Alert and Oriented

Alert and Oriented

Education EN ↓ 60 episodes

We are a medical student-led podcast aiming to promote the development of clinical reasoning skills in early learners by providing a field to practice swinging for the fences. Although we all strike out here or there along the way, it is our true hope to improve diagnosis in medicine through repetition.

Author

Alert and Oriented

Category

Education

Latest episode

Feb 26, 2026

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Episodes

#34 - CAP or No CAP 18.08.2023

We welcome our new hosts for season 3, Nathan Kudlapur and Koushik Kondapi! Northwestern M4s Lena Volpe & Devyn Coskey team up to discuss a case of a young refugee woman presenting with a fever. Host: Nathan Kudlapur & Koushik Kondapi Discussants: Lena Volpe & Devyn Coskey A&O Team Member: Kevin Grudzinski Produced by: Kevin Grudzinski, Nathan Kudlapur & Koushik Kondapi Alert &...

#33 - Gram Positive Attitude with Dr. Hammoud 10.04.2023

Kevin Grudzinski presents a case to his good friend and co-resident, Ali Hammoud , a PGY-2 at Northwestern and aspiring pulmonary & critical care doc. Without headache, Ali reasons through a case of a patient having recurrent seizures. Listen for Dr. Hammoud's favorite antibiotic! Host: Kevin GrudzinskiDiscussants: Ali Hammoud Produced by: Kevin Grudzinski Alert & Oriented is a medical stu...

#32 - ExSPLEEN It To Me Like I'm Five 04.04.2023

Good pals and rising M4s at Northwestern, Nathan Kudlapur and Alek Gorzewski , take the hot seat to discuss a case of upper GI bleed! We are joined by a returning special guest, Dr. Aashish Didwania . Host: Daniel Matthew Discussants: Nathan Kudlapur, Alek Gorzewski Guest: Dr. Aashish Didwania A&O Team Member: Kevin Grudzinski & Lauren Smith Produced by: Kevin Grudzinski, Daniel Matthew &a...

#31 - Pain in the Neck 10.02.2023

The team presents a case to Rush M3's Sarah Basharkhah & Samantha Steinhall. Listen as they discuss a case of a young adult presenting with fever & neck pain. Host: Nick Rigler Discussants: Sarah Basharkhah & Samantha Steinhall A&O Team Member: Kevin Grudzinski & Rich Abrams Produced by: Kevin Grudzinski, Nick Rigler & Rich Abrams Alert & Oriented is a medical student-r...

#30 - Down in the Dumps 03.02.2023

We are back for our first episode in 2023! Koushik Kondapi and Tony Kang discuss a case of a patient who presented and was diagnosed after their workup in clinic. Hosts: Lauren Smith & Daniel Mathew Discussants: Koushik Kondapi & Tony Kang A&O Team Member: Kevin Grudzinski Produced by: Kevin Grudzinski, Lauren Smith & Daniel Mathew Alert & Oriented is a medical student-run clin...

#29 - Crossover: Northwestern visits Rush 15.11.2022

For the first time, we recorded an episode as a full team! The A&O Team at Rush hosted our Northwestern team in a fun crossover episode. Megan and Nick present a recent case from when Dr. Abrams was on service. Lauren and Daniel team up in the hot seat for the first time as discussants. Listen along as they smoothly navigate this challenging case. Stay tuned for part two - where the roles will...

#28 - It's All In The Schmear 04.11.2022

Lauren & Dan lead Northwestern M4's, Joy & Zalman , through a case of a young woman presenting with abdominal pain after returning from a trip to Mexico. Test your clinical reasoning as you listen along! Hosts: Lauren Smith & Daniel Mathew Discussants: Joy Huang & Zalman Faltushanskiy A&O Team Member: Kevin Grudzinski Produced by: Lauren Smith, Daniel Mathew & Kevin Grudzin...

#27 - Clerkship Review Series - Dialysis: Urine Good Hands 10.10.2022

Megan hosts Dr. Casey Gashti for a high-yield episode covering everything you wish you knew about the different types of dialysis, how they work, and the different means of access. Dr. Gashti is a nephrologist at Rush and renowned medical educator, loved by all medical students, residents and fellows that work with him; after listening to this episode, you'll understand why. Host: Megan Kotzin Gue...

#25 - Mind the Gap 26.09.2022

Our Rush team, led by Megan Kotzin , Nick Rigler and Dr. Abrams , present a not so basic case to Rush M4's, Hannah Silverman and Kat Tehaney . We have had several episodes with unremarkable labs; however, you may start sweating once the first set of labs for this case come back. Test your clinical reasoning as you listen along! Host: Nick Rigler & Megan Kotzin Discussants: Hannah Silverman &am...

#24 - On the Right Tract 17.09.2022

Our newest team member, Northwestern M4 Daniel Mathew , leads his classmates, Ryan Tang and Osama Siddiqui , a clinical reasoning duo-extraordinaire, through a case of dysuria that is accompanied by a complaint I bet you do not hear very often. Not only is their discussion fantastic, but were so lucky to be joined by friend of the pod & Northwestern IM residency program director, Dr. Aashish D...

#23 - RedEye, set, go! 09.09.2022

Lauren Smith presents a case of a red eye to Northwestern M4s Phoebe Newell & Chen Chen . The team covers their approach to a patient with HIV and multiple other problems. Test your reasoning as you listen along. Do you know the four key features that our ophthalmology colleagues love for you to cover when calling a consult? Listen along to find out! Follow us on Twitter: A&O Rich Abrams L...

