Episode Chapters
- Sunscreen Basics19:34WDIDN Cough and CHF17:53Paper Chase #1 - Ondansetron Wins for Pediatric Vomiting3:38WartsFree Chapter31:37Lactate + Procalcitonin22:19Paper Chase #2 - Steroids Lack Benefit for Acute Urticaria4:52TOX TIME: UDS17:03Dog & Cat Bites29:43Paper Chase #3 - No Advantage of Acetaminophen + Ibuprofen for Acute Pain4:25Clinical Conundrum: Hyperglycemia15:50Paper Chase #4 - Colchicine vs. Naproxen for Gout Flares3:22PE basics: Parkinsons13:58USMLE Step 118:35Paper Chase #5 - Pediatric Rib Fractures = NAT Until Proven Otherwise4:38Mailbag8:51
Urgent Care August 2020 Written Summary 865 KB - PDF
Matt M., 6234414 - August 20, 2020 2:02 PM
First things first...the acronym in segment 2 is WDIDN...I am I missing something or shouldn't it be WWIDN? Primary comment is regarding the plantar warts. I don't know about you, but my typical plantar wart patient is the construction worker who comes in saying he has had this sore spot on his foot for a couple months, but today it was so bad he could not work. He is saying , "Fix it, so I can go back to work tomorrow!" This, of course, turns something fairly mundane into a real challenge. It obviously precludes any of the sequential treatments over several weeks - and prompted my to start telling them, "Well, I can't do that, but if you let me numb it up, do a deep conical/cylindrical excision and then thorough cautery, it will very likely be only a few days." So, that is what I do...I exchange the wart for a small third degree burn, and I have never had a dissatisfied customer - generally back to normal weight bearing in 48-72 hours, and healed in 2 weeks.
Mike W., MD - August 21, 2020 8:02 AM
Hi Matt, goo dto hear from you! Thx for the comments!!
M