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
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
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
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
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 | 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
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
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
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
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
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
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 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
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
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
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 II
From June 2019, ID KillersMike and Dr. Kalantari discuss various types of deadly infections.
9min 39Mike Weinstock, MD and Annahieta Kalantari, 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
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