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Pomegranate Health
Pomegranate Health is a podcast about the culture of medicine. You'll hear insights from clinicians, researchers, and advocates as they tackle important questions — like how to make difficult clinical and ethical decisions without being influenced by bias, how to communicate better with patients and colleagues, and how to provide healthcare that’s both efficient and fair.
If you're a Fellow of the RACP, time spent listening can be counted toward your CPD hours. And if you're a Basic Physician Trainee, the [Case Report] series can help you prepare for your long case clinical exams.
This is also the home of [IMJ On-Air], featuring authors from the Internal Medicine Journal sharing their latest research. The [Journal Club] episodes give RACP researchers a space to talk through their work published in other academic journals. And for Basic Trainees, the [Case Report] series can help you prepare for your long case clinical exams.
Find out more at the website www.racp.edu.au/podcast and get in touch via the address podcast@racp.edu.au
Pomegranate Health
[Case Report] 46yo with psychosis and cold intolerance
A 46-year old man is admitted to hospital following a first time presentation of psychosis that involved barricading himself inside a neighbour’s home. At admission he appears disorganised with slow movements and speech. His rambling reveals bizarre delusional beliefs of a paranoid and persecutory nature. At moments he shows aggression towards staff but when examines reports occasional dizziness and an intolerance of cold. Physical examination reveals cool peripheries, sparse axillary and pubic hair, and soft adult-sized testicles. The investigating team suspect hypothyroidism and a complex series of investigations and therapies follows.
Guests
Dr Peak Man Mah FRACP (Lyell McEwin Hospital, University of Adelaide)
Dr Malcolm Borg (Royal Adelaide Hospital)
Hosts
Associate Professor Stephen Bacchi FRACP (Lyell McEwin Hospital; University of Adelaide)
Mic Cavazzini DPhil
Production
Produced by Stephen Bacchi and Mic Cavazzini. Music licenced from Epidemic Sound includes ‘Rockin’ for Decades’ by Blue Texas and ‘Brighton Breakdown’ by BDBs. Image created and copyrighted by RACP.
Editorial feedback kindly provided by RACP physician Simeon Wong and medical student Cindy Shi.
Key Reference (Spoiler Alert)
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Panhypopituitarism and psychosis in a male patient [Aust N Z J Psychiatry. 2010]
Please visit the Pomegranate Health web page for a transcript and supporting references. Login to MyCPD to record listening and reading as a prefilled learning activity. Subscribe to new episode email alerts or search for ‘Pomegranate Health’ in Apple Podcasts, Spotify, Castbox or any podcasting app.