Knee X-raysFrom December 2019, Medication Mishaps
Arun runs through a thoughtful approach to the knee exam that includes the Mnemonic “SLR-CDEF” as a reminder of what diagnosis we should think about with every knee injury. The mnemonic stands for Septic knee, Locked knee, Referred pain, Compartment syndrome, Dislocation (spontaneously reduced …15min 42Neda Frayha, MD, Matthieu DeClerck, MD, and Arun Sayal, MD
Elderly Hip PainFrom October 2019, SVT?! REVERT Me!
There are over 250,000 hip fractures per year in the US. Plain radiographs are 90% sensitive for hip fracture.. The most sensitive test for hip fracture is a MRI scan.12min 9Mike Weinstock, MD and Matthieu DeClerck, MD
Common SprainsFrom October 2019, SVT?! REVERT Me!
Management of sprains can be divided into the acute and functional phase. In the acute phase early range of motion exercises and techniques to manage pain and swelling are key aspects of treatment. In the functional phase the focus shifts more to emphasize strength, stability, and a return to …18min 27Matt Baird, MD, Neda Frayha, MD, and Matthew DeLaney, MD
What Would I Do Next? | Whiplash InjuriesFrom September 2019, Off The Cuff
We see patients who present after a MVA all the time. Knowing how to identify high risk neck injuries is critical. More often than not, patients after a good H&P need no workup and more education and reassurance. Jenny and Miz discuss how to properly evaluate whiplash injuries.21min 19Mizuho Morrison, DO and Jenny Beck-Esmay, MD
Rotator Cuff InjuriesFrom September 2019, Off The Cuff
“Doc, my shoulder hurts.” We hear this all the time. But how often do we have a thoughtful, stepwise approach to diagnosing and managing rotator cuff disease? Dr. Matt Baird, an EM and Sports Medicine specialist, gives our own Matt DeLaney the lowdown on rotator cuff injuries and how we can …21min 58Matt Baird, MD, Matthew DeLaney, MD, and Rick Pescatore, DO
Approach To Pediatric Back PainFrom September 2019, Off The Cuff
Back pain in kids is most commonly musculoskeletal but the differential diagnosis includes a few “can’t miss” diagnoses. When evaluating children with back pain, having a standardized approach that includes looking for the “red flags” in both the history and physical is important and helps the …22min 23Ilene Claudius , MD, Andrea Marmor, MD, and Mizuho Morrison, DO
Pediatric Ortho | 10 Can’t Miss FracturesFrom March 2019, Bun (Not) In The Oven
Toddlers fracture, pediatric fractures, nonaccidental trauma, • Summary: Mike and Matt interview Dr.Ilene Claudius, pediatric and adult emergency physician to review common pediatric fractures. Deciphering between non-accidental trauma and other common pediatric fractures is key!23min 45Ilene Claudius , MD and Matthieu DeClerck, MD
Listener Feedback & QuestionsFrom March 2019, Bun (Not) In The Oven
Patients with compressive lesions in the lumbosacral spine below the level of the conus medullaris may present with signs and symptoms of cauda equina syndrome. Symptoms are due to compression of multiple nerve roots of the cauda equina and may include pain radiating into one or both legs …15min 17Mike Weinstock, MD and Matthieu DeClerck, MD
Excellence in the Physical Exam Series | The Scaphoid BoneFrom January 2019, Can't We All Just Get Along?
Up to 10% of initial radiographs fail to detect a fracture, so initial treatment should be directed by clinical suspicion • 1/4 patients who present with scaphoid tenderness and initially negative x-rays will be subsequently diagnosed with a scaphoid fracture • MRI has a sensitivity of 88% (95 …7min 15Mike Weinstock, MD
Excellence in the Physical Exam Series | Anterior Cruciate Ligament InjuriesFrom December 2018, Head, Shoulders, Knees and Toes
A relatively new physical exam maneuver called the Lever test (also known as Lelli's test) looks promising as a potential new gold standard for ACL tears. The fist of one hand is placed under the patient's proximal calf, while the other hand grabs the patients's distal thigh just above the knee. A …7min 34Mike Weinstock, MD and Mike Pallaci, DO
Acromioclavicular (AC) Joint & Sternoclavicular (SC) Joint InjuriesFrom December 2018, Head, Shoulders, Knees and Toes
Rick, Miz, and Delaney discuss how we can do a better job of looking for injuries to the SC and AC joints that require unique consideration, treatment, or intervention.19min 1Mizuho Morrison, DO, Matthew DeLaney, MD, and Rick Pescatore, DO
Excellence in the Physical Exam Series | The AnkleFrom November 2018, Breaking Bad - Insulin Pumps and Mandibles
Mike and Marcus discuss the evaluation of the ankle. Starting with visual inspection, palpation, and then specific tests and also discuss Ottawa ankle rules.17min 13Mike Weinstock, MD and Matthew DeLaney, MD
Approach to Ankle FracturesFrom November 2018, Breaking Bad - Insulin Pumps and Mandibles
Fractures in the UC setting are very common. Most are straight forward but there a many pitfalls and complications that can be avoided by doing a thorough exam. The steps to this exam include the following: • Step 1: Don’t get distracted by the injury and miss other possible injuries • Step 2 …16min 49Matthieu DeClerck, MD and Mike Weinstock, MD
Excellence in the Physical Exam Series | The HipFrom October 2018, You'll Shoot Your Eye Out!
Mike and Deborah discuss the evaluation of the hip to evaluate for pathology.11min 49Mike Weinstock, MD and Deborah Rogers, DO
Intraarticular InjectionsFrom September 2018, Broken Toof...Now What???
Osteoarthritis (OA) of the knee is one of the most frequent forms of arthritis, especially in the elderly population, and is a major cause of pain and disability. The primary objective of the ED/UC physician is to rule out critical diagnoses. Once that has been accomplished the primary aim should …18min 40Matthew DeLaney, MD and Matthieu DeClerck, MD
Excellence in the Physical Exam Series | The BackFrom August 2018, Avoiding Burnout
A step by step walk through of a detailed physical exam of the back. Includes discussion of motor function and reflexes for L5-S1, special tests for lumbar disc herniation, and do not miss diagnoses.12min 28Mike Weinstock, MD and Holly Overmiller, DO
Excellence in the Physical Exam Series | The KneeFrom July 2018, The Blood Meals
Excellence in physical examination of the knee starts with inspection then progresses to palpation as well as tests including the drawer tests, lachann, and apley’s grind test to evaluate for a meniscus injury.12min 34Bob Culley, DO and Mike Weinstock, 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
Medical Legal 101 with Greg Henry - Focus on Back Pain, Pt 2From February 2017, The Barky Cough Conundrum
We see so many patients with back pain that it is easy to let our guard down. We need to maintain a high index of suspicion for epidural compression syndrome, abdominal aortic aneurysm, and cancer. The test of choice should be very sensitive to exclude the diagnosis. •21min 31Greg Henry, MD and Mike Weinstock, MD
Medical Legal 101 with Greg Henry - Focus on Back Pain, Pt 1From February 2017, The Barky Cough Conundrum
We see so many patients with back pain that it is easy to let our guard down. We need to maintain a high index of suspicion for epidural compression syndrome, abdominal aortic aneurysm, and cancer. The test of choice should be very sensitive to exclude the diagnosis. •13min 41Mike Weinstock, MD and Greg Henry, MD
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