Diabetic Neuropathy
From April 2020, More Listener LoveWhen a patient with poorly controlled diabetes presents with numbness and tingling in their feet, how well do we really know what to do next? To help us understand diabetic neuropathy a bit better, Dr. Harpreet Tsui joins Neda to discuss screening, diagnosis, and treatment pearls. •
20min 17Neda Frayha, MD and Harpreet Tsui, DO
Headache in Children
From September 2019, Are We Better in the Morning?Pediatric headaches are common. Thankfully the bad etiologies are rare. Having a consistent approach to the history and physical exam is essential to helping the clinician distinguish between the common, benign etiologies and the bad, rarer etiologies. Looking for the redflags in your history and …
20min 37Tim Horeczko MD MSCR, Matthew DeLaney, MD, FACEP, FAAEM, and Matthieu DeClerck, MD
Migraine Headache
From July 2019, Dude, Where's My DEA Number?Paul Simmons brings us another helpful, algorithmic approach to treating a common primary care condition - this time, migraines. Do you know the POUND mnemonic? Or a simple, 5-step approach to treating migraines? After listening to this piece, you will. •
23min 34Paul Simmons, MD and Neda Frayha, MD
Transient Global Amnesia (TGA)
From January 2019, Hello, New Year! Bye Bye, PPIs?Imagine waking up and suddenly being A&O x 1. You know who you are, but not anything about your surroundings or what day or time it is. Transient global amnesia is a diagnosis that often presents to the primary care office and can be totally alarming for everyone involved. Is it linked to a risk of …
16min 40Tom Robertson, MD and Neda Frayha, MD
Tremor: A Diagnostic Approach
From December 2018, Clots and OCP'sTremor is the most common movement disorder in primary care, and the vast majority of tremors can be evaluated and managed by primary care providers. Differentiating between causes of tremor is, for the most part, clinical – and it matters because treatments differ. In this segment, Drs. Paul …
17min 25Neda Frayha, MD
NOTALGIA and MERALGIA PARESTHETICA
From December 2018, Clots and OCP'sNotalgia paresthetica and meralgia paresthetica are common sensory neuropathies that cause paresthesias in specific anatomic locations. If you’re anything like our team, these disease entities may sound vaguely familiar but maybe not totally memorable from your school days. In this segment, Dr …
10min 43Molly Heublein, MD
Essential Tremor: Treatment
From December 2018, Clots and OCP'sTremor is the most common movement disorder in primary care, and the vast majority of tremors can be evaluated and managed by primary care providers. Differentiating between causes of tremor is, for the most part, clinical – and it matters because treatments differ. In this segment, Drs. Paul …
7min 28Mizuho Morrison, DO and Emily Rose, MD
Pediatric Stroke
From December 2018, Clots and OCP'sKids can have strokes?! Did you know that pediatric strokes are actually more common than pediatric brain tumors? Miz speaks to Emily Rose MD, Pediatric Emergency Medicine specialist on the topic of pediatric stroke. They explore the underlying causes, when to suspect it and how management differs …
27min 34Mizuho Morrison, DO and Emily Rose, MD
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
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
Calciphylaxis
From September 2018, Retrieve Those FiltersSam and Miz discuss the diagnosis of calciphylaxis, which are indolent lesions involving the thighs commonly in dialysis patients. Typically gradual in onset, we need to consider calciphylaxis (CUA) if a necrotic core is present. This disease is rare but has a high mortality rate associated, hence …
17min 49Mizuho Morrison, DO and Sam Ashoo, 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
Trigeminal Neuralgia
From June 2018, A Hyperthyroid FetusTrigeminal neuralgia is one of the most bothersome, painful conditions our patients may experience. In this segment, Drs. Matt Delaney and Malcolm Thaler review the causes of trigeminal neuralgia, how to work up these patients, and which treatments may offer some relief.
13min 41Malcolm Thaler, MD and Matthew DeLaney, MD, FACEP, FAAEM
Parkinson’s Disease, Part 1
From May 2018, The Buzz That Won't QuitParkinson’s Disease (PD) is a progressive movement disorder characterized by bradykinesia, cogwheel rigidity, tremor, and impaired balance. The diagnosis is a clinical one, based on history and physical alone. Symptoms often begin unilaterally and are gradual in onset and progression. Non-motor …
16min 30Stephen Reich, MD and Neda Frayha, MD
Parkinson’s Disease, Part 2
From May 2018, The Buzz That Won't QuitParkinson’s Disease (PD) is a progressive movement disorder characterized by bradykinesia, cogwheel rigidity, tremor, and impaired balance. The diagnosis is a clinical one, based on history and physical alone. Symptoms often begin unilaterally and are gradual in onset and progression. Non-motor …
20min 35Neda Frayha, MD and Stephen Reich, MD
Paper Chase #2 - PFO Closure vs Medical Therapy after CVA
From March 2018, What’s Your (Code) Status?In patients with PFO who had a CVA, closing the PFO was associated with a lower rate of recurrent ischemic strokes than medical therapy alone during the study period.
4min 20Andrew Buelt, DO and Joe Weatherly, DO
Paper Chase #5 - Carotid Endarterectomy and Stenting
From March 2018, What’s Your (Code) Status?Carotid endarterectomy declined from 1999-2014 and stenting increased until 2006 when it also declined.
4min 45Andrew Buelt, DO and Joe Weatherly, DO
Paper Chase #3 | AC Use and Risk of Ischemic Stroke and Bleeding
From February 2018, The Tragically Sore Hipin patients who develop afib secondary to another medical condition like COPD or ACS, this study demonstrates that the benefit of anticoagulation in not strong and can be associated with a higher risk of bleeding.
5min 19Andrew Buelt, DO and Joe Weatherly, DO
Spinal Stenosis
From January 2018, A Feverish Frenzy!In this review, Jordan discusses the pathogenesis and treatment of spinal stenosis. Depending on your patient’s age and your center’s practice pattern, either a CT or an MRI can be done to help confirm the clinical diagnosis. Conservative treatments include physical therapy and medications such as …
13min 25Jordan Roberts, PA-C
Stuff that Changed our Practices, Part 2
From December 2017, Jingle, JingleHeidi talks about an online cardiovascular risk calculator that revitalized her approach to dyslipidemia management. She also covers the recent CDC and Health Canada guidelines on opioid prescribing. Jordan, who in the throes of a huge concussion trial he’s working on, focusses his attention …
11minHeidi James, MD, Brandon Grove, MD, and Jordan Roberts, PA-C
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