Zoster-Ramsey Hunt
From January 2020, Mainlining MadnessHerpes zoster may present with prodromal symptoms of itching or paresthesias, typically occurs in a dermatomal distribution and may result in post-herpetic neuralgia and/or scarring.
12min 29Matthieu DeClerck, MD and Josh Russell, MD
PE basics - Joint Pain
From January 2020, Mainlining MadnessComparison of the physical exam findings between 3 types of arthritis.
9min 43Ben Trotter, DO and Mike Weinstock, MD
Flashers and Floaters with Dr. Glaucomflecken
From January 2020, Mainlining MadnessEver wondered what to do when a patient has flashers or floaters? None other than Dr. Glaucomflecken is here to teach Mike and Neda about how to tell these presentations apart, how to manage them, and when to call your friendly local ophthalmologist.
19min 59Will Flanery, MD, Mike Weinstock, MD, and Neda Frayha, MD
What Do I Do Next: Cough
From January 2020, Mainlining MadnessThe differential diagnosis of cough is large and can be narrowed down by finding other symptoms associated with the cough such as fever, hemoptysis, weight loss, or chest pain.
15min 1Jenny Beck-Esmay, MD and Mike Weinstock, MD
Occupational Health in the UC
From January 2020, Mainlining MadnessUrgent Care’s are well suited to provide care to patients presenting with work related injuries. The delivery of care for these patients does not differ in terms of diagnosis, examination, and treatment for such injuries. No specific accreditation is required to care for this patient population …
22min 46Andy Barnett, MD and Matthieu DeClerck, MD
PE Algorithm in Minutes
From January 2020, Mainlining MadnessTo explore clarify the difference in Wells score for DVT vs Pulmonary emboli (PE) and review the utilization of Wells Score and PERC and how to apply these scoring systems in a practical algorithm.
27min 56Salim Rezaie, MD and Mizuho Morrison, DO
IV Drug Use (IVDA)
From January 2020, Mainlining MadnessPatients who use IV drugs may have infections far removed from the site of the injection of drugs including endocarditis and pulmonary abscess. Examining a patient specifically for these complications will help in making the correct diagnosis.
16min 54Mizuho Morrison, DO and Mike Weinstock, MD
Knee X-rays
From December 2019, Medication MishapsArun runs through a thoughtful approach to the knee exam that includes the Mnemonic “SLR-CDEF” as a reminder of what diagnosis we should think about with every knee injury. The mnemonic stands for Septic knee, Locked knee, Referred pain, Compartment syndrome, Dislocation (spontaneously reduced …
15min 42Neda Frayha, MD, Matthieu DeClerck, MD, and Arun Sayal, MD
Ophthalmology Basics
From December 2019, Medication MishapsWhile eye complaints are common in the UC, true eye related emergencies are fortunately rare. Any patient with sudden painful vision loss, binocular diplopia or possible penetrating globe injury should be seen emergently by an ophthalmologist.
26min 5William Flanary, MD, Matthew DeLaney, MD, and Neda Frayha, 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
Pre & Post Menopausal Vaginal Bleeding
From November 2019, Who's The Black Sheep?Neda sits down with Megan Jones, high risk OB/GYN who you’ve heard on our shows before. She’s a fantastic educator and breaks down the algorithmic approach for the pre vs. post menopausal vaginal bleeding to know what to do in the urgent phase versus what can be worked up by Gynecology.
18min 48Megan Jones, MD and Neda Frayha, MD
DVT | Advanced
From November 2019, Who's The Black Sheep?Regardless of your clinical setting, DVT’s are a common entity that we need to be very comfortable working up and treating. And though on the surface the workup and Tx is seemingly straightforward...the truth is there are some nuances and special cases that aren’t completely intuitive...Mizuho …
21min 36Salim Rezaie, MD and Mizuho Morrison, DO
What would I do next? | A patient with neck pain and fever
From November 2019, Who's The Black Sheep?The differential diagnosis of neck pain is broad, but the presence of unexplained fever or a history of intravenous drug use increases the index of suspicion for a cervical epidural abscess.
19min 14Matthew DeLaney, MD and Mike Weinstock, MD
DVT | Essentials
From November 2019, Who's The Black Sheep?Regardless of your clinical setting, DVT’s are a common entity that we need to be very comfortable working up and treating. And though on the surface the workup and Tx is seemingly straightforward...the truth is there are some nuances and special cases that aren’t completely intuitive...Mizuho …
13min 31Salim Rezaie, MD and Mizuho Morrison, DO
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
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
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
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