Episode Chapters
- Gout!Free Chapter21:39Mythbusting: Pregnancy Do's and Don'ts20:13Paper Chase #1 - Nonpurulent SSTIs: Follow the Guidelines4:27What Would I Do Now? PEP26:43Glue Ear (otitis media with effusion/serous otitis media)16:49Paper Chase #2 - PAFRI: A Novel Pneumonia Decision Rule5:46Legal Lessons: (Migraine v Stroke)18:44Tox Time: The Methamphetamine Epidemic15:53Paper Chase #3 - Are Smartwatch ECG Readings Helping, or Causing Panic?3:17Patella Injuries12:24Paper Chase #4 - Reduce Pediatric Ankle Imaging with the LRAR7:48Pediatric Ovarian Torsion16:41Paper Chase #5 - Lever Sign for ACL Rupture6:16Excellence in the Physical Exam : Shoulder Pain9:52Mailbag8:48
Patients with migraine headaches may have symptoms which overlap with more serious diagnoses such as stroke. Exploring past symptoms, risk factors for stroke, and current symptoms, may help with the differentiation between these two diagnoses.
Urgent Care RAP May 2020 Written Summary 907 KB - PDF
Stephen A. - May 12, 2020 10:33 AM
I was impressed at how the commentators outlined their history taking, and not in a positive way. In all the queries they articulated only ONCE did they demonstrate asking an open ended question. Whether a question is designed to elicit a positive response or a negative response it is still a closed ended question and is still a history taking method to be discouraged. Why not ask, "how often do your headaches include these symptoms you are experiencing today?" or "what is different about today's migraine versus your typical migraine?"
Mike W., MD - May 12, 2020 12:22 PM
Good thoughts Stephen - thx for sharing!
M
Brian S. - May 26, 2020 12:02 PM
The "10 can't miss causes of ....." is hugely valuable to new learners, and more seasoned learners wanting to regularly evaluate their considered differentials. Thanks for including this. Please consider adding this to future discussions.
Mike W., MD - May 26, 2020 2:13 PM
Thx for this insight - we will do!
M