Tokyo Bay Medical Center / JrSr-Hawaii Medical Education Program
Clinical Reasoning PBL Workshop
Gerald Stein, MD, FACP
  October 27, 2023





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Dr. Stein’s archives 2021/02/21, 2021/06/14, 2022/02/04, 2022/06/17 & 2023/4/28
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JrSrHM EP Tokyo Bay Medical Center 2023/10/27

1drmachiimtroducesdrusami 2drusamipatientshistory 3drusamipatientpasthistory 4patientsleftforearmrig_3ed 5drsteingroupingimporta_3f2
1DrMachiImtroducesDrUsami.png
Drs Machi & Saegusa-Beecroft introduce presenting resident Dr Usami and Dr Stein
2DrUsamiPatientsHistory.png
Dr Usami presents her chronic hemodialysis patient's medical history of acute bilateral upper extermities pains
3DrUsamiPatientPastHistory.png
Dr Usami presents her chronic hemodialysis patient's past medical history of nephritis, cirrhosis & COPD
4PatientsleftForearmRightHand.png
Dr Usami presents her chronic hemodialysis patient's examination of bilateral upper extremities
5DrSteinGroupingImportantData.png
Dr Stein shows worksheet grouping of important data to make early differential diagnosis of SIRS and bilateral DVT
6patientsleftarmrughthandct 7drusamidisgnoaistreatment 8drsteingroupinglabdiag_3f3 9drsteinfinaldiagnoseplans 10finalimage
6PatientsLeftArmRughtHandCT.png
Dr Usami shows CT of bilateral upper excremities with bilateral DVT
7DrUsamiDisgnoaisTreatment.png
Dr Usami's diagnosis of thrombophlebitis with MSSA sepsis & DVT & her treatment plans with antibiotic & heparin
8DrSteinGroupingLabDiagnosis.png
Dr Stein's worksheet with lab data added to grouping of important data to make early differential diagnosis
9DrSteinFinalDiagnosePlans.png
Dr Stein's worksheet of final diagnoses with add phlagmasia cerulia dolens and consider evaluation of lung mass for CA
10FinalImage.png
Dr Machi thanks Dr Usami for her presentation and Dr Stein for his helpful teaching comments