#22 - Alert & Disoriented - Summer 2022 19.08.2022

Very alert , a little disoriented - The team got together after hours to have cocktails and talk medicine. It was a dynamic discussion, filled with digressions and reflections, that covered 1) hypertensive intervention in the inpatient setting, 2) procalcitonin, 3) new acute leukemia presentation - what to watch out for. We hope you enjoy. Listening is best paired with your favorite cocktail, chee...

#26 - Clerkship Review Series - Hypercalcemia 15.08.2022

Megan Kotzin has been hard at work creating a high-yield topic-based clerkship review series. This episode provides an approach to hypercalcemia including important things to include on your differential as well as possible management strategies. (02:30) - Corrected Calcium (05:30) - Pseudohypercalcemia (06:50) - PTH (11:30) - Severity (14:30) - Lab Data (16:45) - Acute Treatment (21:00) - Long Te...

#21 - A Pain In The Butt 08.08.2022

A&O is excited to kick things off with the team we have been putting together at Northwestern. We are thrilled to introduce two new team members. Lauren Smith , who is a M4 student applying into IM, joins Kevin Grudzinski for this episode. You will soon also get to meet Dr. Bruce Henschen when he joins us during an upcoming episode. Lauren presents a case that she saw on a consult service to N...

#20 - The King's Evil 18.07.2022

The A&O team at Rush , led by Megan Kotzin & Nick Rigler , present a case of a patient initially seen in clinic to M4s Sameera Khan & Erin Keizur . The team has a wide-ranging discussion centered around the chief complaint of a new neck lump. Check out our post on Twitter that includes a clinical picture . Follow us on Twitter: A&O Rich Abrams A fantastic resource, by learners, for...

#19 - Let's Flip the Script 16.06.2022

Nick Rigler & Megan Kotzin flip the script and present a recent case to Dr. Abrams and Dr. Kevin Grudzinski . They reason through multi-system findings and look for a unifying connection. Although they do get close, Megan and Nick ultimately stumped Kevin and Dr. Abrams. This one definitely requires a deep dive into your knowledge bank. After listening, please get in contact with us if you wer...

#18 - Jelly Belly 25.05.2022

Nick Rigler & Megan Kotzin host (fresh) M4's Luke Detloff & Eric Azua . They, along with Dr. Abrams and (Dr.) Kevin Grudzinski , discuss an exciting case that Dr. Abrams recently had while on service. Bayesian reasoning, plausibility vs. probability, and schematic branch points help guide these two to the most likely diagnosis. We encourage you to briefly pause after each aliquot and test...

#17 - The Johns deLIVER 25.04.2022

Excited to welcome back John Levinson and John Stathopoulos to discuss an exciting case with a unique presentation and rather unexpected findings in a young adult. It was fun to sit back and listen to the Johns' navigate this case, impressively reasoning through each aliquot, showing off how much their clinical reasoning skills have grown since their last appearance on A&O. We encourage you to...

#16 - thromBROcytopenia 30.03.2022

We are back after taking a short break for match festivities! Nick Rigler & Megan Kotzin present a case of acute intermittent epistaxis. Future orthoBROs Sam Rudisill & Al Hornung reason through thrombocytopenia, proving they know more than just bone stuff! Follow us on Twitter: A&O Rich Abrams Al Hornung A fantastic resource, by learners, for learners in Internal Medicine, Family Medi...

#15 - The Sodium Queens 24.02.2022

Nick Rigler and Megan Kotzin team up to discuss a case of everyone's favorite, hyponatremia! M3 roommates, Emma St. John and Veena Ganesan, earn the title of Sodium Queens after navigating serum & urine osmolality and urine sodium like electrolyte masters. You will be equally impressed with how they are able to frame their problem representation and give appropriate consideration to some confl...

#14 - When it Rains it Pours 24.01.2022

Our newest team member, Nick Rigler , put together an amazing case and leads a discussion that starts off with a complaint of back pain. M3 duo, Aaron Park and Jesus 'Berto' Varela , walk us through their reasoning in real-time and naturally turn to Bayes Theorem as things get challenging. We highlight back pain red flags, cardiac physiology, synovial fluid analysis, and plenty more along the way....

#13 - Tight when Upright 27.12.2021

Ending 2021, and our first year, with brilliant discussion from Daniel ' Doctor ' Boctor and Cate Chu . Follow along as they masterfully navigate a challenging case of a young woman who presents with shortness of breath and palpitations. An accompanying infographic reviewing a topic pertinent to this case is available on our website and Twitter Follow us on Twitter: A&O Rich Abrams A fantastic...

#12 - Kicking the Bucket 13.12.2021

A woman with poorly controlled HIV presents with throat and facial swelling. Megan Kotzin leads first-time discussants Shai Farhi and Adam Takatsuka through a case that requires reconsidering how many chips they put into their diagnostic buckets. An accompanying infographic reviewing a topic pertinent to this case is available on our website and Twitter . Follow us on Twitter: A&O Rich Abrams...

#11 - Graveheart 16.11.2021

Our newest team member, Megan Kotzsin, leads our first M3 duo (Class of 2023), Nick Rigler and Anna Petersen , on a clinical reasoning journey centered on new heart failure in a previously healthy young woman. An accompanying infographic highlighting the teaching points is available on our website and Instagram. Follow us on Twitter: A&O Rich Abrams A fantastic resource, by learners, for learn...

#10 - A Floppy Baby 03.11.2021

Our first pediatrics case! Dr. Brinda Ryali presents a case of flobby baby syndrome to roommate trio Gaya Archer , Cate Chu , and Jordyn Irwin . Check out our Twitter for an accompanying infographic covering Floppy Baby Syndrome, including a brief review of four possible etiologies. Follow us on Twitter: A&O Rich Abrams Brinda Ryali Cate Chu Jordyn Irwin Internal Medicine Podcasts: https://blo...

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