Excellence in the PE - Pediatric URI
From April 2020, Hang Over PalpitationsWe see many children presenting with the signs and symptoms of an upper respiratory infection. Mike discusses what to look for and when to be concerned about respiratory distress and when to consider an ED transfer versus sending home. •
15min 40Christina Wika, DO and Mike Weinstock, MD
DKA in the UC
From April 2020, Hang Over PalpitationsDoctor’s Beck-Esmay and Morrison discuss the approach to DKA in the urgent care setting. They discuss how to recognize and diagnose DKA in addition to appropriate next steps in patient management.
15min 33Jenny Beck-Esmay, MD and Mizuho Morrison, DO
COVID: What If I Get Called In?
From March 2020, COVID: What If I Get Called In?Many healthcare workers are worried if we get called in to help with COVID patients because this may be outside our scope of practice. Aaron Bright, MD sits down with Salim Rezaie, MD to simplify critical frontline lessons to keep you and your patients safe if you get called in. Topics include …
30min 58Aaron Bright, MD and Salim Rezaie, MD
Urinalysis Interpretation: Part II
From March 2020, Fight Bites & Cup O' Noodles...Pain, No Gain!Both urine dipstick and urine microscopy are reasonable first line tests for patients who have signs of a urinary tract infection. For healthy females with uncomplicated cystitis no further testing is required. For other patients, clinicians should consider ordering a urine culture. For most …
8min 47Matthew DeLaney, MD and Doug Wallace, MD
Obesity Considerations In Urgent Care
From March 2020, Fight Bites & Cup O' Noodles...Pain, No Gain!Patients who are morbidly obese require an individualized approach to diagnosis and management based on increased risk of comorbid conditions including diabetes and sleep apnea. •
12min 39Mizuho Morrison, DO and Mike Weinstock, MD
Urinalysis Interpretation: Part I
From March 2020, Fight Bites & Cup O' Noodles...Pain, No Gain!Both urine dipstick and urine microscopy are reasonable first line tests for patients who have signs of a urinary tract infection. For healthy females with uncomplicated cystitis no further testing is required. For other patients, clinicians should consider ordering a urine culture. For most …
16min 27Matthew DeLaney, MD and Doug Wallace, MD
Pneumonia Updates - Diagnostics (Part I)
From February 2020, Clear as Mud...IDSA Guideline Pneumonia updatesMatthew and Rick discuss the new IDSA updates regarding the diagnosis, disposition and treatment of patients with possible community acquired pneumonia. •
17min 29Matthew DeLaney, MD and Rick Pescatore, DO
Pneumonia Treatment Updates - Treatment (Part II)
From February 2020, Clear as Mud...IDSA Guideline Pneumonia updatesMatthew and Rick discuss the new IDSA updates regarding the diagnosis, disposition and treatment of patients with possible community acquired pneumonia. •
16min 35Matthew DeLaney, MD and Rick Pescatore, DO
What do I do next? | A Pain in the Butt
From February 2020, Clear as Mud...IDSA Guideline Pneumonia updatesPatients presenting with rectal pain have a broad differential diagnosis which includes hemorrhoidal pain, peri-rectal and peri-anal abscess, fistulae, referred pain from intra-abdominal and genital sources, and proctalgia fugax. Rick and Mike discuss the case of a young man who presented with …
16min 12Mike Weinstock, MD and Rick Pescatore, DO
A Case of a Broken Heart
From February 2020, Clear as Mud...IDSA Guideline Pneumonia updatesStress cardiomyopathy is generally a transient systolic dysfunction of the left ventricle that is often caused by an emotional or physical trigger. Conservative treatment and resolution of the physical or emotional stress usually result in rapid resolution of symptoms, although some patients …
12min 50Matthieu DeClerck, MD and Matthew DeLaney, 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 Flanary, MD, Mike Weinstock, MD, and Neda Frayha, MD
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
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
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
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
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 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
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
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
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