DOAC Use and Head TraumaFrom December 2019, Medication Mishaps
Patients 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
When X-Rays LieFrom November 2019, Who's The Black Sheep?
Medical tests can lie. X-rays are simply a test. The purpose of any test is to affect our pre-test probability - it is not to make a diagnosis. Any test result (positive or negative) must be placed in the clinical context it is being used. We should have an expectation of any test before we order …11min 7Arun Sayal, MD, Neda Frayha, MD, and Matthieu DeClerck, MD
Erythrocyte Sedimentation Rate (ESR) & C-reactive Protein (CRP)From May 2019, Difficult patient vs. personality disorder?
ESR and CRP are readily available acute phase reactants. While these markers have a moderate degree of sensitivity for a wide variety of inflammatory and infectious processes, their lack of specificity limits their widespread use in clinical practice. •15min 8Matthew DeLaney, MD 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
Management of HyperkalemiaFrom January 2017, New Year Resolutions: Dissections, Flu and STD's
Miz and Mike discuss diagnosis and management of hyperkalemia in the UC setting.16min 45Mike Weinstock, MD and Mizuho Morrison, DO