Pediatric Nosebleeds
From December 2020, PECARN PieEpistaxis is a common complaint in the pediatric population, especially among toddlers and school-aged children. Most episodes of epistaxis will resolve before the child arrives at the clinic. Persistent or recurrent bleeding requires intervention. Matt and Matt discuss some options that go beyond …
17min 19Matthew DeLaney, MD and Matthieu DeClerck, MD
Paper Chase #5 | Topical TXA vs. Nasal Packing for Treatment of Epistaxis
From March 2018, Fibrillate into the Future!The addition of topical TXA for the treatment of epistaxis in patients taking antiplatelet medications resulted in faster bleeding resolution, less re-bleeding at 1 week, shorter ED LOS, and higher patient satisfaction compared with standard anterior nasal packing.
5min 28Nate Finnerty, MD and Brett Ebeling, MD
What Would I Do Next? | Perichondritis
From February 2018, Pericarditis: Getting To The Heart Of The MatterRick, Mike, and Miz discuss another cause of a “red ear” that you may not have thought about! Perichondritis is a unique infection of the auricle typically caused by Pseudomonas. It can have devastating effects and requires anti-pseudomonal antibiotic coverage and expedient evaluation by ENT.
15min 30Rick Pescatore, DO, Mizuho Morrison, DO, and Mike Weinstock, MD
Paper Chase #4 | Corticosteroids for Treatment of Sore Throat
From February 2018, Pericarditis: Getting To The Heart Of The MatterPatients receiving a single low dose corticosteroid for sore throat were twice as likely to have pain relief at 24 hours 1.5 times as likely at 48 hours.
2min 38Nate Finnerty, MD and Brett Ebeling, MD
Infectious Upper Airway Obstruction
From February 2018, Pericarditis: Getting To The Heart Of The MatterWhen a child presents to you in mild/moderate respiratory distress it is important that you have a practical plan of attack. Miz sits with Dr. A to discuss how to assess and quickly determine what a child may have based on exam alone.
22min 41Hrach Arutyunyan, MD and Mizuho Morrison, DO
Ear Barotrauma
From January 2018, Alphabet Soup: TXA & IVDATM perforation may present as pain or bleeding and is managed with steroid drops, either with or without an antibiotic. The TM perforation generally resolves on it’s own without complication
18min 29Mizuho Morrison, DO and Mike Weinstock, MD
Paper Chase #2 | Rapid Strep Testing Works
From January 2018, Alphabet Soup: TXA & IVDARapid strep testing is accurate and reliable.
3min 41Nate Finnerty, MD and Brett Ebeling, MD
TXA in the Urgent Care
From January 2018, Alphabet Soup: TXA & IVDATopical application of tranexamic acid to the bleeding surface has the potential to inhibit local fibrinolysis at the site of bleeding, reducing bleeding with minimal systemic effects. •
21min 52Matthieu DeClerck, MD and Nick Saade, MD
Michelle Lin : Tissue Adhesive Tips & Tricks
From November 2017, Ice, Ice BabyWhen applying cyanoacrylate glue in sensitive areas consider first applying a piece of tegaderm with a hole cut in the middle, to minimize the risk of the glue dripping. With an otic foreign body, apply a small amount of cyanoacrylate glue to the end of a cue tip, let it begin to dry, then touch it …
10min 6Michelle Lin, MD, Mizuho Morrison, DO, and Mike Weinstock, MD
Excellence in the Physical Exam Series | The Ear
From October 2017, Lacs Gone Wild!!!The ear exam starts with evaluation of the surrounding structures including the mastoid bone, pre-auricular area, cervical lymph nodes and throat. Some of the abnormalities seen with otoscopy may include otitis externa, otitis media, bullous myringitis and otitis media with effusion. The most …
6min 34Kurt Schmidt, DO and Mike Weinstock, MD
Quincke's Disease
From September 2017, Dissecting Into The Heart Of The MatterUvular Angioedema is when the uvula is enlarged and causes a potential airway obstruction. Eosinophilia in the peripheral blood suggests an allergic reaction as the etiology, however there are other causes. Miz and Mike review a case of uvular angioedema and discuss management and treatment of this …
16min 38Mizuho Morrison, DO and Mike Weinstock, MD
Paper Chase 2 | Steroid in Adults With Sore Throat Are Minimally Beneficial
From July 2017, Franks and BeansNate and Brett review recent literature to keep clinicians up to date on latest data.
3min 29Nate Finnerty, MD and Brett Ebeling, MD
What Do I Do Now? Sore Throat
From April 2017, Defend Yourself - Nightstick FracturesMike and Miz chat with Matt Declerk on the approach to a patient with a sore throat. The differential diagnosis, diagnosis and management of a potentially life threatening airway infection. •
18min 41Erin Smith, NP, Mizuho Morrison, DO, Matthieu DeClerck, MD, and Mike Weinstock, MD
Ears Aussie Style
From February 2017, The Barky Cough ConundrumReview strategies for diagnosing and managing otitis media.
24min 33Casey Parker, MD, Rob Orman, MD, and Andrew Buelt, DO
What Do I Do Now? Epiglottitis
From May 2016, Danger ZonesAcute epiglottitis is a life threatening infection of the upper airway that is time sensitive to diagnose. Recognizing red flags of its presentation and also which patients in whom you need to consider it could be the difference between life and death.
22min 32Mike Weinstock, MD and Mizuho Morrison, DO
Introduction: Triangle of Death
From May 2016, Danger ZonesMike and Miz discuss two cases of infections in the triangle of death of the face. How will this change your management? What potential complications do you need to consider? What are red flags for dural sinus thrombosis? •
14min 57Mizuho Morrison, DO and Mike Weinstock, MD
Complex Ear Lacerations
From January 2016, Mysteries of Tetanus & InfluenzaComplex ear lacerations can be very intimidating. When cartilage is involved or complex auricular hematomas need to be drained its important that these are treated correctly in the acute setting for optimal cosmetic wound healing. Brian Lin MD shares with Miz some pearls on management of complex …
21min 59Brian Lin, MD and Mizuho Morrison, DO
Bell's Palsy: That Was Then, This Is Now
From December 2015, Disruptive Docs, Patients & FacesWe discuss atypical presentations of Bell’s palsy, as discuss reasons for updates in treatment and management. •
20min 16Mel Herbert, MD, Stuart Swadron, MD, Billy Mallon, MD, Mizuho Morrison, DO, Mike Weinstock, MD, and Joe Lex, MD
Epistaxis
From August 2015, Facial Swelling, Headaches, and Getting Sued!From diagnosis to treatment to what we should worry about, Aaron and Jan clear up the confusion and turn epistaxis from a bad day to smiles all around.
24min 44Aaron Bright, MD and Jan Shoenberger, MD
What Do I Do Next – Facial Swelling
From August 2015, Facial Swelling, Headaches, and Getting Sued!Mike and Mizuho review a case of a woman with facial swelling. We discuss the differential diagnosis of a patient who presents with facial swelling and the final diagnosis of superior vena cava syndrome.
18min 7Mike Weinstock, MD and Mizuho Morrison, DO
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