WDIDN: Rectal Foreign BodiesFrom May 2021, Apposition So You Can Disposition
Jessica sits down to talk with Matt and Miz about rectal foreign bodies. They review which foreign bodies will need transfer to the emergency department as well as techniques for removal in the urgent care setting.20min 13Matthieu DeClerck, MD, Mizuho Morrison, DO, and Jessica Osterman, MD
PE Basics: PancreatitisFrom December 2020, PECARN Pie
A patient with pancreatitis will have an exam which will vary depending on the severity of pancreatitis. If more severe hemorrhagic pancreatitis is present, the patient may have a grey turner sign or Cullen sign. In mild cases, the exam may show only epigastric tenderness.13min 37Jenny Beck-Esmay, MD and Mike Weinstock, MD
Cannabis Hyperemesis SyndromeFrom November 2020, Hurts So Good
Cannabis Hyperemesis syndrome and other complications from acute cannabis intoxication are becoming a more common presentation in the UC/ED due to the increased use of cannabis products. Keeping this diagnosis on your clinical radar can expedite the workup and appropriate treatment of these …16min 19Tarlan Hedayati, MD and Matthieu DeClerck, MD
WDIDN: Bloody DiaperFrom October 2020, The Game Bag
Patients with red material in their diaper need evaluation for benign causes, such as a mother with a cracked and bleeding nipple and for more serious causes such as intussusception.24min 12Ilene Claudius, MD and Mike Weinstock, MD
ROID RAGEFrom October 2020, The Game Bag
Matt and Miz sit down to discuss the ins and outs of hemorrhoid treatment.20min 40Matthew DeLaney, MD and Mizuho Morrison, DO
Approach to the Jaundiced Patient - Part 1From July 2020, UFBs: Unidentified Foreign Bodies
Liver function tests are commonly performed for a variety of reasons. The proper interpretation of these results is critical to using them as appropriate diagnostic tools. In particular, patterns arise that can help discern obstructive vs inflammatory etiologies of jaundice. •19min 11Matthieu DeClerck, MD and Jessica Osterman, MD
Jaundice Part 2From July 2020, UFBs: Unidentified Foreign Bodies
Liver function tests are commonly performed for a variety of reasons. The proper interpretation of these results is critical to using them as appropriate diagnostic tools. In particular, patterns arise that can help discern obstructive vs inflammatory etiologies of jaundice. •16min 59Matthieu DeClerck, MD and Jessica Osterman, MD
Acute Gastroenteritis (AGE), Part 1 - UPDATED AUDIOFrom June 2020, Hangry
Most cases of AGE in children are self-limited illness that can be managed with supportive care. Antiemetics facilitate oral rehydration. Treat more severe cases with IV fluid rehydration. Do not empirically treat suspected bacterial diarrhea with antibiotics given risk of HUS with certain strains …18min 24Solomon Behar, MD and Matthieu DeClerck, MD
Acute Gastroenteritis (AGE), Part 2From June 2020, Hangry
Most cases of AGE in children are self-limited illness that can be managed with supportive care. Antiemetics facilitate oral rehydration. Treat more severe cases with IV fluid rehydration. Do not empirically treat suspected bacterial diarrhea with antibiotics given risk of HUS with certain strains …18min 1Solomon Behar, MD and Matthieu DeClerck, MD
Excellence in the Physical Exam: DiverticulitisFrom March 2020, Fight Bites & Cup O' Noodles...Pain, No Gain!
With a suspicion of diverticulitis the patient should be examined for skin changes, LLQ tenderness, rebound pain, tachycardia and signs of sepsis. Lack of tenderness elsewhere is the abdomen increases the likelihood ratio that LLQ pain is from diverticulitis.10min 30Mike Weinstock, MD and Brad Goldman, MD
Where is Gastroparesis Hiding?From October 2019, SVT?! REVERT Me!
Brief discussion of 3 cases initially felt to be gastroparesis which were actually misdiagnosed on the index visit. Emphasis of gastroparesis being a diagnosis of exclusion and patients with known gastroparesis can have nausea and vomiting for other reasons. Finally, quick overview of definition …15min 48Mike Weinstock, MD and Josh Russell, MD
Small Bowel ObstructionFrom September 2019, Off The Cuff
Rick and miz discuss clinical presentation, diagnosis and disposition of small bowel obstruction in the urgent care and pitfalls in the workup and diagnosis.8min 21Mizuho Morrison, DO and Rick Pescatore, DO
What Would I Do Next | DiverticulitisFrom May 2019, Difficult patient vs. personality disorder?
Miz and Delaney review the definition and pathophysiology of diverticulitis. They discuss its clinical presentation. They review diagnosis and treatment/management as well as complications of diverticulitis.20min 41Matthew DeLaney, MD and Mizuho Morrison, DO
ProbioticsFrom May 2019, Difficult patient vs. personality disorder?
Miz and Rick discuss the data surrounding the use of probiotics alongside antibiotics for the prevention of antibiotic-associated diarrhea (AAD) and Clostridium Difficile colitis. They review the most up to date literature on this natural supplement. •10min 37Rick Pescatore, DO and Mizuho Morrison, DO
What Would I Do Next? | Abdominal X-rays For Pediatric ConstipationFrom December 2018, Head, Shoulders, Knees and Toes
Rick, Declerck, and Mike tackle the data behind x-rays in pediatric constipation and abdominal pain. The risks of radiation exposure and missed diagnoses are explored, and society guidelines and recommendations are reviewed to determine the best approach to pediatric abdominal imaging.12min 40Matthieu DeClerck, MD, Rick Pescatore, DO, and Mike Pallaci, DO
Gastroesophageal Reflux DiseaseFrom December 2018, Head, Shoulders, Knees and Toes
Miz and Jenny discuss current diagnosis, workup and management of GERD. Jenny highlights the step-up approach to treatment when lifestyle modifications alone are insufficient.19min 28Mizuho Morrison, DO and Jenny Beck-Esmay, MD
Evaluating SBPFrom September 2018, Broken Toof...Now What???
Mike and Rick discuss the patient with cirrhosis and ascites in the Urgent Care--how to recognize ascites on physical exam, metabolic and infectious considerations in this population, and when they need to be referred for further testing.17min 15Rick Pescatore, DO and Mike Weinstock, MD
What Would I Do Next? | DiarrheaFrom August 2018, Avoiding Burnout
We see diarrhea all of the time, but knowing when to work it up and treat vs provide supportive management is key! Not all diarrhea needs antibiotics! Miz, and Matt sit down with Tarlan Hedayati MD to discuss the nuances and algorithmic approach to diarrhea management.28min 14Mizuho Morrison, DO, Matthieu DeClerck, MD, and Tarlan Hedayati, MD
Mesenteric IschemiaFrom July 2018, The Blood Meals
Mesenteric Ischemia is a true abdominal emergency, as insufficient blood flow to the bowel causes life threatening ischemia. In this segment Delaney and Declerk discuss important red flags in the history, physical exam, lab abnormalities, and appropriate imaging studies that can aid in diagnosing …16min 17Matthew DeLaney, MD and Matthieu DeClerck, MD