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
Rotator Cuff Injuries
From September 2019, Off The Cuff“Doc, my shoulder hurts.” We hear this all the time. But how often do we have a thoughtful, stepwise approach to diagnosing and managing rotator cuff disease? Dr. Matt Baird, an EM and Sports Medicine specialist, gives our own Matt DeLaney the lowdown on rotator cuff injuries and how we can …
21min 58Matt Baird, MD, Matthew DeLaney, MD, and Rick Pescatore, DO
New Onset Atrial Fibrillation
From September 2019, Off The CuffWhen evaluating a patient with a-fib it is important to consider both rhythm control and also the associated risk of subsequent thrombosis. Even in patients who have brief episodes of a-fib there may be a significant risk of developing a thrombotic complication.
24min 35Matthew DeLaney, MD, Mizuho Morrison, DO, and Ryan Pedigo, MD
First Trimester Vaginal Bleeding
From August 2019, Disabilities MatterVaginal bleeding in the first trimester of pregnancy is one of those topics that seems straightforward but is actually pretty complex. Dr. Jenny Beck-Esmay speaks with our own Dr. Neda Frayha about how to approach first-trimester bleeding in a logical, organized, evidence-based way that’s easy to …
28min 14Neda Frayha, MD and Jenny Beck-Esmay, 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
WWIDN - Acute Kidney Injury
From August 2019, Disabilities MatterPatients can develop an AKI from a wide variety of causes. Despite the classic categorization of AKIs as being pre-renal, intrinsic, or post-renal, this differentiation is difficult to make during the patient’s initial visit. To date the available literature gives us limited guidance in terms of …
17min 12Matthew Neth, MD, Charles Khoury, MD, and Matthew DeLaney, MD
Obsessive-Compulsive Disorders
From July 2019, The Half SomersaultEver wondered if your patient is just a little too obsessive? You might be right: patients with obsessive compulsive disorder (OCD) and related disorders often present to general health care settings rather than a psychiatrist’s office. Dr. Shawn Hersevoort is back with us, sharing lots of OCD …
22min 17Shawn Hersevoort, MD, MPH and Mizuho Morrison, DO
Thyroid Emergencies Part 2 | Myxedema Coma
From July 2019, The Half SomersaultExtremes of disease spectrum can be seen in patients with thyroid disease. Matt DeClerk and Andy Grock review presentations of thyroid emergencies including thyroid storm and myxedema coma. The thyroid controls energy and metabolism. High – high energy, don’t sleep, lose weight, feel hot …
12min 27Matthieu DeClerck, MD, Mizuho Morrison, DO, and Andrew Grock, MD
Thyroid Emergencies Part 1 | Thyroid Storm
From July 2019, The Half SomersaultExtremes of disease spectrum can be seen in patients with thyroid disease. Matt DeClerk and Andy Grock review presentations of thyroid emergencies including thyroid storm and myxedema coma. The thyroid controls energy and metabolism. High – high energy, don’t sleep, lose weight, feel hot …
16min 14Andrew Grock, MD, Matthieu DeClerck, MD, and Mizuho Morrison, DO
Deadly Infections | Part II
From June 2019, ID KillersMike and Dr. Kalantari discuss various types of deadly infections.
9min 39Mike Weinstock, MD and Annahieta Kalantari, DO
Accelerated Protocols: PE Pathways
From June 2019, ID KillersLet’s admit we, we are obsessed with pulmonary emboli and missing this dreaded diagnosis. This fear has led to undue increased use of CT angiography and the ease of obtaining one has increased its use. However there are many downsides to over-scanning. There is real harm we are exposing our …
17min 1Cameron Berg, MD, Mizuho Morrison, DO, and Mike Weinstock, MD
Deadly Infections | Part I
From June 2019, ID KillersBacterial meningitis has a 100% mortality rate if left untreated. The causative organism is associated with the patients age. Less than 50% of patients will present with the triad of fever, neck stiffness and altered mental status. 20% of patients will be left with hearing loss, neuro disability or …
17min 44Mike Weinstock, MD and Annahieta Kalantari, DO
Nasal Fractures
From May 2019, Difficult patient vs. personality disorder?Nasal fractures are common facial injuries. Mizuho and Matt sit down with Oral Maxillofacial Surgeon Dr.David Tucker on diagnosis and management of nasal fractures. •
13min 24David Tucker Dds, OMFS, Matthieu DeClerck, MD, and Mizuho Morrison, DO
What Would I Do Next | Diverticulitis
From 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
Personality Disorders and The Difficult Patient | Part 1
From May 2019, Difficult patient vs. personality disorder?The ever-fantastic Dr. Shawn Hersevoort is back for another installment of Psychiatry Files! In this segment, he and Mizuho Morrison discuss a practical approach to understanding and managing patients with different personality disorders. •
21min 53Shawn Hersevoort, MD, MPH and Mizuho Morrison, DO
What Would I Do Next: Asymptomatic Hypertension
From April 2019, April Showers, Syncope & SprainsHypertension (HTN) is a common condition throughout the world, thought to affect a third of Americans. An urgent care patient with an elevated blood pressure (BP) presents a diagnostic and therapeutic challenge, as the spectrum of disease can span from the asymptomatic, chronic patient who needs …
26min 29Rick Pescatore, DO and Mike Weinstock, MD
What Would I Do Next? | Ectopic Pregnancy
From March 2019, Bun (Not) In The OvenEctopic pregnancy is a life-threatening diagnosis if missed. Mike sits down with Dr.Jenny Beck-Esmay to discuss its prevalence, risk factors, and classic presentation. They also decipher between ruptured versus unruptured ectopic...it’s a segment you won’t want to miss. •
20min 28Mike Weinstock, MD and Jenny Beck-Esmay, MD
Colicky Babies
From March 2019, Bun (Not) In The OvenColic which occurs in 15-25% of infants under the age of 4 months can be extremely frustrating for parents and for clinicians counseling them. Matt and Miz sit down with Pediatric Emergency Medicine physician Dr.Liza Kearl to discuss diagnosis and management of colic. Understanding that colic is a …
17min 16Matthieu DeClerck, MD, Mizuho Morrison, DO, and Yvette Liza Kearl, MD
Chest Pain
From March 2019, Bun (Not) In The OvenPatients who present to the urgent care with chest pain can have their initial evaluation performed with an ECG, CXR and troponin testing then be risk stratified to go to the ER or be sent home for expedited outpatient evaluation
27min 4Cameron Berg, MD, Matthieu DeClerck, MD, and Mike Weinstock, MD
Penetrating Eye Emergencies
From March 2019, Bun (Not) In The OvenWhen it comes to traumatic eye injuries, the stakes are high when missing potentially vision threatening concerns. Mizuho sits down with Dr.Andrea Wu, to discuss recognition, workup and diagnosis of emergent traumatic eye injuries.
22min 4Andrea Wu, MD, MMM and Mizuho Morrison, DO
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