PVCs/PACs in UC
From September 2020, Get Your Game OnPAC’s and PVC’s are common findings on ECGs. As always, clinical context is everything. Asymptomatic patients often can follow up with their primary care physician for further work up. Those with symptoms may benefit from expedited follow up with cardiology, or transfer to the emergency department …
21min 44Matthieu DeClerck, MD and Andrew Grock, MD
TOX TIME: UDS
From August 2020, Warts...Not Just a Toad ProblemLaura and Mike discuss the nuts-and-bolts of the urine drug screen: what it is, what it isn’t, and if it has any place in your clinical evaluation.
17min 3Laura Roper MD and Mike Weinstock, MD
Lactate + Procalcitonin
From August 2020, Warts...Not Just a Toad ProblemRick and Matt review the benefits and pitfalls of diagnostic testing with lactate and procalcitonin.
22min 19Rick Pescatore, DO and Matthieu DeClerck, MD
COVID: What If I Get Called In?
From March 2020, COVID: What If I Get Called In?Many healthcare workers are worried if we get called in to help with COVID patients because this may be outside our scope of practice. Aaron Bright, MD sits down with Salim Rezaie, MD to simplify critical frontline lessons to keep you and your patients safe if you get called in. Topics include …
30min 58Aaron Bright, MD and Salim Rezaie, MD
DOAC Use and Head Trauma
From December 2019, Medication MishapsPatients who take DOACs have an increased risk of ICH following minor head injury. While some of these patients may not need emergent neuroimaging, to date the literature strongly suggests that we have a low threshold to image any patient on a DOAC who presents with minor head trauma.
14min 11Matthew DeLaney, MD and Matthieu DeClerck, MD
When X-Rays Lie
From November 2019, Who's The Black Sheep?Medical tests can lie. X-rays are simply a test. The purpose of any test is to affect our pre-test probability - it is not to make a diagnosis. Any test result (positive or negative) must be placed in the clinical context it is being used. We should have an expectation of any test before we order …
11min 7Arun Sayal, MD, Neda Frayha, MD, and Matthieu DeClerck, MD
Erythrocyte Sedimentation Rate (ESR) & C-reactive Protein (CRP)
From May 2019, Difficult patient vs. personality disorder?ESR and CRP are readily available acute phase reactants. While these markers have a moderate degree of sensitivity for a wide variety of inflammatory and infectious processes, their lack of specificity limits their widespread use in clinical practice. •
15min 8Matthew DeLaney, MD and Matthieu DeClerck, MD
STI Testing - Is Urine Enough?
From December 2018, Head, Shoulders, Knees and ToesTypical tests for STI’s are either performed on a urine sample or from endovaginal/endocervical/penile swabs. For male patients, urine antigen testing has sufficient diagnostic accuracy to be used as the first-line test. For female patients urine antigen testing can accurately diagnose cases of …
12min 23Charles Khoury, MD and Matthew DeLaney, MD
Management of Hyperkalemia
From January 2017, New Year Resolutions: Dissections, Flu and STD'sMiz and Mike discuss diagnosis and management of hyperkalemia in the UC setting.
16min 45Mike Weinstock, MD and Mizuho Morrison, DO