What Would I Do Next? | Diarrhea
From August 2018, Avoiding BurnoutWe see diarrhea all of the time, but knowing when to work it up and treat vs provide supportive management is key! Not all diarrhea needs antibiotics! Miz, and Matt sit down with Tarlan Hedayati MD to discuss the nuances and algorithmic approach to diarrhea management.
28min 14Mizuho Morrison, DO, Matthieu DeClerck, MD, and Tarlan Hedayati, MD
Mononucleosis
From May 2018, Better Put A Ring On ItMononucleosis is a common viral illness that will often present with fatigue, lymphadenopathy and sore throat. While most patients with mono have a benign self-limited course, providers need to be vigilant for patients with splenomegaly who are at risk of possible rupture.
24min 18Matthew DeLaney, MD
Fever in HIV Patients
From May 2018, Better Put A Ring On ItFever in HIV-AIDS patients remains a challenge. HAART has contributed to a decrease in its incidence but has not altered the spectrum of causes. It is a common cause of admission to hospitals and is associated with substantial cost and significant mortality. In most cases fever of unknown origin in …
18min 37Neda Frayha, MD and Matthieu DeClerck, MD
Diaper Rash
From May 2018, Better Put A Ring On ItMiz 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
Are You Sure It’s Cellulitis?
From March 2018, Fibrillate into the Future!Many times patients who present with an inflamed lower extremity are diagnosed with cellulitis. However before we jump to this diagnosis, it’s important to stop and consider other diagnosis. Greg Moran, EM/IM and infectious disease expert shares his insights and reviews recent treatment …
20min 58Matthew DeLaney, MD, Mizuho Morrison, DO, and Greg Moran, MD
Pericarditis
From February 2018, Pericarditis: Getting To The Heart Of The MatterPericarditis is a non-life threatening cause of chest pain that can be diagnosed using a combination of historical elements, exam findings, and an EKG. While the majority of patients with pericarditis have a benign clinical course, providers should consider the likelihood of other non-benign causes …
17min 14Matthew DeLaney, MD and Mike Weinstock, MD
Paper Chase #1 | Traditional Flu Tests Are Inaccurate
From January 2018, Alphabet Soup: TXA & IVDADigital immunoassays and rapid nucleic acid amplification tests showed significantly higher sensitivities for influenza A and B when compared to traditional point of care testing, with equally high specificities. •
4min 20Nate Finnerty, MD and Brett Ebeling, MD
IVDU Complications
From January 2018, Alphabet Soup: TXA & IVDAMike and Rick discuss detailed pathophysiology and advanced considerations in the IV drug user. High-risk injection practices and ways to provide best care and harm reduction are discussed. •
25min 35Rick Pescatore, DO and Mike Weinstock, MD
Paper Chase #2 | Symptoms of Pertussis in Adults vs Children
From December 2017, Lucy In The Sky With DiamondsBottom Line: In adult patients, the presence of whooping or posttussive vomiting can rule in a possible diagnosis of pertussis, whereas the lack of a paroxysmal cough or the presence of fever should rule it out. In children, posttussive vomiting is less helpful.
4min 14Nate Finnerty, MD and Brett Ebeling, MD
HIV Post Exposure Prophylaxis & Pre Exposure Prophylaxis
From October 2017, Lacs Gone Wild!!!Sanjay Arora reviews the indications and management recommendations for HIV post-exposure prophylaxis. •
12min 46Brandon Grove, MD, Sanjay Arora, MD, and Mizuho Morrison, DO
What Would I Do Next? 18yo Male with Hand Laceration, Part 2
From June 2017, A Disposition Conundrum?!Review high risk hand lacerations. Practical approaches to discussing high risk wounds with patients.
15min 58Greg Henry, MD and Mike Weinstock, MD
What Would I Do Next? 18yo Male with Hand Laceration, Part 1
From June 2017, A Disposition Conundrum?!Review high risk hand lacerations. Practical approaches to discussing high risk wounds with patients.
14min 33Mike Weinstock, MD and Greg Henry, MD
Paper Chase 3 - Sterile Gloves Not Necessary For Simple Cutaneous Procedures
From June 2017, A Disposition Conundrum?!Review Comparison of Sterile vs. Nonsterile Gloves in Cutaneous Surgery and Common Outpatient Dental Procedures A Systematic Review and Meta-analysis. •
3min 2Mike Weinstock, MD and Nate Finnerty, MD
Measles & Important FDA Releases
From May 2017, Measles & Important FDA ReleasesAndrew covers a recent measles outbreak in the US; discusses a new contraindication warning just released by the FDA regarding codeine & kids; and finally debunks concerns regarding the side effects of fluoroquinolones on the aorta & retina just released by the FDA. Find it all here on this months …
4min 24Andrew Buelt, DO
Plantar Warts
From 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
The Urgent Care RAP Hot Sheet: April 2017
From April 2017, The Urgent Care RAP Hot Sheet: April 2017Its April, so Mizuho and Andrew bring you the latest on recent drug recalls, as well as an update on a huge outbreak of mumps! Could this outbreak be near you? Find out on this month’s Hot Sheet!
6min 49Andrew Buelt, DO and Mizuho Morrison, DO
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
Abdominal Pain - Not The Usual Suspects
From March 2017, You Broke It Where??Abdominal pain is the black hole of differential diagnostics! It can be anything. Mike and Nate review a case of a young man with LUQ pain who suffered an interesting complication. •
19min 58Nate Finnerty, 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
Paper Chase 5 | Cranberry Capsules and Pyuria in Nursing Home Patients
From February 2017, The Barky Cough ConundrumMike and nate review a study which looks at efficacy of cranberry in preventing UTI’s.
5min 49Mike Weinstock, MD and Nate Finnerty, MD
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