How to Identify the Sick(er) Asthmatic
From September 2019, Off The CuffAsthma is a common disease process and is also a common presentation to the Urgent Care setting. Most asthma exacerbations are easily controlled with inhaled Albuterol. But when a patient is having a severe asthma exacerbation the clock is ticking! Initiating therapy and immediate transfer to the …
13min 40Matthieu DeClerck, MD and Haney Mallemat, MD
Excellence In Physical Exam Series | Strep Throat
From September 2019, Off The CuffStrep throat has many physical exam findings, some of which are nonspecific such as erythema and others which are very specific such as palatine petechiae.
11min 21Matthieu DeClerck, MD and Mike Weinstock, MD
Introduction
From July 2019, The Half SomersaultThere is an easier approach to management of BPPV which patients can learn and use at home called the half somersault technique.
16min 51Mike Weinstock, MD and Matthieu DeClerck, MD
Pharyngitis
From June 2019, ID KillersRick and Matt tackle the surprisingly complex topic of pharyngitis and take a deep dive on the microbiology and considerations of antibiotic treatment.
18min 17Matthew DeLaney, MD and Rick Pescatore, DO
Lemierre’s Syndrome
From June 2019, ID KillersIf there is bacterial penetration from the throat to the internal jugular vein, septic thrombophlebitis can ensue, which is treated with anticoagulation in addition to antibiotics.
16min 48Mizuho Morrison, DO and Mike Weinstock, MD
Nasal Fractures
From 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
Deep Throat Badness - Part Two
From 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
Deep Throat Badness - Part One
From 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
Mandible Fractures
From November 2018, Breaking Bad - Insulin Pumps and MandiblesA mandible fracture often occurs from a blunt force injury. Adult fractures may result in significant displacement. It is important to palpate the entire mandible in a systematic fashion as well as to evaluate the mouth and to explore the wound looking for foreign bodies
12min 3Matthieu DeClerck, MD and Mizuho Morrison, DO
Perforated Tympanic Membrane
From November 2018, Breaking Bad - Insulin Pumps and MandiblesA traumatic tympanic membrane rupture is best diagnosed by physical examination of the ear and visualization of a perforation which may be accompanied by blood in the auditory canal. Symptoms may include pain, tinnitus, vertigo or bleeding. Management is by observation and close follow up.
12min 18Mike Weinstock, MD and Matthieu DeClerck, MD