The Clinical Problem Solvers
CPSolvers x 100. Exclusive figures, videos, and case challenges uploaded regularly.
The goal of this website is to teach clinical reasoning with a focus on diagnosis.
Diagnosis is one of the most important clinical skills. You cannot treat a patient or provide a prognosis without the right diagnosis.
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Get access to the latest Schemas, Scripts and Videos
Reza and Rabih present each other unknown cases in these recordings. We encourage you to pause the recording after each aliquot, reflect on the aliquot, then unpause and compare your thinking to Reza and Rabih. We will upload at least 3 case challenges per month.
With Regular Content Updates!
Recent Case Challenges
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Disclaimer: The CPSolvers provides information for educational purposes only. It is not intended to be medical advice.
My favorite medical podcast for many reasons
Is there a tier where I can have you on speed dial? Seriously though, I have followed you through all of your platforms over the years and have learned so much from EVERY EPISODE in terms of problem representation, framework, clinical reasoning, not to mention kindness, respect and humility in medicine! You both embody the type of medical professional I hope to be. Thank you for all you are doing and please, please, please keep up these recordings forever
Cholesytalgia RLR in the wild
First, you guys are amazing. I found your podcast after listening to an episode where you guested on the curbsiders, and I’ve been hooked since! I’m working my way through all of the rlr episodes, and recently listened to the episode about a patient with chf and cholesystalgia. The very next week, I saw a patient in my small community ED with days of RUQ pain. Recent history of infective endocarditis, complicated by significant aortic regurgitation requiring valve replacement. Valve replacement surgery complicated by 3rd degree heart block post operatively requiring pacemaker placement. Vitals were stable in triage, physical exam showed well healing surgical incisions, no signs of infection, regular rate and rhythm, mechanical valve clearly auscultated. Patient was tender in RUQ, +Murphys. No rebound or guarding. laboratory workup was unremarkable with the exception of being slightly supratherapeutic on warfarin (INR 3.3 with a target of 2-3) , ruq US showed some gallbladder wall edema, but no stones or pericholecystic fluid. per radiology report, “in the right clinical setting, this could be consistent with acute cholecystitis”.
Something did not quite feel like an acute chole, so I did a quick POCUS and on subxiphoid view I noted a HUGE effusion.
He ended up being transferred to tertiary center for pericardial window placement. I reviewed his op report, he had a 900 cc hemopericardium! Slow bleed after surgery that didn’t resolve due to anticoagulation.
*learns something new on podcast*
*opportunity to cement learning walks into ED*
Thank you guys for everything you do! Your work helps create better clinicians!!
A Medical Student Must Have!
Rabih and Reza are all-star clinicians that teach with such authenticity and humbleness the art of clinical reasoning. Learning their diagnostic schemas through videos and diagrams and reinforcing the knowledge in the context of case discussions will give you unparalleled confidence in being complete with your differential diagnosis in such a straight forward and conceptual manner. I have found so much joy in medicine through their resources and discussions!
So amazing and informative!
Fascinating cases and comprehensive discussion! The teaching videos and the reasoning process are amazing! Highly recommend!
Incredible content, even better people!
I have been listening to the clinical problem solvers, specifically Rabih and Reza for the last 3.5 years. I will forever be climbing Mt Dx for the rest of my career, however I have noticed improvement in myself when it comes to clinical reasoning and creating schemas. This is by far because I have been dedicated to listening to both Rabih and Reza discussing cases, sharing their illness scripts and schemas. They are incredible teachers and physicians but, they are also incredible individuals which makes learning that much more fun!! This is a resource that is a must have for any individual who is taking care of patients!