Fast Track PearlsFrom January 2020, Mainlining Madness
There are a variety of techniques that can be used to treat a bartholin cyst. Traditionally Word catheters have been the first line of treatment but marsupialization and silver nitrate can be used and have had similar rates of success and complications.16min 54Tarlan Hedayati, MD and Matthieu DeClerck, MD
Nerve Blocks for Headache TreatmentFrom November 2019, Who's The Black Sheep?
Matt DeClerk interviews pain expert Dr.Rick Pescatore on the data surrounding analgesic efficacy of trigger point injections for myofascial pain syndromes. They go into how to perform a trigger point injection in the outpatient setting, should you elect to try this method of pain control. •12min 38Neda Frayha, MD, Matthieu DeClerck, MD, and Rick Pescatore, DO
Excellence In Physical Exam Series | ACE Inhibitor AngioedemaFrom October 2019, SVT?! REVERT Me!
ACE inhibitor angioedema has a range of presentations from mild lip swelling to airway closure – an exam starts with observing the patient for signs of respiratory distress and then obtaining a good view of the posterior pharynx looking for glottal edema and posterior pharyngeal edema.11min 20Jesse Nichos, DO and Mike Weinstock, MD
How to Identify the Sick(er) AsthmaticFrom September 2019, Off The Cuff
Asthma is a common disease process and is also a common presentation to the Urgent Care setting. Most asthma exacerbations are easily controlled with inhaled Albuterol. But when a patient is having a severe asthma exacerbation the clock is ticking! Initiating therapy and immediate transfer to the …13min 40Matthieu DeClerck, MD and Haney Mallemat, MD
Excellence In Physical Exam Series | Strep ThroatFrom September 2019, Off The Cuff
Strep throat has many physical exam findings, some of which are nonspecific such as erythema and others which are very specific such as palatine petechiae.11min 21Matthieu DeClerck, MD and Mike Weinstock, MD
Excellence In The Physical Exam Series | AppendicitisFrom August 2019, Disabilities Matter
Appendicitis is more likely with fever, right lower quadrant pain on palpation, positive rovsing's sign, psoas sign or obturator sign though there are no exam findings which absolutely rule in or out appendicitis17min 16Mike Weinstock, MD and Mike Pallaci, DO
Excellence In The Physical Exam | Congestive Heart FailureFrom July 2019, The Half Somersault
Heart failure is a common illness with a high mortality, in fact higher than AIDS and many malignancies. We need to make the diagnosis on a previously well pt w SOB as well as make the diagnosis on a pt w a hx of HF who has an exacerbation.16min 23Rick Pescatore, DO and Mike Weinstock, MD
IntroductionFrom July 2019, The Half Somersault
There is an easier approach to management of BPPV which patients can learn and use at home called the half somersault technique.16min 51Mike Weinstock, MD and Matthieu DeClerck, MD
Excellence In The Physical Exam Series | EndocarditisFrom June 2019, ID Killers
Endocarditis is a potentially life threatening infection which occurs more • frequently in injection drug users, and in patients with indwelling vascular • devices. The diagnosis can be made from clinical suspicion and specific • physical exam findings including a heart murmur.10min 56Mike Weinstock, MD and Jenny Beck-Esmay, MD
Excellence In The Physical Exam | Neuro Exam Part 2From 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 OneFrom April 2019, April Showers, Syncope & Sprains
Performing 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
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
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
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
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
Excellence in the Physical Exam Series | The ChestFrom September 2018, Broken Toof...Now What???
Mike and Jesse discuss the physical exam basics of the chest including the skin, breast area, and chest wall.9minMike Weinstock, MD, Jesse Nichos, DO, and Michael Palacci, DO
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
Excellence in Physical Exam Series | The WristFrom June 2018, TRAUMArama
Finkelstein’s Test is a special test that will aid in diagnosis of De Quervain’s Tenosynovitis. Examiner should grasp thumb and then deviate the wrist in the ulnar direction. Reproduction of pain along the styloid of the radius is a positive Finkelstein’s Test. Chad and Mike discuss De Quervain’s …15min 35Mike Weinstock, MD and Chad Buffkin, DO
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