Episode Chapters
- Mailbag Questions8:23Paper Chase #1 | Safely Discharging After Submersion Injury4:09What Would I Do Next? | Urinary Retention17:27Trauma Basics | Part 1Free Chapter11:24Paper Chase #2 | Normal Saline vs Balanced Solutions4:24Clinical Conundrums - Trigeminal Neuralgia13:415 Meds Not To Rx in Urgent Care18:27Paper Chase #3 | AKI & Hyperkalemia With Trimethoprim4:22Treating Friends & Family17:43Trauma Basics | Part 217:08Paper Chase #4 | Clinical Gestalt vs Decision Aids In Pediatric Head Injury4:31Hyperemesis Gravidarum20:26Excellence in Physical Exam Series | The Wrist15:35Paper Chase #5 | Rudeness Effects Team Performance3:55Fever in the Returning Traveler22:01The Summary17:49
Fever is a common symptom in patients who travel internationally. While the overall rates of morbidity and mortality in these patients is low, providers must consider rare but potentially lethal causes of fever. A detailed travel history may help narrow down a differential diagnosis, but providers should have a low threshold to obtain further testing in patients who have travelled to malarial endemic areas.
TRAUMArama Full episode audio for MD edition 200:28 min - 94 MB - M4AHippo Urgent Care June 2018 Written Summary 1 MB - PDF
John S. - January 11, 2019 2:53 PM
I have been training both American providers and also people in countries around the world in tropical and other illnesses that are common overseas. i was delighted to hear such a great review from this presentation.
My experience of prevention of malaria and other mosquito borne illnesses jibes with the speakers.
Failure of continuing malaria prophylaxis or not thinking they needed it is very common.
Often the person has to be the advocate to the medical provider about how to treat malaria, etc.
During the peak ebola epidemic, I was in different West African countries training health teachers for the prevention of ebola. A week after returning, I developed what I was sure was a kidney stone, but when I went to the ER, I told everyone that I needed to be isolated for the protection of the hospital just in case it was ebola. Every person who was caring for me ignored this even though I gave them my credentials, my travel history and knowledge of ebola.
Mike W., MD - January 12, 2019 4:44 AM
wow, crazy story - I am sure they just didn't know the protocols in place... or were in denial... And congrats on using your skills to help others esp during the ebola outbreak. We need more of you in this world!
M
John S. - January 11, 2019 5:11 PM
A short module on Traveler's Diarrhea, both prevention and treatment would go well with this information.
Mike W., MD - January 12, 2019 4:44 AM
Thx for the suggestions!! Will put it on the list