Ep 165: A 63-Year-Old with an Elevated Hemoglobin

Ep 165: A 63-Year-Old with an Elevated Hemoglobin

Author: AccessMedicine September 25, 2025 Duration: 7:55

This episode reviews the workup and differential diagnosis of a patient with an elevated hemoglobin (polycythemia), discovered on routine labs during an evaluation for fever and diarrhea.

Read more on this topic in Harrison's chapters:

Anemia and Polycythemia

Polycythemia Vera and Other Myeloproliferative Neoplasms


Harrison's Principles of Internal Medicine, 22nd Edition


Dive deep into the complex world of clinical practice with Harrison's PodClass: Internal Medicine Cases and Board Prep. This isn't just another medical review; it's a dynamic conversation that brings textbook principles to life. Guided by the expert perspectives of Drs. Cathy Handy Marshall and Charlie Wiener from The Johns Hopkins School of Medicine, each episode unpacks real-world diagnostic puzzles and management strategies. The discussions are built directly from the authoritative material found in Harrison's Review Questions and the seminal Harrison's Principles of Internal Medicine, making this podcast an invaluable companion for serious study. Whether you're a resident navigating your clinical years, a physician preparing for board certification, or a student seeking to solidify foundational knowledge, these conversations translate dense material into relatable, engaging clinical narratives. You'll hear thoughtful analysis of board-style vignettes, where the hosts break down the reasoning behind each diagnosis and therapeutic decision, moving beyond memorization to true comprehension. Produced by McGraw Hill's AccessMedicine, this series connects the dots between theory and practice, offering a portable, audio-based layer to your medical education. Tune in to refine your clinical thinking, stay current on key topics, and find a more nuanced understanding of internal medicine through the detailed, case-driven dialogue that defines this resource.
Author: Language: English Episodes: 189

Harrison's PodClass: Internal Medicine Cases and Board Prep
Podcast Episodes
Ep 148: A 55-Year-Old Man with Obesity [not-audio_url] [/not-audio_url]

Duration: 9:04
This episode discusses the diagnosis of obesity, associated conditions, and treatment considerations.Read more on AccessMedicine.Harrison's Principles of Internal Medicine, 22nd Edition
Ep 147: A 55-Year-Old with Hypertension [not-audio_url] [/not-audio_url]

Duration: 7:42
In this episode, we explore non-pharmacologic strategies for controlling blood pressure.Read more on this topic on AccessMedicine.Harrison's Principles of Internal Medicine, 22nd Edition
Ep 146: A 73-Year-Old Female with Lower Extremity Swelling [not-audio_url] [/not-audio_url]

Duration: 10:11
This episode covers a woman experiencing subacute edema and anasarca due to renal disease, and reviews the possible underlying causes.Read more on this topic on AccessMedicine.Harrison's Principles of Internal Medicine,…
Ep 145: A 45-Year-Old Snorer [not-audio_url] [/not-audio_url]

Duration: 11:49
Today’s case is about a 45-year-old with suspected sleep apnea. We walk through the diagnostic workup and potential treatment options.Read more on AccessMedicine.Harrison's Principles of Internal Medicine, 22nd Edition
Ep 144: A 35-Year-Old with Burning Abdominal Pain [not-audio_url] [/not-audio_url]

Duration: 7:43
We discuss a 35-year-old patient with burning abdominal pain due to H. pylori, covering the infection’s history, treatment, and follow-up care.Read more on AccessMedicine.Harrison's Principles of Internal Medicine, 22nd…
Ep 143: 5 Cases for Antibiotic Prophylaxis [not-audio_url] [/not-audio_url]

Duration: 6:29
We discuss 5 cases for antibacterial prophylaxis, highlighting when it’s appropriate and the risks of overuse in different scenarios.Read more on AccessMedicine.Harrison's Principles of Internal Medicine, 22nd Edition
Ep 141: A 51-Year-Old with Stage 3 Breast Cancer [not-audio_url] [/not-audio_url]

Duration: 9:29
A woman with a history of breast cancer presents with new back pain. This episode explores the differential diagnosis and diagnostic procedures.See more on this topic on AccessMedicine.Harrison's Principles of Internal M…
Ep 140: A 45-Year-Old Man with Confusion After Running [not-audio_url] [/not-audio_url]

Duration: 9:24
This episode discusses a patient with an elevated body temperature and explores heat-related illnesses.See more on this topic on AccessMedicineHarrison's Principles of Internal Medicine, 22nd Edition