WDIDN - What Do I Do Next: Headache and Paranoia
From September 2021, Is it a Burp or a Bolus?An examination of the neck starts with inspection for visible signs of trauma or distortion then extends to palpation for abnormal masses and includes range of motion which may reveal rigidity concerning for meningitis.
21min 26Kelly Wong, MD and Mike Weinstock, MD
Concussion
From July 2021, The Parched PatientIn this segment, we discuss an evidence-based approach to the diagnosis and management of concussions.
22min 18Matthew DeLaney, MD, FACEP, FAAEM and Matthieu DeClerck, MD
WDIDN: Simple Febrile Seizure
From April 2021, Go Away GonorrheaDr. Rose sits down to discuss the clinical approach to pediatric patients presenting with a febrile seizure including typical presentation, who requires ED referral, and appropriate clinical evaluation.
23min 44Emily Rose, MD, FAAEM, FAAP, FACEP, Matthieu DeClerck, MD, and Mizuho Morrison, DO
Syncope: What to worry about
From February 2021, Rice Rice BabyDr. Cameron Berg sits down with Matt and Miz to discuss which patients presenting with syncope we can confidently and safely send home, and who needs further evaluation at the Emergency Department.
21min 54Mizuho Morrison, DO, Matthieu DeClerck, MD, and Cameron Berg, MD
Migraine
From February 2021, Rice Rice BabyPatients with migraines often present to the urgent care in search of relief. Tarlan and Matt discuss caring for these patients from initial approach to treatment strategies.
30min 14Matthieu DeClerck, MD and Tarlan Hedayati, MD
Amplified Pain Syndromes Part 2
From January 2021, The Game ChangerAmplified pain syndromes and many forms of chronic pain demonstrate a final common pathway of central augmentation of pain processing. This can be a result of an injury but occurs without a traumatic precipitating event as well. There are often no signs of tissue inflammation in the area of pain …
22min 33Christopher Hahn, MD, Jenny Beck-Esmay, MD, and Mizuho Morrison, DO
Amplified Pain Syndromes Part 1
From January 2021, The Game ChangerAmplified pain syndromes and many forms of chronic pain demonstrate a final common pathway of central augmentation of pain processing. This can be a result of an injury but occurs without a traumatic precipitating event as well. There are often no signs of tissue inflammation in the area of pain …
23min 32Christopher Hahn, MD, Jenny Beck-Esmay, MD, and Mizuho Morrison, DO
PE basics: Parkinsons
From August 2020, Warts...Not Just a Toad ProblemParkinson’s disease may present with a resting tremor, rigidity, or mental status changes. Mike and Geoff explore the differential diagnosis as well as an approach to evaluation of patients with tremor and rigidity. •
13min 58Geoff Eubank, MD and Mike Weinstock, MD
PE basics: Multiple Sclerosis
From July 2020, UFBs: Unidentified Foreign BodiesMultiple sclerosis often follows a relapsing and remitting course with nonspecific symptoms such as sensory symptoms, unilateral vision loss, motor weakness and/or gait disturbance. Incidence and evaluation for MS is discussed in this segment. •
21min 2Mike Weinstock, MD and Geoff Eubank, MD
Legal Lessons: (Migraine v Stroke)
From May 2020, I Got The Gout!Patients with migraine headaches may have symptoms which overlap with more serious diagnoses such as stroke. Exploring past symptoms, risk factors for stroke, and current symptoms, may help with the differentiation between these two diagnoses. •
18min 44Mike Weinstock, MD and Matthew DeLaney, MD, FACEP, FAAEM
Excellence in the Physical Exam | Stroke
From November 2019, Who's The Black Sheep?Stroke is a common and devastating illness and sometimes is difficult to diagnose. Exam findings in stroke may include slurred speech, weakness, facial droop, and/or confusion.
17min 40Mike Weinstock, MD and Rick Pescatore, DO
Pediatric Headache
From July 2019, The Half SomersaultPediatric headaches are common. Thankfully the bad etiologies are rare. Having a consistent approach to the history and physical exam is essential to helping the clinician distinguish between the common, benign etiologies and the bad, rarer etiologies. Looking for the redflags in your history and …
20min 37Matthew DeLaney, MD, FACEP, FAAEM, Matthieu DeClerck, MD, and Timothy Horeczko, MD, MSCR, FACEP, FAAP
Excellence In The Physical Exam | Neuro Exam Part 2
From May 2019, Difficult patient vs. personality disorder?Performing a careful neurologic exam may unmask serious • neurological diseases such as a brain mass, multiple sclerosis, or epidural • compression syndrome. Watching the patient walk may unmask weakness or • lack of coordination which may assist in making a diagnosis. •
9min 33Mike Weinstock, MD and Geoff Eubank, MD
What Would I Do Next: Asymptomatic Hypertension
From April 2019, April Showers, Syncope & SprainsHypertension (HTN) is a common condition throughout the world, thought to affect a third of Americans. An urgent care patient with an elevated blood pressure (BP) presents a diagnostic and therapeutic challenge, as the spectrum of disease can span from the asymptomatic, chronic patient who needs …
26min 29Rick Pescatore, DO and Mike Weinstock, MD
Excellence In The Physical Exam Series | The Neuro Exam - Part One
From April 2019, April Showers, Syncope & SprainsPerforming a careful neurologic exam may unmask serious neurological diseases such as a brain mass, multiple sclerosis, or epidural compression syndrome.
12min 6Geoff Eubank, MD and Mike Weinstock, MD
Vitamin Deficiencies In Alcoholics
From December 2018, Head, Shoulders, Knees and ToesAlcoholics are susceptible to a whole host of medical problems, including a variety of vitamin deficiencies. Matt sits down with Andy Grock to discuss the most common vitamin deficiencies that may present to you in the outpatient setting.
18min 53Matthieu DeClerck, MD and Andrew Buelt, DO
Dystonic Reactions and Akathisias
From October 2018, You'll Shoot Your Eye Out!Acute extrapyramidal syndrome aka: drug-induced dystonias and akathisia are known side effects to commonly used medications that patients may be taking at home or that we may prescribe in the urgent care setting. The most commonly used medications that can lead to acute dystonia or akathisia …
22min 17Dave Diller, MD and Matthieu DeClerck, MD
Adult Problems in Kids: Pediatric Stroke
From September 2018, Broken Toof...Now What???Kids can have strokes?! Did you know that it is actually more common than pediatric brain tumors? Miz speaks to Emily Rose, MD Pediatric Emergency medicine specialist on the topic of pediatric stroke. What are the underlying causes, when to suspect it and how to manage it compared to adults.
27min 34Emily Rose, MD, FAAEM, FAAP, FACEP and Mizuho Morrison, DO
Migraine Management In The Urgent Care
From July 2018, The Blood MealsMiz chats with Harris Masket MD on the presentation and management of typical vs. atypical migraines. They review current treatment modalities and recommendations as well as pitfalls in migraine management.
18min 53Harris Masket and Mizuho Morrison, DO
Clinical Conundrums - Trigeminal Neuralgia
From June 2018, TRAUMAramaTrigeminal neuralgia can occur in a wide variety of patients and typically presents with unilateral facial pain. Providers who suspect trigeminal neuralgia should employ early imaging to rule other potential diseases. Carbamazepine is a reasonable first line agent yet a large majority of patients …
13min 41Malcom Thaler, MD and Matthew DeLaney, MD, FACEP, FAAEM
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