Episode Chapters
- Mesenteric Ischemia16:17Paper Chase #1 | Isopropyl Alcohol For Nausea5:10Tick Borne Illness | Part 1Free Chapter22:07PECARN Updates - A Head Injury Decision Tool22:30Paper Chase #2 | Button Battery Ingestion In Peds4:18What Would I Do Next? | Probe To Bone17:13Migraine Management In The Urgent Care18:53Contact Dermatitis23:49Paper Chase #3 | Positive Urine Cultures Are Unusual In Patients With STI4:15Tick Borne Illness | Part 220:06Paper Chase #4 | Probiotics Work For Collicky Infants3:11Excellence in the Physical Exam Series | The Knee12:34SUNBURNS21:33Paper Chase #5 | Unnecessary Transfers To The ED5:10The Summary10:10
Tick borne illnesses are common in the United States and tend to have a geographic distribution specific to the distribution of the tick vector. Bites commonly in the spring to early fall months when ticks are active and seeking out blood meals. The most common tick-borne illness in the US is lyme disease but other diseases include Rocky mountain spotted fever, Babesiosis, Tularemia, Ehrlichia, and Tick paralysis. Sol chats with Jason woods to discuss clinical presentation, treatment, and prevention of these tick borne diseases.
The Blood Meals Full episode audio for MD edition 207:18 min - 97 MB - M4AHippo UC RAP July 2018 Written Summary 364 KB - PDF
Anna A., MD - July 7, 2018 7:49 AM
Thanks for this great review! I saw a patient yesterday with malaise, fever, tick bites, no rash. He had hyponatremia and elevated LFTs. I can’ be sure which tickborne illness he had, but sent off the serologies and treated with doxycycline. Your review helped me immensely in thinking about the diagnosis, asking the right questions, and for discussion with patient and family. You helped everyone involved. Thanks!
Mike W., MD - July 7, 2018 11:40 AM
Fantastic to know that this worked out - thx for sharing!!
M
John S. - January 17, 2019 1:31 PM
When working overseas in malaria, dengue, etc. areas, I use a 0.5% concentration of permethrin and soak my clothes and mosquito net in it. Allow to dry in the sun. Does not smell and does not generally give any irritation. You can even wash the clothes 4-6 times and have it effective.
Permethrin will ruin watch crystals and eyeglasses.
Mike W., MD - January 17, 2019 2:01 PM
Thx John for the great tips!!
M