Tokyo Kita Medical Center / JrSr - Hawaii Medical Education Program
Clinical Reasoning PBL Workshop
Gerald Stein, MD, FACP
January 26, 2024





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JrSr HMEP Tokyo Kita Medical Center 2024/01/26

1start 2chatgpt 3chaptgpt 4hpiinoue
1Start.png
Drs Machi, Saegusa-Beecroft, Stein inrroduce Tokyo Klita Medical Center Dr Hanako Inoue, this moring's presenter
2ChatGPT.png
Dr Stein shows ChatGPT's analysis of Dr. Inoue's patient case in English & Japanese; must start with important data
3ChaptGPT.png
Dr Stein shows ChatGPT's analysis of Dr. Inoue's patient case in English & Japanese; must start with important data
4HPIInoue.png
Dr Inoue introduces her patient's past medical history, chilef complaint, and complicated present illness
5funnamemistake 5lab 6labdryokoejapanredcross 7chestxp
5FunNameMistake.png
Dr Stein's mistaken Dr. Ihara, resident, for Dr. Ehara, Chief od Mediiclne. Residents' suggest ACS, PE as diagnosis of dyspnea
5Lab.png
Dr. Inoue shows shows patient's lab. Dr Stein discusses high CPK as cardiac marker for myocardial injury/ischemia
6LabDrYokoeJapanRedCross.png
Dr. Inoue shows shows patient's lab. Dr Ihara discusses acute kidney injury on chronic kidney disease & diabetes
7Chestxp.png
Dr. Inoue shows shows patient's chest xp. Dr Stein discusses heart failure features of increased CTR & Kerkey B lines
8ecga 9abdominalctliverabscess 10hospitalcourse 11worksheet
8ECGa.png
Dr Stein discusses left anterior fascucular block & V1-3 q waves & ST elevation as marker:?evolving or old myocardial iinfarct
9AbdominalCTLiverAbscess.png
Dr. Inoue shows shows patient's abdominal CT with liver abscess. Dr Ihara & Matsushita discuss differential diagnosis
10HospitalCourse.png
Dr. Inoue shows shows patient's hospital course with improved markers of patient's Klebsiella liver abscess
11Worksheet.png
Dr Stein exlains the many diagnoses, plan of studies with results, and treatment plans of Dr. Inoue's case using worksheet
12final
12Final.png
Final image of Jerrinar featuring Dr. Inoue's case presentation. Drs. Usami, Ihara, Matsushita added good discussions