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
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, Matthieu DeClerck, MD, and Tim Horeczko, MD, MSCR
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
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
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
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 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
Paper Chase #3 | The Long-term Effect of Acupuncture for Migraine Prophylaxis
From May 2018, Better Put A Ring On ItAmong patients with migraine without aura, true acupuncture may be associated with reduction in migraine recurrence compared with sham acupuncture or waiting list.
4min 4Nate Finnerty, MD and Brett Ebeling, MD
What Would I Do Next? | Transient Ischemic Attacks (TIA)
From May 2018, Better Put A Ring On ItMizuho interviews Jaime Hope on the topic of TIA identification and management from the UC setting. They discuss nuances and subtleties of a thorough neurologic exam and practical tips of pre-EMS transfer to the emergency department.
24min 10Mizuho Morrison, DO and Jaime Hope, MD
Asymptomatic Hypertension
From August 2017, Game of ImpostersWhat is the definition of hypertension? What do we have to do if anything when patients are asymptomatic with high blood pressure? Mike sits with Dr.Pallaci to discuss the morbidity and mortality associated with it and what workup (if any) is needed in the UC. •
28min 26Michael Palacci, DO and Mike Weinstock, MD
Pseudotumor
From August 2017, Game of ImpostersPseudotumor Cerebri, also known as idiopathic intracranial hypertension, is a condition of increased intracranial pressure without the presence of any structural lesions or cerebrospinal fluid abnormalities. Although it was previously named “benign intracranial hypertension” the name was …
16min 7Sam Ashoo, MD and Mizuho Morrison, DO
Multiple Sclerosis
From July 2017, Franks and BeansNeda Frayha and Dr. Shin review the diagnosis and treatment of Multiple Sclerosis
24min 47Neda Frayha, MD and Bob Shin, MD
Paper Chase 4 | Intranasal lidocaine Not Helpful For Migraine Patients
From July 2017, Franks and BeansNate and Brett review recent literature to keep clinicians up to date on latest data.
2min 32Nate Finnerty, MD and Brett Ebeling, MD
What Do I Do Next? 37 Year Old Woman with Headache
From January 2017, New Year Resolutions: Dissections, Flu and STD'sMike and Greg Henry break down the differential diagnostic possibilities with complaint of headache.
23min 36Mike Weinstock, MD and Greg Henry, MD
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