Episode Chapters
- Ear Barotrauma18:29Paper Chase #1 | Traditional Flu Tests Are Inaccurate4:20What Would I Do Next? | Pneumothorax17:00Ectopic Pregnancy20:59Paper Chase #2 | Rapid Strep Testing Works3:41Intramuscular Medications17:08IVDU Complications25:35Paper Chase #3 | PERC Negative Patients Receive Excessive Testing3:51TXA in the Urgent CareFree Chapter21:52Asymptomatic Hypertension20:00Paper Chase #4 | Penicillin “Allergies” Are Often Not Allergies At All3:32Living with CF with Claire Wineland, Part 215:45Excellence in the Physical Exam Series | Male GU Exam11:44Paper Chase #5 | NG Tubes Don’t Improve Outcomes for SBO4:35The Summary23:06
TM perforation may present as pain or bleeding and is managed with steroid drops, either with or without an antibiotic. The TM perforation generally resolves on it’s own without complication
Alphabet Soup: TXA & IVDA Full episode audio for MD edition 210:46 min - 99 MB - M4AHippo Urgent Care RAP - January 2018 Summary 343 KB - PDF
gmete - January 18, 2018 12:05 PM
2 thoughts I had after listening to this podcast.
1. If you're ever concerned about a ruptured TM and can't see the TM due to blood and swelling you can try to perform a tympanogram. If you get resistance then you're relatively assured that the TM is intact.
2. I was taught the reason you don't use cortisporin for a ruptured TM is that the polymyxin/neosporin is not safe if it contacts the round window and the fluoroquinolone such as Oflox and Cipro Dex are.
Mike W., MD - January 19, 2018 5:52 AM
Thx for your comments!
M
Karen H. - March 12, 2019 12:12 PM
I cannot find the reference for this. We are not allowed to change practice w/o a reference.
I am getting to this late. Karen Hawes, APRN
Mike W., MD - March 12, 2019 1:22 PM
Will check!
M