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
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
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
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
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
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
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: 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
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
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
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
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
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
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
Deep Throat Badness - Part OneFrom January 2019, Can't We All Just Get Along?
Miz and Matt Delaney discuss overall approach to patients young and old with potential deep throat and neck abscesses. Everything from the common peritonsillar abscess to life threatening retropharyngeal abscess more commonly seen in young children.21min 16Mizuho Morrison, DO and Matthew DeLaney, MD
HypomagnesemiaFrom January 2019, Can't We All Just Get Along?
Matt Delaney and Miz discuss the importance of low magnesium. They discuss clinically how it can increased myocardial irritability, lowers seizure threshold and increase neuronal hyperexcitability. They further discuss which patients are at high risk for this, workup and management and indications …11min 23Mizuho Morrison, DO and Matthieu DeClerck, MD
STI Testing - Is Urine Enough?From December 2018, Head, Shoulders, Knees and Toes
Typical tests for STI’s are either performed on a urine sample or from endovaginal/endocervical/penile swabs. For male patients, urine antigen testing has sufficient diagnostic accuracy to be used as the first-line test. For female patients urine antigen testing can accurately diagnose cases of …12min 23Charles Khoury, MD and Matthew DeLaney, MD