TIDBSI: Herpetic GingivostomatitisFrom May 2018, The Buzz That Won't Quit
In this month’s Things I Do, But Should I? segment, Vanessa and Adrien take us on a journey through herpetic gingivostomatitis in young children. While this condition is usually self-limiting, in cases of severe symptoms such as fever, inability to take PO, and dehydration, could there be a role …11min 48Vanessa Cardy, MD and Adrien Selim, MD
Paper Chase #2 | When in Doubt, Go Narrow (Spectrum)From April 2018, Will You Be My Facebook Friend?
Broad spectrum antibiotics were not associated with better clinical or patient centered outcomes, but they were associated with higher rates of adverse events. When treating acute sinusitis, otitis media, or strep, aim for narrow spectrum (penicillin, amoxicillin) whenever possible.4min 22Andrew Buelt, DO and Joe Weatherly, DO
Are You Sure It’s Cellulitis?From April 2018, Will You Be My Facebook Friend?
Many times patients who present with an inflamed lower extremity are diagnosed with cellulitis. However before we jump to this diagnosis, it’s important to stop and consider other diagnosis. Greg Moran, EM/IM and infectious disease expert shares his insights and reviews recent treatment …21min 57Greg Moran, MD, Matthew DeLaney, MD, FACEP, FAAEM, and Mizuho Morrison, DO
Paper Chase #4 | Are All influenza Tests Created Equal?From January 2018, A Feverish Frenzy!
Rapid influenza tests are far less sensitive than the gold standard PCR based tests. This limitation should be considered when ordering the test in the clinical setting.5min 33Andrew Buelt, DO and Joe Weatherly, DO
Fever of Unknown Origin (FUO)From January 2018, A Feverish Frenzy!
In this intro, Neda and Heidi review a case of Fever of Unknown Origin, with attention to differential diagnosis generation and appropriate work up. A female patient in her late 20s presents with recurrent fevers and weight loss. After working through a differential which includes malignancy …12min 55Neda Frayha, MD and Heidi James, MD
HIV Pre-Exposure ProphylaxisFrom December 2017, Jingle, Jingle
When taken daily, pre-exposure prophylaxis for HIV can prevent up to 99% of HIV infections in high risk individuals. Truvada, which consists of emtricitabine and tenofovir, is generally well tolerated, with rare incidence of GI side effects and renal impairment. Remember to screen for other STIs in …22min 10Amy Stulman, AGNP-BC, Jess Pinder, AGNP-BP, and Spencer Blackman, MD
Paper Chase #4 - Effect of Vitamin D Supplementation on URTIs in KidsFrom November 2017, Lytes and Bites
Among healthy children aged 1 to 5 years, daily administration of 2000 IU compared with 400 IU of vitamin D supplementation did not reduce overall wintertime upper respiratory tract infections.4min 44Andrew Buelt, DO and Joe Weatherly, DO
Paper Chase #5 - Plasma EBV as Screening Tool for Head & Neck CancerFrom November 2017, Lytes and Bites
Screening for EBV DNA is plasma allows for earlier detection of nasopharyngeal cancers, often detecting them before they would have been clinically apparent. Catching these cancers earlier will optimistically lead to higher survival and decreased morbidity rates. •5min 19Andrew Buelt, DO and Joe Weatherly, DO
*SCREEEECH!!* PEP for HIVFrom October 2017, It's Bloody Halloween!
HIV PEP is highly effective and far less cumbersome than it once was. Current regimes used Truvada and an anti-retroviral such as raltegravir. PEP should be initiated within 72 hours of exposure and is typically continued for 1 month. •12min 46Brandon Grove, MD, Mizuho Morrison, DO, and Sanjay Arora, MD
Things I Do, But Should I? - ConjunctivitisFrom September 2017, You Can Do It!!
It can be tricky to distinguish bacterial from viral conjunctivitis. In this segment, Adrien and Vanessa review diagnostic tips and the evidence behind different treatments for conjunctivitis. Antibiotic treatment of bacterail conjunctivitis may speed up return to work, though does not …11min 5Adrien Selim, MD and Vanessa Cardy, MD
Latent Tuberculosis InfectionFrom September 2017, You Can Do It!!
Latent TB is common in many parts of the world and amongst certain populations in North America. Diagnosis is made by tuberculin skin test or by interferon gamma release assay testing. Treatment gold-standard is nine month of isoniazid (INH). •20min 38Devang Patel, MD and Neda Frayha, MD
Sexually Transmitted Infections Update, Part 1From August 2017, Diabetes and Whispered Pectorilo….what???
Miz and Matt discuss approach to patients for STD evaluation. They review most recent CDC guidelines on treatment of common STD’s. •26min 14Matthieu DeClerck, MD and Mizuho Morrison, DO
Sexually Transmitted Infections Update, Part 2From August 2017, Diabetes and Whispered Pectorilo….what???
Miz and Matt discuss approach to patients for STD evaluation. They review most recent CDC guidelines on treatment of common STD’s.20min 59Mizuho Morrison, DO and Matthieu DeClerck, MD
Listener Question Extravaganza!!!!From August 2017, Diabetes and Whispered Pectorilo….what???
Andrew and Heidi answer listener mail and discover that 1) if you’re not doing whispered pectoriloquy as part of your exam, that’s ok. 2) aspirating non-inflamed joints to diagnose gout is not supported in the literature 3) immunotherapy for warts works!! Go ahead and inject some yeast or mumps …12min 36Heidi James, MD and Andrew Buelt, DO
Paper Chase 3 - Effect of Oral Steroids on Acute Sore ThroatFrom July 2017, Be Kind and Enjoy Life
This article adds to the body of literature discussing the role of oral steroids in treating pharyngitis. The paperchase guys are split on wether or not this will change their practice. •3min 41Andrew Buelt, DO and Joe Weatherly, DO
Paper Chase 5 - Costs of Misdiagnosed CellulitisFrom June 2017, Legions of Lesions
Many conditions can be mistaken for lower extremity cellulitis including deep vein thromobosis, peripheral vascular disease, dermatitis. Misdiagnosis can lead to unecessary admission to hospital, medication treatment, and failure to treat real cause of presentation. This studies quantifies these …6min 18Andrew Buelt, DO and Joe Weatherly, DO
HPV VaccinationFrom June 2017, Legions of Lesions
Andrew and Jake give us an update on all that’s new in the land of HPV vaccination. Makers of the mono and quadri-valent will be shortly withdrawing them from the market, leaving the nine-valent vaccine as the only option. Increased valency means broader coverage for wart and cervical causing …9min 56Andrew Buelt, DO and Jake Anderson, MD
Tympanostomy TubesFrom May 2017, My Gut Biome Told Me So
Review the indication for tympanostomy tubes as well as trouble-shooting potential complications. •18min 14Heidi James, MD, Ann Dietrich, MD, and Kris Jatana, MD
Steroids and PneumoniaFrom May 2017, My Gut Biome Told Me So
Andrew and Jake review the body of evidence and conclude that there is a role for corticosteroids as an adjunctive treatment for patients hospitalized because of pneumonia. •11min 14Andrew Buelt, DO and Jake Anderson, MD
The Necessary Evils of Primary Care: Plantar WartsFrom April 2017, Antibiotics in the Lyme-Light
Plantar warts are a frequently seen in the primary care office. Drs. Buelt and Anderson review the literature around the more common place, and the obscure, treatment options. From doing to nothing, to duct tape, to topical immunomodulators, options are varied and broad. •11min 47Andrew Buelt, DO and Jake Anderson, MD
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