Legal Lessons 6: Missread X-raysFrom September 2020, Get Your Game On
An infant with respiratory complaints may have pneumonia or a viral infection, but an expanded differential to include harder to find diagnoses such as myocarditis may decrease the rate of missed diagnoses and adverse outcomes.16minMike Weinstock, MD and Matthew DeLaney, MD
WDIDN Ankle Pain/MaisonneuveFrom September 2020, Get Your Game On
Even without a history of pain at the proximal fibula, a Maisonneuve fracture may be present. Specifically palpate the proximal fibula with each ankle pain/strain patient. Beware of patients who are anticoagulated as there may be rapid swelling which can compress the neurovasculature requiring …14min 43Mike Weinstock, MD and Jenny Beck-Esmay, MD
Bonus Short - COVID CXR Study and Findings in Ambulatory PatientsFrom April 2020, Bonus Short - COVID CXR Study and Findings in Ambulatory Patients
Drs. Mike Weinstock and Josh Russell, from Urgent Care RAP, just published a landmark COVID study: CXRs obtained from confirmed and symptomatic COVID-19 patients presenting to the UC were normal in 58.3% of cases, and normal or only mildly abnormal in 89% of patients.16min 48Mike Weinstock, MD, Josh Russell, MD, and Matthew DeLaney, MD
COVID: What If I Get Called In?From March 2020, COVID: What If I Get Called In?
Many healthcare workers are worried if we get called in to help with COVID patients because this may be outside our scope of practice. Aaron Bright, MD sits down with Salim Rezaie, MD to simplify critical frontline lessons to keep you and your patients safe if you get called in. Topics include …30min 58Aaron Bright, MD and Salim Rezaie, 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
Small Bowel ObstructionFrom September 2019, Off The Cuff
Rick and miz discuss clinical presentation, diagnosis and disposition of small bowel obstruction in the urgent care and pitfalls in the workup and diagnosis.8min 21Mizuho Morrison, DO and Rick Pescatore, DO
Approach To Chest X-Ray | Part 2From May 2019, Difficult patient vs. personality disorder?
When reading a chest x ray, first look from an anatomic perspective (look at bones, soft tissues, abdomen, heart, lungs (front door) and second look from a diagnostic perspective with easy to miss findings (free air, PTX, mass, hard to find infiltrates, pneumomediastinum.16min 37Matthew DeLaney, MD and Mike Weinstock, MD
Chest X-Ray Basics | Part OneFrom April 2019, April Showers, Syncope & Sprains
When evaluating a chest x-ray providers should ensure that the study has adequate penetration, projection and inspiration. In addition it is important to ensure that the patient is not rotated.16min 45Mike Weinstock, MD and Matthew DeLaney, MD
What Would I Do Next? | Abdominal X-rays For Pediatric ConstipationFrom December 2018, Head, Shoulders, Knees and Toes
Rick, Declerck, and Mike tackle the data behind x-rays in pediatric constipation and abdominal pain. The risks of radiation exposure and missed diagnoses are explored, and society guidelines and recommendations are reviewed to determine the best approach to pediatric abdominal imaging.12min 40Matthieu DeClerck, MD, Rick Pescatore, DO, and Mike Pallaci, DO