Sympathomimetic vs Anticholinergic ToxicityFrom August 2019, Disabilities Matter
Sympathomimetic and Anticholinergic toxicity have many clinical similarities. In this piece Dr. Spyres outlines the different causes of each syndrome as well as their distinct clinical presentations that can help the clinician diagnose and treat each appropriately.18min 2Meghan Spyres, MD, Mizuho Morrison, DO, and Mike Weinstock, MD
Opiate Prescribing In The Urgent CareFrom April 2019, April Showers, Syncope & Sprains
The opioid crisis is the most catastrophic and enduring public health crisis of our time. Recent legislative advances have provided more tools for clinicians to fight the epidemic.14min 57Mike Weinstock, MD and Rick Pescatore, DO
Vitamin Deficiencies In AlcoholicsFrom December 2018, Head, Shoulders, Knees and Toes
Alcoholics 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 AkathisiasFrom 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
Carbon Monoxide ToxicityFrom December 2017, Lucy In The Sky With Diamonds
Jenny Beck-Esmay shares a case she had of two children who were accidentally exposed to carbon monoxide. She shares red flags to their history and presentation. An important reminder especially during flu season where patients may present with similar manifestations.12min 59Jenny Beck-Esmay, MD, Megan Johnson, MD, and Mizuho Morrison, DO
Lucy In The Sky With DiamondsFrom December 2017, Lucy In The Sky With Diamonds
Mike tells Miz about a case of a 4 year old girl with a toxic ingestion of an unknown substance. They discuss the differential diagnosis of a child with altered mental status and clinical clues as well as historical pertinent facts that help make this diagnosis.22min 11Mizuho Morrison, DO and Mike Weinstock, MD
Rattlesnake Bites, Part 2From August 2017, Game of Imposters
There are four venomous snakes to know in the continental United States that are the vast majority of snake bites that present for medical care—rattlesnakes, copperheads, cottonmouths, and coral snakes. Lisa Patel Pediatric hospitalist sits with Mizuho Spangler to review the basics in management …11min 51Lisa Patel, MD and Mizuho Morrison, DO
Rattlesnake Bites, Part 1From August 2017, Game of Imposters
There are four venomous snakes to know in the continental United States that are the vast majority of snake bites that present for medical care—rattlesnakes, copperheads, cottonmouths, and coral snakes. Lisa Patel Pediatric hospitalist sits with Mizuho Spangler to review the basics in management …16min 42Mizuho Morrison, DO and Lisa Patel, MD
Spiders BitesFrom July 2017, Franks and Beans
Spider bites of clinical consequence are rare. In North America there are only a few spiders whose bites cause clinically relevant pathology requiring medical treatment beyond basic wound care. These species and the clinical picture resulting from their bites are reviewed in this segment. •15min 9Mizuho Morrison, DO and Matthieu DeClerck, MD
Cannabis Hyperemesis SyndromeFrom June 2017, A Disposition Conundrum?!
Understand pathophysiology, diagnosis and management of cyclical vomiting syndrome. •13min 52Jeff Lapoint, MD and Mizuho Morrison, DO
What Would I Do Next? | Serotonin SyndromeFrom May 2017, Pain in the Neck!
Sam Ashoo presents a case of a young woman who presents with serotonin syndrome after being prescribed a medication from the UC that triggered this condition. Mike and Miz review serotonin syndrome with Sam to understand the medications that can trigger it and how to identify this diagnosis. •21min 5Mizuho Morrison, DO, Mike Weinstock, MD, and Sam Ashoo, MD
Drugs Not to Use in Myasthenia GravisFrom June 2016, Things That Go South
Myasthenic patients live in a delicate balance between movement and paralysis. Certain medications, like antibiotics and steroids, can tip them over the edge.11min 11Bryan Hayes, PharmD and Rob Orman, MD
Functional DyspepsiaFrom April 2016, Jaw Dropping Things Not Taught
Have you ever gone a week in clinic without seeing a patient with dyspepsia? Some have true structural disease like peptic ulcers or even cancer. Most, however, will end up with no discernible cause of their symptoms and end up with the diagnosis of ‘functional dyspepsia’. In this segment, we …11min 49Rob Orman, MD and Andrew Buelt, DO
Tramadol PitfallsFrom April 2016, Jaw Dropping Things Not Taught
Bryan Hayes weighs in on why he never invites tramadol to dinner parties.8min 37Rob Orman, MD and Bryan Hayes, PharmD
Pharmacology Rounds: Death from NSAIDSFrom March 2016, Death by NSAIDS, PCP and Not Enough Epi!
Any medication we prescribe or recommended is essentially a selective poison, and NSAIDS are no exception. Current data suggests that most NSAIDS increase vascular risk (especially coronary events) with a number needed to harm of 3 in 1000. •6min 40Rob Orman, MD and Bryan Hayes, PharmD
Quinolones – The Good, The Bad, and The UglyFrom October 2015, Things That Make You Squirm! EMR’s, Scabies & The Limping Child
Fluoroquinolones Peripheral neuropathy, tendon rupture10min 42Matthew DeLaney, MD
Trigeminal NeuralgiaFrom September 2015, Chikungunya, Exploding Heads and Killer Pills!
An ice pick of agony that strikes out of nowhere, trigeminal neuralgia can be very painful and cause a lot of morbidity in patients. Understanding management and options of treatment are very important.19min 14Heidi James, MD and Rob Orman, MD
One Pill Can KillFrom September 2015, Chikungunya, Exploding Heads and Killer Pills!
Sean and Stuart discuss dangerous pills that can be lethal to a child with just ONE dose: these include Beta-blockers, calcium channel blockers, clonidine, camphor, cyclic antidepressants, opioids, methyl salicylates, sulfonylureas & the toxic alcohols.19min 11Stuart Swadron, MD and Sean Nordt, MD PharmD
Laundry Pods - A Pretty PoisonFrom July 2015, Teeth, FUO, and Upset patients
Laundry pods are considered the new “pretty poison”. These are very tantalizing to kids who mistake them for candy. Their highly packed potency make them incredibly dangerous and potentially lethal. As clinicians we must be aware of the sequelae they can cause and what to do about them.15min 32Mizuho Morrison, DO and Marcel Casavant, MD
What Do I Do Next – Jaw PainFrom May 2015, Month of Pain! Chest Pain, Jaw Pain, and Animal Bites
Broadening the differential diagnosis of jaw pain in an otherwise healthy young adult, includes considering drugs and their side effects. Here Sean Nordt MD reviews for us common “synthetic designers drugs” and their effects.19min 53Mizuho Morrison, DO, Mike Weinstock, MD, and Sean Nordt, MD PharmD
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