PE Basics: HSPFrom October 2020, The Game Bag
Henoch-Schönlein purpura is a vasculitis which is typically preceded by an upper respiratory tract infection and most commonly affects the kidneys and gastrointestinal tract.14min 11Ilene Claudius , MD and Mike Weinstock, MD
LiceFrom September 2020, Get Your Game On
Lice are a common infestation, especially in pediatric patients. Thankfully, treatment is often very straight forward and successful. The key to diagnosis is inspection for live louse, nits, and eggs. First line treatment includes wet combing, topical pediculicides, or shaving of hair. Second line …23min 38Brittney DeClerck, MD, Mizuho Morrison, DO, and Matthieu DeClerck, MD
Blinking Bug BiteFrom September 2020, Get Your Game On
Mike and Matt discuss a patient presenting with Quincke’s Pulse which is a finding associated with aortic insufficiency resulting in focal arterial dilatation. Here, the arterial dilatation in the area of the bite led to an inability of arterioles to maintain sufficient pressure during diastole …9min 24Mike Weinstock, MD and Matthieu DeClerck, MD
WartsFrom August 2020, Warts...Not Just a Toad Problem
Viral warts are common in children and most resolve spontaneously without treatment. Salicylic acid with regular paring and occlusion is the preferred treatment for cutaneous viral warts. Cryotherapy in combination with salicylic acid is recommended as a second line treatment. •31min 37Mizuho Morrison, DO, Brittney DeClerck, MD, and Matthieu DeClerck, MD
Sunscreen BasicsFrom August 2020, Warts...Not Just a Toad Problem
While sunscreen is heavily regulated the evidence behind efficacy and potential risks is mixed. From variable degrees of sun protection, to concerns about potential systemic absorption, minor differences in product labelling may signify significantly different products. •19min 34Mizuho Morrison, DO and Matthew DeLaney, MD
Excellence in the Physical Exam: Contact DermatitisFrom June 2020, Hangry
Contact dermatitis can be first divided into irritant contact dermatitis (ie industrial cleaners) and allergic contact dermatitis (poison ivy, nickel, fragrances) then further diagnosed by the characteristics of the skin lesion as well as the distribution on the body. •12min 57Jenny Beck-Esmay, MD and Mike Weinstock, MD
Shooters AbscessFrom June 2020, Hangry
Shooters abscesses tend to be larger and can lead to a more complicated incision and drainage than typical abscesses that present in the urgent care setting. Jess and Matt discuss common presentations, complications and management of these infections. •17min 34Matthieu DeClerck, MD and Jessica Osterman, MD
What Would I Do Next? | Petechial RashFrom July 2019, The Half Somersault
Acute Leukemia should be considered when there is a critically elevated WBC, thrombocytopenia and symptoms such as H/A, fatigue. however, there are other causes. Brad and Mike review a case of acute leukemia and discuss evaluation & differentiation from ITP/TTP vs non-accidental trauma in children.20minBrad Goldman, MD and Mike Weinstock, MD
Sacral PainFrom February 2019, No...You Aren't Gonna Die!
Miz and Mike talk to Dr.Rajesh Geria to discuss a case of a young woman with sacral pain. After multiple misdiagnosis, the pt was ultimately diagnosed with a pilonidal cyst. They discuss the importance of a focused exam, particularly looking at the area of concern. Also management of this diagnosis …18min 50Rajesh Geria, MD, FACEP, RDMS, Mizuho Morrison, DO, and Mike Weinstock, 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
TineaFrom September 2018, Broken Toof...Now What???
Tinea Corporis, Tinea Cruris, and Tinea Pedis are common superficial fungal infections of the skin. There are distinct clinical presentations that can assist the clinician in making the correct diagnosis (patterns, rash characteristics, location on body, KOH prep, etc). Treatment is relatively …28min 44Mizuho Morrison, DO, Matthieu DeClerck, MD, and Brittney DeClerck, MD
CalciphylaxisFrom August 2018, Avoiding Burnout
Sam and Miz discuss the diagnosis of calciphylaxis, which are indolent lesions involving the thighs commonly in dialysis patients. Typically gradual in onset, we need to consider calciphylaxis (CUA) if a necrotic core is present. This disease is rare but has a high mortality rate associated, hence …17min 57Mizuho Morrison, DO and Sam Ashoo, MD
SUNBURNSFrom July 2018, The Blood Meals
About half of US adults suffer from sunburn each year, and nearly 2/3 of all children. More than 30,000 visits to EDs and UCs every year for sunburn injuries. As much as we fear sunburn, 47% of the US population are unlikely to protect themselves from sun exposure. Erythema from sunburn is usually …21min 33Rick Pescatore, DO and Mike Weinstock, MD
Contact DermatitisFrom July 2018, The Blood Meals
Skin eruptions are a common presentation in the urgent care, primary care, and pediatric setting. Contact dermatitis accounts for a significant number of these visits. 2 main categories of dermatitis: Irritant Contact Dermatitis (ICD) and Allergic Contact Dermatitis (ACD) can be confusing to …23min 49Matthieu DeClerck, MD and Brittney DeClerck, MD
Diaper RashFrom May 2018, Better Put A Ring On It
Miz and Matt interview Dr.Brittney Declerck on the diagnosis and management of diaper dermatitis.21min 8Mizuho Morrison, DO, Matthieu DeClerck, MD, and Brittney DeClerck, MD
MononucleosisFrom April 2018, Hacking Up A Lung
Patients with mononucleosis may present with non-specific symptoms that may be treated with antibiotics. Traditional teachings have maintained that ~100% of patients with mono who take antibiotics will develop a rash. In reality a minority of these patients will develop this complication. When …15min 34Matthew DeLaney, MD and Mike Weinstock, MD
Varicella In PregnancyFrom October 2017, Lacs Gone Wild!!!
Sam Ashoo reviews for us a case of varicella in pregnancy, management guidelines and what to do if you diagnose varicella in a pregnant patient.16min 19Sam Ashoo, MD and Matthew DeLaney, MD
Plantar WartsFrom May 2017, Pain in the Neck!
Plantar warts are a frequently seen in the primary care office. Drs. Buelt and Anderson review the literature around the more common place, and the obscure, treatment options. From doing to nothing, to duct tape, to topical immunomodulators, options are varied and broad. •11min 49Jake Anderson, MD and Andrew Buelt, DO
Benign Newborn RashesFrom April 2017, Defend Yourself - Nightstick Fractures
Sol and Danelle discuss common newborn rashes that are benign, recognition and management.21min 6Solomon Behar, MD and Danelle Fisher, MD
Phytodermatitis: Poison Oak/Ivy/Sumac DermatitisFrom April 2017, Defend Yourself - Nightstick Fractures
Review Phytodermatitis (an type of Allergic Dermatitis) caused by 3 plants of the Toxicodendron Species (formerly called Rhus). The 3 plant being reviewed will be Poison Ivy (T radicans), Poison Oak (T diversilobum), and Poison Sumac (T vernix). We will review diagnosis, treatment, complications …24min 19Matthieu DeClerck, MD and Mike Weinstock, MD
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