エピソード

  • The Patient Whose Weakness Kept Spreading

    The Patient Whose Weakness Kept Spreading
    2026/10/18
    A 34-year-old woman arrives at the emergency department complaining of weakness that began in her feet and gradually spread upward through her legs. Within two days, she struggles to climb stairs, and now she notices weakness in her hands. Her initial laboratory results are largely normal, but her neurological examination reveals an important clue. In this episode of Medical & Psychiatric Case Studies, listeners must determine whether the cause is neurological, metabolic, infectious, or autoimmune before a potentially life-threatening complication develops.
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    4 分
  • The Man Who Couldn’t Stop Falling Apart

    The Man Who Couldn’t Stop Falling Apart
    2026/10/13
    A 19-year-old college student begins losing control of his emotions, his movements, and eventually his ability to think clearly. His professors suspect drugs. His parents fear a psychiatric illness. But one overlooked physical finding may explain everything.
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    4 分
  • The Infection That Wouldn’t Heal: A Surgical Mystery Hidden in Plain Sight

    The Infection That Wouldn’t Heal: A Surgical Mystery Hidden in Plain Sight
    2026/10/11
    Weeks after routine surgical procedures, several patients develop painful, persistent wound infections that refuse to respond to conventional antibiotics. Routine bacterial cultures reveal little, and investigators begin questioning whether the problem involves the patients, the operating room, or something nobody thought to examine. Follow the clinical clues, consider the differential diagnosis, and uncover the unusual microorganism and infection-control failure behind this medical mystery.
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    4 分
  • The Fertility Doctor Who Secretly Used His Own Sperm

    The Fertility Doctor Who Secretly Used His Own Sperm
    2026/10/08
    Dr. Cecil Jacobson was a respected fertility specialist whose patients trusted him with one of the most intimate medical decisions imaginable. Investigators eventually uncovered allegations that went far beyond ordinary medical misconduct, including evidence that Jacobson had used his own sperm to inseminate patients without their knowledge. His case became a disturbing example of what can happen when medical authority, patient vulnerability, and deception collide.
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    4 分
  • The College Student Who Suddenly Became Psychotic: When Psychiatry Isn’t the Diagnosis

    The College Student Who Suddenly Became Psychotic: When Psychiatry Isn’t the Diagnosis
    2026/10/07
    previously healthy college student develops insomnia, paranoia, bizarre behavior, and hallucinations before her condition rapidly deteriorates. At first, the presentation looks like a first episode of psychosis. But subtle neurological changes point clinicians toward a very different possibility: anti-NMDA receptor encephalitis. This case demonstrates why psychiatric symptoms sometimes require investigators to look beyond psychiatry.
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    3 分
  • He Was Confused, Sweating, and Shaking—Then His Temperature Began Rising

    He Was Confused, Sweating, and Shaking—Then His Temperature Began Rising
    2026/09/29
    A 42-year-old man arrives confused, agitated, sweating heavily, and running a rapidly rising fever. His laboratory results reveal muscle injury and metabolic stress, but they still don’t provide a diagnosis by themselves. The answer emerges only when his medications, physical examination, and one particularly revealing neurological finding are put together.
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    3 分
  • Everybody Lies, Especially the Tapeworm

    Everybody Lies, Especially the Tapeworm
    2026/09/13
    When a young, healthy kindergarten teacher collapses mid-sentence with sudden dysphasia and seizures, the differential diagnosis points toward a death sentence. Instead of a malignant brain tumor or an autoimmune meltdown, the true culprit is a microscopic squatter that hitched a ride into her central nervous system. Unraveling the case reveals why textbook neurological decline isn't always what it looks like—and why public health misconceptions about undercooked pork miss the mark entirely.
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    3 分
  • The Shattered Morning: Thunder in the Occiput

    The Shattered Morning: Thunder in the Occiput
    2026/09/10
    A healthy 44-year-old marathon runner collapses mid-stride with what she describes as an explosive, instantaneous headache unlike anything she has ever experienced. As her neck stiffens and her level of consciousness flickers in the emergency bay, the clinical team faces a frantic, protocol-driven race against the clock where an initial diagnostic test may carry a treacherous false-negative risk. This high-yield case dissects the critical anatomy of circle of Willis aneurysms, the exact sequence of neuroimaging versus lumbar puncture, and the lethal complications tested on every medical licensing exam.
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    7 分