Paper Chase #4 | Opioid vs Non Opioid Analgesia for Acute Extremity PainFrom May 2018, The Buzz That Won't Quit
For patients with acute extremity pain in the ED, there were no differences in pain reduction at 2 hours among single-dose treatment with ibuprofen and acetaminophen or with 3 different opioid and acetaminophen combination.4min 16Andrew Buelt, DO and Joe Weatherly, DO
Ears, Aussie StyleFrom December 2016, Ear Pain is but a Memory
Casey Parker sees more than his fair share of acute otitis media in the Australian hinterlands. Here are his tips and tricks for smooth as silk managment. •25min 18Casey Parker, MD, Rob Orman, MD, and Andrew Buelt, DO
Hip PainFrom November 2016, Aspirin Loses Its Tenure
Patients present with hip pain and how you approach a patient should be methodical. Matt and Sarah discuss a step by step approach to hip pain, including how to evaluate intra-articular and extra-axial causes of hip pain and how to evaluate for referred pain as well. •15min 31Mizuho Morrison, DO
Opiate DetoxFrom September 2016, Best Weight, Best Exercise!
Discuss strategies for managing opiate detoxification and acute withdrawal symptoms.16min 10Ken Starr, MD and Rob Orman, MD
Somatic Symptom DisordersFrom August 2016, Feeling Restless
Psychiatrist Shawn Hersevoort is back! This time, it’s all about somatic symptoms.20min 19Shawn Hersevoort, MD, MPH and Rob Orman, MD
Functional Pain Syndromes: Fibromyalgia and Chronic FatigueFrom August 2016, Feeling Restless
The visceral reaction to a patient with ‘functional pain’ can be that it is 100% psychological. While there is certainly a mental component, there may also be physical aspects. •12min 24Shawn Hersevoort, MD, MPH and Rob Orman, MD
Things I Do, But Should I? NSAIDS for Biliary ColicFrom August 2016, Feeling Restless
Prescribing patterns vary widely among providers when it comes to managing biliary colic. Opiates are often the first line, but NSAIDS are a viable alternative. •5min 58Vanessa Cardy, MD and Adrien Selim, MD
Paper Chase 2: Treating Rheumatoid Arthritis When Methotrexate Monotherapy FailsFrom August 2016, Feeling Restless
Triple therapy (methotrexate plus sulfasalazine plus hydroxychloroquine) and most regimens combining biologic DMARDs with methotrexate were effective in controlling disease activity, and all were generally well tolerated in both methotrexate naive and methotrexate exposed patients. •5min 24Andrew Buelt, DO and Joe Weatherly, DO
Paper Chase 5: Treatment of Painful Diabetic NeuropathyFrom July 2016, Creme de la Thyroid
Several medications may be effective for short-term management of painful diabetic neuropathy, although their comparative effectiveness is unclear. •5min 5Andrew Buelt, DO and Joe Weatherly, DO
Paper Chase 3: Vitamin D Supplement Yields No Benefit in Knee OsteoarthritisFrom June 2016, C Diff Shows No Mercy!
In patients with low serum vitamin D levels and knee pain, vitamin D supplementation did not result in significant differences in change in tibial cartilage volume or knee pain. •6min 57Andrew Buelt, DO and Joe Weatherly, DO
Paper Chase 4: Avoid Surgical Repair of Degenerative Meniscal TearsFrom June 2016, C Diff Shows No Mercy!
Resection of a torn meniscus has no added benefit over sham surgery to relieve knee catching or occasional locking •5min 4Andrew Buelt, DO and Joe Weatherly, DO
Things I Do But Should I? Pregabalin in Radicular Back PainFrom May 2016, The Sexology of Radicular Back Pain
Pregabalin is a commonly used medication in back pain. Should it be?9min 1Adrien Selim, MD and Vanessa Cardy, MD
Paper Chase 5: Speedier Expulsion of Kidney Stones with SexFrom March 2016, Where Has All The Testosterone Gone?
A long last, a therapy that really helps expel ureteral stones. At least we hope so.5min 35Andrew Buelt, DO and Joe Weatherly, DO
Paper Chase 3: Allopurinol Doesn’t Prolong Resolution of Acute GoutFrom March 2016, Where Has All The Testosterone Gone?
Allopurinol was initiated at low doses during an acute gout attack did not prolong the acute, treated attack.6min 30Andrew Buelt, DO and Joe Weatherly, DO
Things I Do, But Should I? CelecoxibFrom February 2016, The Allergy That Isn't and the B-12 That Is
Are COX-2 inhibitors a good NSAID choice for elderly patients with pain issues? Sometimes yes and sometimes no. In a new recurring segment, Vanessa Cardy and Adrian Selim explore GI, renal, and cardiovascular risks of selective and nonselective NSAIDs. •10min 3Adrien Selim, MD and Vanessa Cardy, MD
Paper Chase 1: Knee OsteoarthritisFrom February 2016, The Allergy That Isn't and the B-12 That Is
In patients with knee osteoarthritis, unilateral total knee replacement followed by nonsurgical treatment resulted in greater pain relief and functional improvement after 12 months than did nonsurgical treatment alone. •6min 4Andrew Buelt, DO and Joe Weatherly, DO
Paper Chase 1: Knee OsteoarthritisFrom December 2015, Mythbusting Eggs, Flu, and the CBC
Discuss findings from the article by van Tunen, J. A., et al. "Optimization of analgesics allows patients with knee osteoarthritis and severe pain to participate in exercise therapy." Osteoarthritis and Cartilage 23 (2015): A370-A371. •6min 44Andrew Buelt, DO and Joe Weatherly, DO
Paper Chase 3: Benzo + Opiate = Increased Mortality RiskFrom October 2015, When You Say Dizzy, Do You Mean....
Discuss findings from the recent article Park, Tae Woo, et al. "Benzodiazepine prescribing patterns and deaths from drug overdose among US veterans receiving opioid analgesics: case-cohort study." bmj 350 (2015): h2698. •7min 1Andrew Buelt, DO and Joe Weatherly, DO