Diagnostic Uncertainty & Undiagnosed Illness

Diagnostic Uncertainty & Undiagnosed Illness

Host: Darryl S. Chutka M.D. [@chutkaMD]

Guest: Liz A. Gilman, M.D.

Guest: Chris R. Stephenson, M.D., M.H.P.E.

As clinicians, we’re used to obtaining health information from our patients through a medical history, performing a physical exam and ordering a variety of lab tests or imaging studies. We then formulate a differential diagnosis and eventually a diagnosis to explain the patient’s health problem. But what happens when a diagnosis isn’t obvious or we’re uncertain what may be causing the patient’s problems. What if a patient asks us a question and we don’t know the answer? How do we express our uncertainty to our patients and how do our patients react to our uncertainty? In this podcast, we’ll discuss diagnostic uncertainty and how to approach our patients when we can’t find a specific diagnosis to explain their symptoms. Our guests include Liz A. Gilman, M.D., and Chris R. Stephenson, M.D., M.H.P.E., both from the Division of General Internal Medicine at the Mayo Clinic.

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

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Episoder(500)

An Update on Glaucoma

An Update on Glaucoma

Host: Darryl S. Chutka, M.D.  Guest: Cheryl L. Khanna, M.D.  Glaucoma is one of the leading causes of blindness worldwide and is characterized by progressive optic nerve damage often but not always as...

15 Sep 22min

Focused Shockwave Therapy for Musculoskeletal Disorders

Focused Shockwave Therapy for Musculoskeletal Disorders

Host: Darryl S. Chutka, M.D.  Guest: Joshua M. Romero, M.D.  Tendon disorders can be difficult to manage, and patients often suffer with chronic symptoms. Traditional treatments such as physical thera...

8 Sep 25min

NP/PA Edition: Onboarding, Orientation, and the First 24 Months: What Retains High-Performing NPs and PAs

NP/PA Edition: Onboarding, Orientation, and the First 24 Months: What Retains High-Performing NPs and PAs

Host: Andy Herber, P.A.-C. Guests: Jennifer Bold, D.N.P., APRN, C.N.P.; Michelle Booth-Kowalczyk, APRN, C.N.P.; John Weimer, PA-C; Alec Williams, APRN, C.N.P., D.N.P.; As healthcare grows increasingly...

1 Sep 33min

Pulmonary Embolism

Pulmonary Embolism

Host: Darryl S. Chukta, M.D.  Guest: Robert D. McBane, M.D.  At times, pulmonary embolism can be very challenging to diagnose. While some patients have a very dramatic presentation, others may have ve...

25 Aug 29min

Innovations and New Options for Cataract Surgery

Innovations and New Options for Cataract Surgery

Host: Darryl S. Chutka, M.D.  Guest: Ruti Sella Svetlit, M.D. Cataracts are one of the leading causes of vision impairment, especially among older adults. While cataract surgery has been available for...

18 Aug 21min

Myalgic Encephalomyelitis/Chronic Fatigue Syndrome

Myalgic Encephalomyelitis/Chronic Fatigue Syndrome

Host: Darryl S. Chutka, M.D.  Guest: Stephanie L. Grach, M.D., M.S.  Chronic fatigue syndrome is now known as myalgic encephalomyelitis. Despite this change in terminology, there’s still a great deal ...

11 Aug 27min

Pediatric Neck Masses

Pediatric Neck Masses

Host: Darryl S. Chutka, M.D.  Guest: Josh P. Wiedermann, M.D. Neck masses in children are commonly seen in a primary care practice. Fortunately, most are benign, although serious causes, including mal...

4 Aug 23min

Eosinophilic Esophagitis

Eosinophilic Esophagitis

Host: Darryl S. Chutka, M.D.  Guest: Karthik Ravi, M.D.  Eosinophilic Esophagitis is often misdiagnosed or undiagnosed in primary care settings, yet it’s a common cause of esophageal symptoms. It’s co...

28 Jul 29min

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