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Reza

๐Ÿ‘ค Speaker
392 total appearances

Appearances Over Time

Podcast Appearances

The Clinical Problem Solvers
Episode 456 โ€“ RLR โ€“ A moving target

And probably no localizing sign.

The Clinical Problem Solvers
Episode 456 โ€“ RLR โ€“ A moving target

And it's persisted for a couple of days.

The Clinical Problem Solvers
Episode 456 โ€“ RLR โ€“ A moving target

And so I think the question that the patient's father would ask, he was like, does he need to go to the emergency department?

The Clinical Problem Solvers
Episode 456 โ€“ RLR โ€“ A moving target

Is there something sinister that is brewing beneath?

The Clinical Problem Solvers
Episode 456 โ€“ RLR โ€“ A moving target

And he's a young guy.

The Clinical Problem Solvers
Episode 456 โ€“ RLR โ€“ A moving target

And I think if there is, I would actually be more worried about a fever without a localizing symptom than a fever with a localizing symptom.

The Clinical Problem Solvers
Episode 456 โ€“ RLR โ€“ A moving target

Because if you told me this kid is having upper respiratory symptoms or is having diarrhea, I'd be like, that's okay.

The Clinical Problem Solvers
Episode 456 โ€“ RLR โ€“ A moving target

Like it's going to hopefully resolve and you can monitor.

The Clinical Problem Solvers
Episode 456 โ€“ RLR โ€“ A moving target

But when you say hip pain, that's gone away.

The Clinical Problem Solvers
Episode 456 โ€“ RLR โ€“ A moving target

And now fever, but otherwise feels fine.

The Clinical Problem Solvers
Episode 456 โ€“ RLR โ€“ A moving target

That makes me worried.

The Clinical Problem Solvers
Episode 456 โ€“ RLR โ€“ A moving target

And actually, honestly, it would prompt me to ask more about the social history.

The Clinical Problem Solvers
Episode 456 โ€“ RLR โ€“ A moving target

Particularly, what kind of activities does he do?

The Clinical Problem Solvers
Episode 456 โ€“ RLR โ€“ A moving target

Is he outdoors?

The Clinical Problem Solvers
Episode 456 โ€“ RLR โ€“ A moving target

Is he sexually active?

The Clinical Problem Solvers
Episode 456 โ€“ RLR โ€“ A moving target

And if someone had fever for a number of days without an answer and is young, and like Robbie alluded to this, this patient probably has so much cardiovascular reserve being 19 years old and healthy.

The Clinical Problem Solvers
Episode 456 โ€“ RLR โ€“ A moving target

I'm very, very curious to see what his CBC shows, what his liver chemistry test shows, specifically with an attention to the ASC, ALT, and the platelet.

The Clinical Problem Solvers
Episode 456 โ€“ RLR โ€“ A moving target

And then just getting a little more in terms of his social history, because we have inflammation without symptom, though the hip may ultimately...

The Clinical Problem Solvers
Episode 456 โ€“ RLR โ€“ A moving target

give us a sense of what this answer is.

The Clinical Problem Solvers
Episode 456 โ€“ RLR โ€“ A moving target

And that just makes me want to look internal.