Welcome back Clinical Problem Solvers!!
We are dedicated to teaching medicine from the lens of a diagnostician.
We will always prioritize understanding and critical thinking over memorization. We will NOT focus on standardized exams.
The target audience is anyone with a love for understanding and teaching medicine.
Rabih Geha, MD, and Reza Manesh, MD, hope that their passion for medicine inspires you to "work harder today so you are smarter tomorrow than you were yesterday."
Let us have fun together on this incredible never-ending journey of learning.
Rabih the Mathematician and Reza the Magician aka Prof Rez.
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Plz adjust sound too..its so low to hera
Would be great if you could share some of those board review pearls!!
Hey guys, great discussion! Wanted to attach a study that I found on what percentage of crohns with negative biospy still end up having clinical progression of the disease. Apparently, its upto 70%, depending on the criteria, but they have found about 10% of pts with fistulas and biopsy negative. However, apparently 20% of diverticulitis can form fistulas, so I'd probably look for the other signs of IBD, and monitor. pubmed.ncbi.nlm.nih.gov/31960900/
Excellent summary @ Ethan! Amazing case as awlays. Thank you for the very interesting teaching points to everyone.
incredible case, thank you 🙏
Diagnostic excellence! That's medicine being art. I'm pretty sure that every time R&R speak/discuss a disease quietly leaves the chat in fear😂.
The IMADE mnemonic never fails. Was not even considering this part of the mnemonic but there it was!
I heard one dermatologist saying that compression socks can be used as a treatment to prevent leakage and petechiae. How can these be the cause and treatment at the same time?
Cool case. Lots of pearls here.
How can i treat EDS petechiae all over the body? I can't wear a t-shirt without people looking at my skin rash. It's so bad.
Many thanks for your clear simple explanation
Great pearls around minutes 36-40. Love when they just talk shop.
Kirtan should be a staple of these VMR discussions, he should have his own day where he leads the VMR
Loved this case.
thank you
Great session!
Hi. Where can we check the schedule for the next neuro VMR's?
When I had a high dose antibiotic in 2006 I woke up in night sweats ..liver and spleen pain...fatigue, fever that would come and go. Ever since then I've had chronic fatigue syndrome, I just did an intra cellular test and found extremely low iron. I started taking it and within a week I'm feeling amazing. I do have a history of low stomach acid so that's likely the main cause. But the crazy fever n night sweats I've had for almost 2 decades seems to be gone.
Hi every one If cases related to neurology.… Can I participate with you . Thanks
This is a perfect case-discussion !!!!!!
Very good
high ph in the context of everything that points towards a complicated effusion sounds like a major anomaly. likely a technical error in the lab or handling maybe. gpt says likewise.
Amazing cases, thanks a lot!!!!!
I’m 26 I’ve had sciatica pain for 4 years on left side. I get tingling and numbness on left especially in foot. Still can move and have strength on left side. And have no bladder issues besides peeing a lot. Should I be worried about this?
Do you have a video for foot Drop? I think this video will help.
Where you located, do you see new patients? Prices?😢
Hello interesting video. I have peripheral neuropathy in both legs. Would L5 be the likely suspect Ken
Nice ❤
Great case. Ty
Short & conceptual great
In that case what was wrong with giving the insulin subcut and not IV? In that scenario to me giving subq sounds better
Great presentation and discussions
هل يمكن مساعدتي بالترجمة لا افهم اللغة ❤
You are a Super Gem Neurologist, Thanks
Thanks a lot for this loving tribute to our dearest Rafa. He is being missed so much every day. One life, so many dreams ☁️
Cool case…
Great content as usual. However, Reza's audio transmission made it difficult to listen to.
Doing great job..but i find it difficult to read from the screen ..fonts appear way small .if you can help in this regard.. thank you✨
Haha! What an intriguing case! I was on the edge of my seat the whole time, just wanting to know the answer. I can't help but think that it must be a lymphoproliferative disease once you have their schemas (maybe a little biast). However, if he doesn't improve on corticosteroids and continues to have high SPAP, do you think a cardiac catheterization could bring us closer to a diagnosis?
Or what other factors would weigh in favor of multicentric Castleman's disease? Take a HHV8?
Mary!!! I love seeing you here ❤️
Dr Shroff pick up the Nicolas Sparks books. True stories of NC which some have turned into movies.
My favorite G Guy ❤️ he's the best in the Nation
nice case
Great run through! Much appreciated
Pff what a case
Great channel thxxxx❤ Super informative
I'm 16 seconds into this and I hear the following nonsense: " He has literally authored a book". I lost interest.
What a brilliant case! Congrats on the persistence to get to the core issue. Beautiful, illuminating discussion 👌🏻 Learnt a lot! Grateful to the entire team:)
Good presentation. However, need gluten ataxia in there. Thanks
Amazing job, Kirtan! Wow