Finally, our much awaited third try with Stump the Chumps. This time one of our registrars Dr. Brian Grainger challenges us with a case of a young patient. This is a longer episode, which I guess reflects the fact that sometimes, when the diagnosis is not obvious, you just have to take your time. Enjoy!
very nice case which is helpful for my RACGP AUS fellowship KFP exam
thanks you
Yes, excellent forensic clinical reasoning.
Great work. Even with 57 visits, who would have thought of that result.
Thank you.
Great flow of reasoning…
Thanks, gentlemen. That was a classic. Keep them coming.
And the discussion of DDx was really terrific.
Art and Nick, this was entirely unfair to you. Earlier accounting of the number of encounters would have led you down the correct path. I did enjoy the image of you sneaking around the patient room however.
Thanks Gene for coming to our defense! Not many serious clinicians would have jumped to fictitious disorder after the 1st, or 2nd, presentations, especially when there were objective physical and laboratory abnormalities…
Hi Art and Nick,
Enjoyed the episode, thought I would leave a comment to let you know there are listeners out there! This one is from your alma mater (Toronto). I don’t think it matters whether the case ends up stumping or not, what’s important is walking through the clinical reasoning and understanding the diagnostic process and potential pitfalls. Thanks and keep up the good work.
Tim
GIM Fellow
Hi Tim, thanks for your comments. It is actually great to know the listeners exist! We actually have some idea of this because we can check our download statistics. But we would love to continue growing our listener base…and neither Art nor I are particularly good at marketing or self-promotion… Ideas welcome. We agree that walking through the process is the point, not whether we get the final diagnosis…But who doesn’t like being right? Furthermore, I am at the same time aware that a few expert clinicians who may be listening are probably screaming into their phones, “It’s obviously Still’s… Read more »