#529 A Case of Syncope with the Clinical Problem Solvers
Summary
Hosts Matt Frank and Paul Nelson-Williams welcome Clinical Problem Solvers co-founders Dr. Robbie Jiha and Dr. Reza Manesh for a clinical reasoning session. They analyze a mystery case of a 65-year-old woman with sarcoidosis and RA who presents with syncope, a prolonged QTc, and subsequent ventricular tachycardia. The experts discuss differential diagnoses, emphasizing the link between cardiac sarcoidosis and arrhythmias while ruling out ischemic causes.
Topics discussed
Intro, Patreon promo, and disclaimer
Welcome and guest introductions
Guest hobbies and personal updates
Case presentation and initial reasoning
Reviewing history, exam, and EKG findings
Sponsor read: FIG scrubs
Differential diagnosis and treatment decisions
Loop recorder results and VT analysis
Cath results and cardiac sarcoidosis discussion
Sponsor read: Quince clothing
MRI findings and final diagnosis reveal
Closing thoughts and book promotion
Outro and credits
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