Around the Rheum

Around the Rheum

Episode 34: Clinical Pearls and Medical Mysteries #3 with Dr. Justin Smith

September 26, 2023

"The patient was a 36 year-old male [...] He presented to the emergency department with a witnessed first-time, generalized tonic-clonic seizure. From the chart, he had a two-week history of poor sleep, worsening headache, and an inability to read."

And with that, we're off on our third edition of Medical Mysteries! The CRA's Holmes and Watson team, Drs. Janet Pope and Daniel Ennis take in the history of this challenging case from the University of Alberta's rheumatology trainee physician Dr. Justin Smith. Will they solve it before Dr. Smith reveals the diagnosis? As well as presenting a fascinating case, this episode is full of great clinical pearls from our resident experts and guest.

Justin Smith is a PGY-5 resident completing his Rheumatology training at the University of Alberta in Edmonton. He is originally from Calgary, and has an interest in connective tissue diseases, particularly SLE, and pediatric-to-adult transition.

Around the Rheum is produced by the Canadian Rheumatology Association's Communications Committee. 

A special thank you to the podcast team, Dr. Dax G. Rumsey (CRA Communications Committee Chair), Dr. Daniel Ennis (Host), David McGuffin (Producer, Explore Podcast Productions), and Erin Stewart (Marketing and Communications Director, CRA) for leading production. 

Our theme music was composed by Aaron Fontwell. 

For more on the work of the Canadian Rheumatology Association, visit or check out our X (Twitter) account - @CRASCRRheum