PE Basics: IVDU/Heroin
From August 2021, My Pee Pipe is CloggedMike and Heath discuss serious physical exam findings in patients who use IV drugs including track marks and their location, skin abscesses from ‘skin popping’, and secondary findings such as endocarditis, pulmonary abscesses, and sepsis.
13min 25Heath Jolliff, DO and Mike Weinstock, MD
Recognizing Etoh in the UC
From July 2021, The Parched PatientAlcohol withdrawal is uncommon in urgent care but alcohol dependence disorder is not that uncommon. Understanding the symptoms of withdrawal and how to manage the acute and chronic symptoms can go a long way in helping our patients suffering from this disorder.
18min 13Matthieu DeClerck, MD, Mizuho Morrison, DO, and Cameron Berg, MD
Tox Time: Household Poisons
From April 2021, Go Away GonorrheaLaura and Mike discuss the most common and concerning household poisoning hazards, and how urgent care providers can help prevent injury and death from poisoning exposures occurring at home.
18min 58Mike Weinstock, MD and Laura Roper MD
Tox Time: Overdose
From June 2020, HangryLaura and Mike discuss the new trend of chemical suicides, how to recognize this emerging problem to manage the poisoned patient, and educate urgent care providers on safety precautions. •
13min 43Laura Roper MD and Mike Weinstock, MD
Tox Time: The Methamphetamine Epidemic
From May 2020, I Got The Gout!Laura and Mike discuss the fastest-growing cause of substance-abuse related medical emergencies, and how urgent care providers can help prevent injury and death due to methamphetamine use disorder. •
15min 53Mike Weinstock, MD and Laura Roper MD
VAPI: Vaping Associated Pulmonary Injury
From September 2019, VAPI: Vaping Associated Pulmonary InjuryGiven the recent spike of VAPI (vaping associated pulmonary injury) cases, our HIPPO medical editorial team review the clinical presentation and latest management recommendations for this lung disease. Mizuho Morrison and Sol Behar discuss a recent case, and review the hot-off-the-press published …
17min 42Mizuho Morrison, DO and Solomon Behar, MD
Sympathomimetic vs Anticholinergic Toxicity
From August 2019, Disabilities MatterSympathomimetic and Anticholinergic toxicity have many clinical similarities. In this piece Dr. Spyres outlines the different causes of each syndrome as well as their distinct clinical presentations that can help the clinician diagnose and treat each appropriately.
18min 2Meghan Spyres, MD, Mizuho Morrison, DO, and Mike Weinstock, MD
Opiate Prescribing In The Urgent Care
From April 2019, April Showers, Syncope & SprainsThe opioid crisis is the most catastrophic and enduring public health crisis of our time. Recent legislative advances have provided more tools for clinicians to fight the epidemic.
14min 57Mike Weinstock, MD and Rick Pescatore, DO
Vitamin Deficiencies In Alcoholics
From December 2018, Head, Shoulders, Knees and ToesAlcoholics are susceptible to a whole host of medical problems, including a variety of vitamin deficiencies. Matt sits down with Andy Grock to discuss the most common vitamin deficiencies that may present to you in the outpatient setting.
18min 53Matthieu DeClerck, MD and Andrew Buelt, DO
Dystonic Reactions and Akathisias
From October 2018, You'll Shoot Your Eye Out!Acute extrapyramidal syndrome aka: drug-induced dystonias and akathisia are known side effects to commonly used medications that patients may be taking at home or that we may prescribe in the urgent care setting. The most commonly used medications that can lead to acute dystonia or akathisia …
22min 17Dave Diller, MD and Matthieu DeClerck, MD
Lucy In The Sky With Diamonds
From December 2017, Lucy In The Sky With DiamondsMike tells Miz about a case of a 4 year old girl with a toxic ingestion of an unknown substance. They discuss the differential diagnosis of a child with altered mental status and clinical clues as well as historical pertinent facts that help make this diagnosis.
22min 11Mizuho Morrison, DO and Mike Weinstock, MD
Carbon Monoxide Toxicity
From December 2017, Lucy In The Sky With DiamondsJenny Beck-Esmay shares a case she had of two children who were accidentally exposed to carbon monoxide. She shares red flags to their history and presentation. An important reminder especially during flu season where patients may present with similar manifestations.
12min 59Jenny Beck-Esmay, MD, Megan Johnson, MD, and Mizuho Morrison, DO
Rattlesnake Bites, Part 2
From August 2017, Game of ImpostersThere are four venomous snakes to know in the continental United States that are the vast majority of snake bites that present for medical care—rattlesnakes, copperheads, cottonmouths, and coral snakes. Lisa Patel Pediatric hospitalist sits with Mizuho Spangler to review the basics in management …
11min 51Lisa Patel, MD and Mizuho Morrison, DO
Rattlesnake Bites, Part 1
From August 2017, Game of ImpostersThere are four venomous snakes to know in the continental United States that are the vast majority of snake bites that present for medical care—rattlesnakes, copperheads, cottonmouths, and coral snakes. Lisa Patel Pediatric hospitalist sits with Mizuho Spangler to review the basics in management …
16min 42Mizuho Morrison, DO and Lisa Patel, MD
Spiders Bites
From July 2017, Franks and BeansSpider bites of clinical consequence are rare. In North America there are only a few spiders whose bites cause clinically relevant pathology requiring medical treatment beyond basic wound care. These species and the clinical picture resulting from their bites are reviewed in this segment. •
15min 9Mizuho Morrison, DO and Matthieu DeClerck, MD
Cannabis Hyperemesis Syndrome
From June 2017, A Disposition Conundrum?!Understand pathophysiology, diagnosis and management of cyclical vomiting syndrome. •
13min 52Jeff Lapoint, MD and Mizuho Morrison, DO
What Would I Do Next? | Serotonin Syndrome
From May 2017, Pain in the Neck!Sam Ashoo presents a case of a young woman who presents with serotonin syndrome after being prescribed a medication from the UC that triggered this condition. Mike and Miz review serotonin syndrome with Sam to understand the medications that can trigger it and how to identify this diagnosis. •
21min 5Mizuho Morrison, DO, Mike Weinstock, MD, and Sam Ashoo, MD
Drugs Not to Use in Myasthenia Gravis
From June 2016, Things That Go SouthMyasthenic patients live in a delicate balance between movement and paralysis. Certain medications, like antibiotics and steroids, can tip them over the edge.
11min 11Bryan Hayes, PharmD and Rob Orman, MD
Tramadol Pitfalls
From April 2016, Jaw Dropping Things Not TaughtBryan Hayes weighs in on why he never invites tramadol to dinner parties.
8min 37Rob Orman, MD and Bryan Hayes, PharmD
Functional Dyspepsia
From April 2016, Jaw Dropping Things Not TaughtHave you ever gone a week in clinic without seeing a patient with dyspepsia? Some have true structural disease like peptic ulcers or even cancer. Most, however, will end up with no discernible cause of their symptoms and end up with the diagnosis of ‘functional dyspepsia’. In this segment, we …
11min 49Rob Orman, MD and Andrew Buelt, DO
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