Medical Mystery Solved – The Road Less Traveled | NEJM

This Double Take video from the New England Journal of Medicine presents the
real-life case of a woman with progressive chest pain after a trip to Puerto
Rico, where she spent time exploring local national parks and caves. Viewers
are guided through the differential diagnosis of the patient’s presentation and
how it evolves with the diagnostic evaluation, culminating in the patient’s final
diagnosis and clinical course.


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[mattcool]

As soon as they mentioned she was in a cave I knew that was going to be the key to the diagnosis 😄

[kemarbarrett]

The visuals were amazing and loved the morning report style approach 👏🏽

[narek]

Just wonderful! We need more of these!

[sabyasachidas]

Feels like a dr house episode without the drama, i am loving these❤❤

[thomasli]

Thank you very much for the video. In my opinion, with the presence of acute pleuritic chest pain with tachycardia, even in the absence of elevated D-dimer, a CT pulmonary angiogram is essential for diagnosis if resource is available. Without the CT, the subtle lung shadow and lymphadenopathy cannot be detected.

[TimothyPark-yuht]

7:48 Physicians should ask for a thorough exposure history right off the Bat. No pun intended

[wowhimin]

IDK. Look at the CT scan. "Mediastinal and hilar lymphadenopathy" seems to be too simple to describe those mediastinal and hilar lesions, to my eyes. They are not that nodular, they are rather diffusely infiltrative. And those lesions are obliterating normal mediastinal fat planes. It could be just "lymphadenitis", but I would probably suspect more than just simple "lymphadenopathy" if I see this kind of lesions. For example, I would probably include fibrosing mediastinitis (possible complication of various causes including histiplasmosis, IgG4-related disease, and tuberculosis) as my DDx, although it is a less likely diagnosis considering its low incidence.

[jorgeescalante]

Viva a medicina ! Viva o conhecimento livre e gratuito !

[rosangeladilorenzobello]

Em português ou castelhano por gentileza...😊🙏🙏🙏🙏

[marcossouzadias]

It seems like this video might have been made with the help of ChatGPT or a similar AI tool