Description 🎙️
Dr. Alec Rezigh joins the show for our first-ever guest episode ("Guestpisode") to present a case of subacute cough. The differential is blown wide open by some abnormal imaging. Are you ready to correlate clinically?
Guest Presenter ✨
Alec Rezigh is a clinician-educator & hospitalist at Baylor College of Medicine in Houston. He loves clinical reasoning, a good diagnostic mystery, & teaching learners. Outside of medicine he loves basketball, checking out new restaurants, & spending time with his wife and kids.
Case Images 🩻
Initial Presentation
Post-treatment, Acute Hypoxemia
Teaching ✍️
- Reflection by listener Ethan Chiu (@e_chiu17): “With the tumor being in the lower part of the anterior mediastinum, it really makes a thyroid tumor & thymoma unlikely, leaving lymphoma & germ cell tumors. Lymphoma & most germ cell tumors spread through the lymphatics, which does not fit the patient’s pattern of rapid hematogenous spread, leaving the notorious choriocarcinoma, which rapidly spreads hematogenously.”
- Reflection by listener Youssef Saklawi (@SaklawiMD): "LDH, AFP, B-HCG, & TSH should be ordered early when encountering anterior mediastinal masses.”
References 📚
