Shipley & Urquiaga
Download CPSolvers App here
Human Dx case link
Case referred by Dr. Robert Thomas
Dr. Mariana Urquiaga
Mariana Urquiaga is a second-year internal medicine resident at the University of Alabama at Birmingham. She is from Lima, Peru, where she graduated from Universidad Peruana Cayetano Heredia. She has an interest in disorders of gut immunology. Outside of the hospital, she enjoys reading, swimming, and spending time with her boyfriend, Mauricio, and her dog, Otis.
Dr. Lindsey Shipley
Lindsey Shipley is a second year internal medicine resident at the University of Alabama, Birmingham. She was raised in Jackson, TN and received her medical degree from East Tennessee State University, Quillen College of Medicine. After residency, she hopes to pursue a career in gastroenterology. In her free time she enjoys lifting weights and spending time with family, friends, and her Airedale Terriers, KC and Izzy.
Dr. Anand Jagannath
Dr. Anand Jagannath is a clinician-educator at the University of California, San Diego (UCSD) and hospitalist at the VA San Diego. He completed medical school at the Tufts University School of Medicine and internal medicine residency and chief residency at Albert Einstein College of Medicine/Montefiore Medical Center. At UCSD, Anand’s interests include bedside team rounding, teaching clinical reasoning to medical students and residents, learning from his learners, and promoting a safe and inclusive learning environment. He is also a Section Editor for adult medicine cases at the Human Diagnosis Project. When he’s not getting excited about medicine, you’ll probably find Anand cooking food, watching shows about food on Netflix, running, or playing basketball or his violin.
Human Dx
Learn more here

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