Asymptomatic Hypertension: ED or No ED?
From February 2019, Into Thin HairWhen a patient comes into your practice with blood pressures of 180/100 but they feel totally fine, what should you do? How much evaluation should they undergo? Should they be treated in the office? Or should they be referred to the ED? In this segment, Dr. Joseph Martinez chats with our own Mizuho …
17min 25Joe Martinez, MD, Mizuho Morrison, DO, and Matthew DeLaney, MD, FACEP, FAAEM
Medicolegal Risks of Low Risk Chest Pain
From January 2019, Hello, New Year! Bye Bye, PPIs?Amal Mattu discusses two large branches of pitfalls in patients being evaluated for ACS: EKG pitfalls and HISTORY red flags. We discuss pitfalls and red flags relating to medical legal risks when dealing with chest pain. • Additional talking points: • ECG: 25-50 % misses, look closer …
22min 45Matthew DeLaney, MD, FACEP, FAAEM, Amal Mattu, MD, and Mizuho Morrison, DO
ACE vs ARB
From December 2018, Clots and OCP'sAndrew Buelt has often wondered why clinicians are so quick to prescribe ACE inhibitors over ARBs. In this segment, he looks at the literature to investigate whether or not this is actual best practice.
10min 8Andrew Buelt, DO
Hypertensive Disorders of Pregnancy
From December 2018, Clots and OCP'sThere are four main types of hypertensive disorders in pregnancy, and there are nuances to how each should be managed differently. In this segment, Drs. Megan Jones and Neda Frayha walk us through these four categories, how to tell them apart from one another and how to manage them, including when …
20min 55Megan Jones, MD and Neda Frayha, MD
Syncope Updates: Risk and Workup
From November 2018, Those Clots are So SuperficialThe latest guidelines on the workup and management of syncope are over 278 pages long. Good thing Hippo Education is here to distill all that down into a Primary Care RAP segment! Dr. Sam Ashoo joins our own Mizuho Spangler to give us all a little spoon-fed loveliness. In this segment, they talk …
9min 14Sam Ashoo, MD and Mizuho Morrison, DO
Syncope Updates: H&P and EKG
From November 2018, Those Clots are So SuperficialThe latest guidelines on the workup and management of syncope are over 278 pages long. Good thing Hippo Education is here to distill all that down into a Primary Care RAP segment! Dr. Sam Ashoo joins our own Mizuho Spangler to give us all a little spoon-fed loveliness. In this segment, they talk …
15min 46Sam Ashoo, MD and Mizuho Morrison, DO
Thoracic Aortic Aneurysms
From September 2018, Retrieve Those FiltersWhen a listener wrote us that he’s been noticing a lot of incidental thoracic aortic aneurysms on his patients’ calcium scoring CT scans, our Andrew Buelt couldn’t wait to dig into the literature on how best to monitor and manage these incidental TAAs. In this segment, he shares everything he …
9min 29Andrew Buelt, DO
IVC Filter Removal
From September 2018, Retrieve Those FiltersA listener wrote in wondering if and when she should refer her patients with IVC filters to have these filters removed. Andrew Buelt and Neda Frayha look to the literature for some answers.
14min 41Andrew Buelt, DO and Neda Frayha, MD
New Stroke Guidelines
From August 2018, Good SamaritansMononucleosis is a common viral illness that often presents with fatigue, lymphadenopathy and sore throat. While most patients with mono have a benign self-limited course, providers need to be vigilant for patients with splenomegaly who are at risk of possible rupture.
14min 26Andrew Buelt, DO
Post Syncope ECG Red Flags
From August 2018, Good SamaritansWhat are the main disease processes we should look for in every post-syncope ECG? What can’t we afford to miss? Which subtle signs can point to a sinister diagnosis? In this segment, Malcolm Thaler and Matt Delaney review the most common and dangerous cardiac causes of syncope and how they may show …
22min 49Malcolm Thaler, MD and Matthew DeLaney, MD, FACEP, FAAEM
Is Aspirin Dead in A-Fib?
From July 2018, All Risk, No RewardIn this PC RAP family reunion, Rob Orman and Neda Frayha discuss the latest evidence on the use of aspirin in low-risk a-fib (CHA2DS2-VASc score of 0 or 1).
12min 14Neda Frayha, MD and Rob Orman, MD