Excellence in the Physical Exam: Necrotizing FasciitisFrom December 2019, Medication Mishaps
Necrotizing fasciitis has a high mortality and symptoms may present insidiously as this is a fasciitis and not a cellulitis. Exam findings may range from fever to erythema to bullae, or even present simply as pain out of proportion to exam.13min 20Mike Weinstock, MD and Jenny Beck-Esmay, MD
Chagas DiseaseFrom August 2019, Disabilities Matter
Chagas disease is on the rise in the United States and becoming more widespread. Why? How do these patients present, and how do we make the diagnosis and then treat them appropriately? How can we prevent further transmission? In this segment, Drs. Mizuho Morrison and Neda Frayha review the ins and …17min 24Neda Frayha, MD and Mizuho Morrison, DO
Deadly Infections | Part IIFrom June 2019, ID Killers
Mike and Dr. Kalantari discuss various types of deadly infections.9min 39Mike Weinstock, MD and Annahieta Kalantari, DO
Deadly Infections | Part IFrom June 2019, ID Killers
Bacterial meningitis has a 100% mortality rate if left untreated. The causative organism is associated with the patients age. Less than 50% of patients will present with the triad of fever, neck stiffness and altered mental status. 20% of patients will be left with hearing loss, neuro disability or …17min 44Mike Weinstock, MD and Annahieta Kalantari, DO
What Would I Do Next | Orbital CellulitisFrom June 2019, ID Killers
Orbital cellulitis is a serious infection which requires intravenous antibiotics and may characterized by fever, pain with orbital motion, proptosis and can result in extension of infection to the cavernous sinus or brain.14min 58Jenny Beck-Esmay, MD and Mike Weinstock, MD
Excellence in the Physical Exam Series: AIDS PatientsFrom March 2019, Bun (Not) In The Oven
Physical exam clues to HIV diagnosis also depend on the CD4 count. Examination of the skin of HIV- infected individuals with CD4 counts < 200 commonly shows seborrheic dermatitis especially over the malar eminences, zoster scars, genital or perianal herpes simplex virus (HSV), and tinea. Oral …21min 48Rick Pescatore, DO and Mike Weinstock, MD
Deep Throat Badness - Part TwoFrom 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 OneFrom 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
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
Community Acquired PneumoniaFrom October 2018, You'll Shoot Your Eye Out!
Pneumonia is incredibly common, (2-4 million episodes/year). Patients often present to primary care or urgent care facilities seeking diagnosis and treatment. Diagnosis can be difficult or straightforward, but typically includes the clinical constellation of fever, cough, and sputum production …17min 28Mizuho Morrison, DO and Rick Pescatore, DO
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
Tick Borne Illness | Part 2From July 2018, The Blood Meals
Tick borne illnesses are common in the United States and tend to have a geographic distribution specific to the distribution of the tick vector. Bites commonly in the spring to early fall months when ticks are active and seeking out blood meals. The most common tick-borne illness in the US is lyme …20min 6Solomon Behar, MD and Jason Woods, MD
Tick Borne Illness | Part 1From July 2018, The Blood Meals
Tick borne illnesses are common in the United States and tend to have a geographic distribution specific to the distribution of the tick vector. Bites commonly in the spring to early fall months when ticks are active and seeking out blood meals. The most common tick-borne illness in the US is lyme …22min 7Solomon Behar, MD and Jason Woods, MD
What Would I Do Next? | Probe To BoneFrom July 2018, The Blood Meals
Diabetic foot ulcers are common in patients with chronic diabetes. They result from the poor glycemic control causing peripheral neuropathy and peripheral vascular disease which sets the stage for foot trauma that has difficulty healing appropriately. The Matt’s discuss management of patients with …17min 13Matthew DeLaney, MD and Matthieu DeClerck, MD
Fever in the Returning TravelerFrom June 2018, TRAUMArama
Fever is a common symptom in patients who travel internationally. While the overall rates of morbidity and mortality in these patients is low, providers must consider rare but potentially lethal causes of fever. A detailed travel history may help narrow down a differential diagnosis, but providers …22min 1Matthew DeLaney, MD and Christopher Greene, MD