WWIDN - Acute Kidney InjuryFrom August 2019, Disabilities Matter
Patients 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
Sympathomimetic vs Anticholinergic ToxicityFrom August 2019, Disabilities Matter
Sympathomimetic 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
First Trimester Vaginal BleedingFrom August 2019, Disabilities Matter
Vaginal 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
Thyroid Emergencies Part 1 | Thyroid StormFrom July 2019, The Half Somersault
Extremes 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
Thyroid Emergencies Part 2 | Myxedema ComaFrom July 2019, The Half Somersault
Extremes 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
Obsessive-Compulsive DisordersFrom July 2019, The Half Somersault
Ever 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
Deadly Infections | Part IFrom June 2019, ID Killers
Bacterial 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
Deadly Infections | Part IIFrom June 2019, ID Killers
Mike and Dr. Kalantari discuss various types of deadly infections.9min 39Mike Weinstock, MD and Annahieta Kalantari, DO
Accelerated Protocols: PE PathwaysFrom June 2019, ID Killers
Let’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
Personality Disorders and The Difficult Patient | Part 1From 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
Nasal FracturesFrom 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 | 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
What Would I Do Next: Asymptomatic HypertensionFrom April 2019, April Showers, Syncope & Sprains
Hypertension (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
Chest PainFrom March 2019, Bun (Not) In The Oven
Patients 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 evaluation27min 4Cameron Berg, MD, Matthieu DeClerck, MD, and Mike Weinstock, MD
Colicky BabiesFrom March 2019, Bun (Not) In The Oven
Colic 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
Penetrating Eye EmergenciesFrom March 2019, Bun (Not) In The Oven
When 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
What Would I Do Next? | Ectopic PregnancyFrom March 2019, Bun (Not) In The Oven
Ectopic 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
BalanoposthitisFrom January 2019, Can't We All Just Get Along?
Balanitis describes inflammation of the glans penis and posthitis means inflammation of the prepuce. In practice, both areas are often affected together, and the term balanoposthitis then used. While the most common cause of balanoposthitis is non-specific or irritant use, there are several …19min 4Mizuho Morrison, DO, Rick Pescatore, DO, and Matthew DeLaney, MD
Perianal StrepFrom January 2019, Can't We All Just Get Along?
Walker Foland discusses a case of anal streptococcus that he diagnosed and treated in a child. He discusses differential diagnosis and management of this condition.11min 3Rob Orman, MD
Deep Throat Badness - Part TwoFrom January 2019, Can't We All Just Get Along?
Miz and Matt Delaney discuss Ludwigs angina diagnosis, management and treatment. They go on to discuss parapharyngeal space abscesses (aka: pharyngomaxillary or lateral pharyngeal space abscess) which can arise via contiguous spread of infection from a PTA or RPA.9min 52Mizuho Morrison, DO and Matthew DeLaney, MD
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