St. Paul's Morning Report

After a long hiatus from the St Paul's Morning Report team, Dr. Thomas Roston has returned to present a fascinating case involving genetics and dermatology. In this episode, we span many years and explore the importance of obtaining a detailed patient history and trusting our gut instincts.

Dr.  Anthony  Gador proves once and for all that we shouldn't have our own podcast. Spoiler alert! It's an infection! Or is it? It is. .....or is it?

Today we explore the case of a healthy man whose symptoms of headache and dyspnea at first glance seem to be obviously explained, until things don't go quite as expected. Stay tuned as we explore the causes for our patients presentation and how that changes as the clinical course progresses. 

The group was a bit concerned about the type of case Dr. Persia Pourshahnazari would be presenting but they dove in nonetheless and were not disappointed! How comfortable are you at challenging? Would you expose a patient to their potential allergen to test your diagnosis? Join in on the conversation as Persia delivers an awe inspiring, brain melting, google-it worthy case.

While BK is away, Danny and Steph take a crack at solving a case presented by Dr. Katie Wiskar. Her patient presents with episodic symptoms of fever, malaise and myalgia, weight loss, fatigue, a non productive cough, chest pain, a trip to Cuba and a trip to Mexico ... do you think you have a diagnosis? Join the conversation and test your knowledge.

Katrina is back! Dr. Dutkiewicz returns to present a recent case of a female presenting with a bilateral rash, progressive swelling and abdominal pain. Not all our cases require a Rheumatology fellowship ... but it certainly doesn't hurt! Listen along and diagnose with the group.

The team is back and this week Dr. Peter van Stolk is at the helm. Peter wastes no time throwing the group into the deep end - a 60 year old male presenting with lower extremity petechiae .. but obviously, that can't be all! 

In the midst of the COVID Pandemic, we have started recording episodes from home.  We will be inviting guest hosts to present their tricky cases to the team. Listen in as they bumble their way to a conclusion that may just blow your mind.   In this episode, Dr. Andrew Kochan walks us through a case that starts out with a classic Internal Medicine consult: confusion and lightheadedness. But the sto...

Well that escalated! Dr. Ennis presents a case to the group that very quickly changes from an every day issue to something that requires constant updating and collaboration. 

'Mrs. S' is back! Dr. Ennis sits down with the patient of our very first podcast 'A Challenging Case' We get to experience how she felt while going through the extended diagnosis process and what she views as the most important factors in health. 

Our investigations for a patient with acute neurological decline yields data suggesting competing diagnoses. The group weighs the infectious and autoimmune possibilities as well as treatment options, especially in the face of clinical deterioration. 

In this episode, we explore the extended case of a woman initially presenting with a hypertensive emergency that turned out to be... well, something else. We'll hear a few potential diagnoses from Dr. Ennis that I'm sure many of you (as I) have never heard of before. To find the final answer, however, it seems the devil is in the details. 

With the help of the patient themselves, Dr. Daniel Ennis revisits a difficult case where the patient's organs had begun to spontaneously 'explode' We check in on how he's doing now, what new symptoms he has and where he is currently with his condition. 

The group is back to discuss a case presented by Dr. Daniel Ennis. Nothing is ever straight forward with St. Paul's Morning Report and today's case is no exception! How strong are your rheumatology differentials? Develop your own personal diagnosis right along side the group. 

In this episode, Daniel and Stephane present a case they worked on together involving a genetic syndrome and a mysterious symptom complex. What is the next step when Internal Medicine, Rheumatology, Immunology, Infectious Diseases and Hematology cant find the cause of a fever? How could we have solved this one sooner?

When a patient presents with recurrent kidney stones, the reason seems clear - persistent hypercalcemia. But why, and why now? Dr Janet Simons leads the group through a fascinating case where knowledge truly is power.

An oldie, but a goodie. This episode was the beginning of the St. Paul's Morning Report; it was the very first ever recorded. Amid the noisy hospital setting, Dr. Roston walks us through a case demonstrating how diagnostic testing can potentially lead to harm in patients. 

In this episode, a patient presents with progressive bloody diarrhea and weight loss whose diagnosis is called into question over and over again when things just don't seem to be getting better.

Before our technology went 'professional', there was a group of physicians with a computer and the desire to share interesting cases far and wide. This episode comes from the Morning Report vault and it examines if there is such a thing as too much intervention. Is there a limit on the number of specialists that should be involved? Dr. Roston walks a through a case where there just may have been T...

In this episode, Daniel takes us through a seemingly straightforward case that ends up taking a few unexpected turns. The team discusses what to do with an unexpected and asymptomatic imaging finding. They also try to differentiate a rare manifestation of a common disease from a common presentation of a rare disease.  Publications from some of the local experts help them make sense of a tough case...

A woman with sudden onset pain is seen by multiple specialties and no one can agree on where her pain is located or what might be the cause. The panel discuss how to approach a case when the answer seems obvious but unsatisfactory.

Dr. Roston presents a case where the patients symptoms do not provide a clear indication of the diagnosis. He educates us on mitral valve prolapse and 'syndrome x' while raising the question on search satisfying biases. Once you feel a main diagnosis is made, should you stop investigating?

In this episode, Dr. Katrina takes us on a journey that leaves our jaws wide open. None of us would have expected this diagnosis and all of us have learned something. Listen in and join the conversation. 

What have we been up to? Listen in to hear an update from one of our hosts, Dr. Daniel Ennis. 

In this episode Dr. Daniel Ennis leads us through an old case with new symptoms. With the help of Dr. Barry Kassen, the group explores the approach to an individual whose organs seem to keep "exploding". How do you deal with diagnostic uncertainty? What is your threshold to treat? Is there anything IgG4 can't do? When in doubt, start from the beginning.