『Pathognomia』のカバーアート

Pathognomia

Pathognomia

著者: Dr. Darab MD Medicine
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"Decoding diseases through cases, signs, and clinical reasoning." Pathognomia is a podcast dedicated to the art and science of clinical medicine. Each episode explores real cases, unraveling diseases through structured reasoning, classical signs, and evidence-based updates. Designed for residents, students, and lifelong learners in internal medicine, Pathognomia bridges the bedside with modern guidelines - one case at a time. Disclaimer: Al-generated, educational only - not medical advice.Dr. Darab, MD Medicine 衛生・健康的な生活 身体的病い・疾患
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  • Metabolic Syndrome Demystified: The Silent Global Epidemic
    2025/09/27

    🎙️ Pathognomia Podcast:

    Metabolic Syndrome is not just a cluster of risk factors — it’s a silent global epidemic reshaping modern healthcare. In this in-depth episode of the Pathognomia Podcast, we unpack every critical dimension of this syndrome, guided by authoritative references from Harrison’s Principles of Internal Medicine (22nd Edition) and UpToDate.


    🔍 What we cover:


    Definition & Evolution – how the concept of metabolic syndrome has changed over decades.


    Epidemiology – global burden and special focus on prevalence in the Indian subcontinent.


    Pathophysiology – insulin resistance, adipokine imbalance, inflammation, endothelial dysfunction, and even the role of the microbiome.


    Diagnostic Criteria – ATP III, IDF, WHO, AHA/NHLBI — compared head-to-head with practical clinical implications.


    Clinical Spectrum & Comorbidities – cardiovascular disease, T2DM, NAFLD, CKD, sleep apnea.


    Investigations – essential clinical, biochemical, and imaging workup.


    Management – from lifestyle modification (diet, exercise, sleep, weight loss) to pharmacotherapy (statins, antihypertensives, metformin, GLP-1RA, SGLT2i), and advanced options like bariatric surgery.


    Recent Advances – genetics, precision medicine, microbiome research, emerging therapies.


    Controversies – limitations in diagnostic definitions and ongoing debates.


    Public Health & Prevention – challenges in screening, healthcare resource allocation, and the role of primary prevention in developing nations.


    Ethical Issues – patient communication, stigma, and balancing preventive vs. pharmacological approaches.


    Clinical Pearls – practical takeaways for OPD, ICU, and ward-based care.


    Delivered in an engaging AI based audio content, case-based conversational style, this episode bridges classical fundamentals with cutting-edge updates, designed especially for postgraduate residents, internists, and clinicians preparing for exams.


    ✨ By the end of this episode, you won’t just know metabolic syndrome — you’ll know how to recognize, investigate, manage, and contextualize it in everyday clinical practice.

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    1 時間 32 分
  • Sepsis Unpacked: Rapid Recognition & Evolving Treatment
    2025/09/20

    🎙️ Pathognomia Podcast – Sepsis & Septic Shock


    Sepsis is not just an ICU diagnosis — it’s one of the deadliest syndromes in medicine. In this episode, we take you to the emergency room: a patient with fever, hypotension, tachypnea, and altered mentation. From there, we journey into the science, signs, and management of sepsis, weaving together Harrison’s Principles of Internal Medicine, 22nd Edition with the latest Surviving Sepsis Campaign Guidelines (2021, reaffirmed 2024).


    What you’ll hear:


    The evolution from SIRS to Sepsis-3


    How dysregulated immunity, endothelial injury, and metabolic collapse drive shock


    Clinical features across organ systems — from encephalopathy to purpura fulminans


    Modern diagnosis with SOFA, qSOFA, NEWS2, lactate, and biomarkers


    Management pearls: Hour-1 bundle, fluids, vasopressors, antimicrobials, source control, adjunctive therapies


    Landmark trials that shaped today’s practice


    Future directions in sepsis care: phenotyping, immunotherapy, and AI



    This isn’t a quick summary. It’s a deep dive — vivid, clinical, and evidence-based — crafted for doctors, residents, and medical students who want to integrate science into bedside reasoning.


    Disclaimer:

    This podcast is AI-generated audio content, created from authentic, evidence-based medical sources including Harrison 22nd Edition and the Surviving Sepsis Campaign Guidelines. It is for educational purposes only and not a substitute for professional medical advice.

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    1 時間 32 分
  • GINA 2025 Deep Dive: Smarter Asthma Approach, No More SABA-Only
    2025/09/15

    Welcome to Pathognomia Podcast 🎙️ — where we decode complex guidelines into practical bedside wisdom.


    In this episode, we take a deep dive into the GINA 2025 Asthma Guidelines, exploring what every clinician, resident, and student must know. From the paradigm-shifting “no SABA-only” approach to practical stepwise therapy, this episode breaks down the science, evidence, and real-world implications of modern asthma management.


    We’ll cover:


    Why SABA monotherapy is no longer recommended 🚫


    The role of ICS-formoterol as both reliever and controller


    Updated stepwise management across mild to severe asthma


    Special situations: pediatrics, elderly, comorbidities, and pregnancy


    Key trial evidence (SYGMA, Novel START, PRACTICAL) shaping these changes.


    How to implement GINA 2025 in OPD, ER, and ICU practice


    Whether you’re preparing for exams, polishing your clinical acumen, or simply keeping up-to-date with global respiratory standards — this episode will give you clarity, confidence, and clinically actionable knowledge.


    Disclaimer:

    This podcast is Al-generated audio discussion, created from authentic, evidence-based medical sources. It is intended for healthcare professionals and medical students for educational purposes only. Always verify with official guidelines and clinical judgment. This is not a substitute for professional medical advice.

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    1 時間 19 分
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