Vulvar Dermatoses Part 2
From January 2021, The Game ChangerVulvar dermatosis is a relatively common complaint that can affect women of all ages. There are a wide variety of symptoms and severity and finding the correct diagnosis requires a thorough history and physical examination. A biopsy may be necessary to confirm the diagnosis and exclude malignancy …
14min 49Jenny Beck-Esmay, MD, Brittney DeClerck, MD, and Mizuho Morrison, DOVulvar Dermatoses Part 1
From January 2021, The Game ChangerVulvar dermatosis is a relatively common complaint that can affect women of all ages. There are a wide variety of symptoms and severity and finding the correct diagnosis requires a thorough history and physical examination. A biopsy may be necessary to confirm the diagnosis and exclude malignancy …
25min 56Jenny Beck-Esmay, MD, Brittney DeClerck, MD, and Mizuho Morrison, DORace and Medicine: Skin of Color
From December 2020, Race and Medicine: Skin of ColorDo you know how eczema may look different on skin of color compared to light skin? How about psoriasis? Or melanoma? Why do our dermatology lectures feature rashes and skin cancers on light skin only? Dr. Jenna Lester, the dermatologist at UCSF and the founder and director of UCSF’s Skin of Color …
26min 14Jenna Lester, MD, Neda Frayha, MD, and Jay-Sheree Allen, MDTattoo Complications
From December 2020, PECARN PieTattoos have become more and more common over the past decade. Besides regret, there are other cutaneous complications that clinicians should be aware of. Having a broad differential beyond simple bacterial infections can assist in making decisions on appropriate treatment and prompt referral to …
19min 59Brittney DeClerck, MD, Matthew DeLaney, MD, and Matthieu DeClerck, MDHidradenitis
From November 2020, Hurts So GoodHidradenitis suppurativa is a chronic condition that can have a tremendous impact on a patient’s quality of life. In this segment we sit down with Dr. Brittney DeClerck and look at evidence based approaches to helping get these patients some much needed relief.
23min 20Brittney DeClerck, MD, Matthew DeLaney, MD, and Matthieu DeClerck, MDPE Basics: HSP
From October 2020, The Game BagHenoch-Schönlein purpura is a vasculitis which is typically preceded by an upper respiratory tract infection and most commonly affects the kidneys and gastrointestinal tract.
14min 11Ilene Claudius , MD and Mike Weinstock, MDLice
From September 2020, Get Your Game OnLice are a common infestation, especially in pediatric patients. Thankfully, treatment is often very straight forward and successful. The key to diagnosis is inspection for live louse, nits, and eggs. First line treatment includes wet combing, topical pediculicides, or shaving of hair. Second line …
23min 38Brittney DeClerck, MD, Mizuho Morrison, DO, and Matthieu DeClerck, MDBlinking Bug Bite
From September 2020, Get Your Game OnMike and Matt discuss a patient presenting with Quincke’s Pulse which is a finding associated with aortic insufficiency resulting in focal arterial dilatation. Here, the arterial dilatation in the area of the bite led to an inability of arterioles to maintain sufficient pressure during diastole …
9min 24Mike Weinstock, MD and Matthieu DeClerck, MDWarts
From August 2020, Warts...Not Just a Toad ProblemViral warts are common in children and most resolve spontaneously without treatment. Salicylic acid with regular paring and occlusion is the preferred treatment for cutaneous viral warts. Cryotherapy in combination with salicylic acid is recommended as a second line treatment. •
31min 37Mizuho Morrison, DO, Brittney DeClerck, MD, and Matthieu DeClerck, MDSunscreen Basics
From August 2020, Warts...Not Just a Toad ProblemWhile sunscreen is heavily regulated the evidence behind efficacy and potential risks is mixed. From variable degrees of sun protection, to concerns about potential systemic absorption, minor differences in product labelling may signify significantly different products. •
19min 34Mizuho Morrison, DO and Matthew DeLaney, MDShooters Abscess
From June 2020, HangryShooters abscesses tend to be larger and can lead to a more complicated incision and drainage than typical abscesses that present in the urgent care setting. Jess and Matt discuss common presentations, complications and management of these infections. •
17min 34Matthieu DeClerck, MD and Jessica Osterman, MDExcellence in the Physical Exam: Contact Dermatitis
From June 2020, HangryContact dermatitis can be first divided into irritant contact dermatitis (ie industrial cleaners) and allergic contact dermatitis (poison ivy, nickel, fragrances) then further diagnosed by the characteristics of the skin lesion as well as the distribution on the body. •
12min 57Jenny Beck-Esmay, MD and Mike Weinstock, MDWhat Would I Do Next? | Petechial Rash
From July 2019, The Half SomersaultAcute Leukemia should be considered when there is a critically elevated WBC, thrombocytopenia and symptoms such as H/A, fatigue. however, there are other causes. Brad and Mike review a case of acute leukemia and discuss evaluation & differentiation from ITP/TTP vs non-accidental trauma in children.
20minBrad Goldman, MD and Mike Weinstock, MDSacral Pain
From February 2019, No...You Aren't Gonna Die!Miz and Mike talk to Dr.Rajesh Geria to discuss a case of a young woman with sacral pain. After multiple misdiagnosis, the pt was ultimately diagnosed with a pilonidal cyst. They discuss the importance of a focused exam, particularly looking at the area of concern. Also management of this diagnosis …
18min 50Rajesh Geria, MD, FACEP, RDMS, Mizuho Morrison, DO, and Mike Weinstock, MDPerianal Strep
From January 2019, Can't We All Just Get Along?Walker Foland discusses a case of anal streptococcus that he diagnosed and treated in a child. He discusses differential diagnosis and management of this condition.
11min 3Rob Orman, MDTinea
From September 2018, Broken Toof...Now What???Tinea Corporis, Tinea Cruris, and Tinea Pedis are common superficial fungal infections of the skin. There are distinct clinical presentations that can assist the clinician in making the correct diagnosis (patterns, rash characteristics, location on body, KOH prep, etc). Treatment is relatively …
28min 44Mizuho Morrison, DO, Matthieu DeClerck, MD, and Brittney DeClerck, MDCalciphylaxis
From August 2018, Avoiding BurnoutSam and Miz discuss the diagnosis of calciphylaxis, which are indolent lesions involving the thighs commonly in dialysis patients. Typically gradual in onset, we need to consider calciphylaxis (CUA) if a necrotic core is present. This disease is rare but has a high mortality rate associated, hence …
17min 57Mizuho Morrison, DO and Sam Ashoo, MDContact Dermatitis
From July 2018, The Blood MealsSkin eruptions are a common presentation in the urgent care, primary care, and pediatric setting. Contact dermatitis accounts for a significant number of these visits. 2 main categories of dermatitis: Irritant Contact Dermatitis (ICD) and Allergic Contact Dermatitis (ACD) can be confusing to …
23min 49Matthieu DeClerck, MD and Brittney DeClerck, MDSUNBURNS
From July 2018, The Blood MealsAbout half of US adults suffer from sunburn each year, and nearly 2/3 of all children. More than 30,000 visits to EDs and UCs every year for sunburn injuries. As much as we fear sunburn, 47% of the US population are unlikely to protect themselves from sun exposure. Erythema from sunburn is usually …
21min 33Rick Pescatore, DO and Mike Weinstock, MDDiaper Rash
From May 2018, Better Put A Ring On ItMiz and Matt interview Dr.Brittney Declerck on the diagnosis and management of diaper dermatitis.
21min 8Mizuho Morrison, DO, Matthieu DeClerck, MD, and Brittney DeClerck, MD
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