PE Basics: Ureteral ColicFrom November 2020, Hurts So Good
A ureteral stone may present with a history of flank pain, but there are exam findings which serve to increase or decrease its likelihood including: costovertebral angle tenderness, lower quadrant abdominal pain, and lack of testicular pain. A finding of a zoster rash in the flank area serves to …12min 11Jenny Beck-Esmay, MD and Mike Weinstock, MD
Urinalysis Interpretation: Part IIFrom March 2020, Fight Bites & Cup O' Noodles...Pain, No Gain!
Both urine dipstick and urine microscopy are reasonable first line tests for patients who have signs of a urinary tract infection. For healthy females with uncomplicated cystitis no further testing is required. For other patients, clinicians should consider ordering a urine culture. For most …8min 47Matthew DeLaney, MD and Doug Wallace, MD
Urinalysis Interpretation: Part IFrom March 2020, Fight Bites & Cup O' Noodles...Pain, No Gain!
Both urine dipstick and urine microscopy are reasonable first line tests for patients who have signs of a urinary tract infection. For healthy females with uncomplicated cystitis no further testing is required. For other patients, clinicians should consider ordering a urine culture. For most …16min 27Matthew DeLaney, MD and Doug Wallace, MD
Prostate Pro TipsFrom February 2020, Clear as Mud...IDSA Guideline Pneumonia updates
When someone comes in with prostate related symptoms and infection, it’s hard to know if we’re working with prostatitis vs prostate abscess. How can we improve our prostate game? Dr. Tarlan Hedayati schools Drs. Matt DeClerck and Neda Frayha on some prostate pro tips. •13min 15Tarlan Hedayati, MD, Matthieu DeClerck, MD, and Neda Frayha, MD
Benign Prostatic HyperplasiaFrom July 2019, The Half Somersault
Patients with BPH may be asymptomatic or require medical or surgical management. Medications used for BPH may include Alpha-1-adrenergic antagonists, 5-alpha-reductase inhibitors, anticholinergic agents, or phosphodiesterase-5 inhibitors.12min 6Bryan Hayes, PharmD and Mike Weinstock, MD
Ureteral ColicFrom February 2019, No...You Aren't Gonna Die!
Miz and Mike discuss the variables around ureteral/renal stone management. Size and location of stone and % change of spontaneous passage; lab workup that is warranted (if any) and medical expulsion therapy updates.17min 22Mike Weinstock, MD and Mizuho Morrison, DO
BalanoposthitisFrom January 2019, Can't We All Just Get Along?
Balanitis describes inflammation of the glans penis and posthitis means inflammation of the prepuce. In practice, both areas are often affected together, and the term balanoposthitis then used. While the most common cause of balanoposthitis is non-specific or irritant use, there are several …19min 4Mizuho Morrison, DO, Rick Pescatore, DO, and Matthew DeLaney, MD
What Would I Do Next? | Urinary RetentionFrom June 2018, TRAUMArama
The first sign of epidural compression is urinary retention and then urinary incontinence. There are 4 main causes of epidural compression including hematoma, malignancy, infection and massive midline disc herniation.17min 27Matthew DeLaney, MD and Mike Weinstock, MD
Pediatric Penile PathologiesFrom July 2017, Franks and Beans
Miz and Mike review the most common pediatric penile emergencies: phimosis, paraphimosis, balanoposthitis, hair tourniquets and zipper injuries.19min 33Mike Weinstock, MD and Mizuho Morrison, DO
Paper Chase 2 - Tamsulosin is Reasonable to Prescribe for Ureteral StonesFrom June 2017, A Disposition Conundrum?!
Alpha adrenergic antagonists were found to be more effective for ureteral stone passage when compared to placebo or control, though these conclusions are limited by the studies included. •6min 16Mike Weinstock, MD and Nate Finnerty, MD
Uncomplicated UTI’s in AdultsFrom March 2017, You Broke It Where??
Acute uncomplicated cystitis is becoming more difficult to treat in the setting of increasing antimicrobial resistance. And treatment for uncomplicated cystitis seems to be constantly changing. Medication choices all have side effects that are concerning especially with renal/hepatic impairment …22min 28Bryan Hayes, PharmD, Mizuho Morrison, DO, and Mike Weinstock, MD
Paper Chase 5 | Cranberry Capsules and Pyuria in Nursing Home PatientsFrom February 2017, The Barky Cough Conundrum
Mike and nate review a study which looks at efficacy of cranberry in preventing UTI’s.5min 49Mike Weinstock, MD and Nate Finnerty, MD
Introduction: UTI vs ProstatitisFrom December 2016, Holiday Strains in the Urgent Care
Mike and Miz discuss a case of acute prostatitis she missed and clinical pearls to remind themselves and others on how to not miss this sometimes occult diagnosis. •14min 20Mizuho Morrison, DO and Mike Weinstock, MD
Introduction: Ureteral Stones and TamsulosinFrom November 2016, Prepare For Take Off!
Mike and Miz discuss the recent paper by R. Wang, R. Smith-Bindman, E. Whitaker et al. Effect of Tamsulosin on Stone Passage for Ureteral Stones: A Systematic Review and Meta-analysis. Annals of Emergency Medicine, 2016. And discuss indications for tamsulosin for the management of ureteral stones …8min 58Mike Weinstock, MD and Mizuho Morrison, DO
Ureteral StonesFrom August 2016, Avoiding Mistakes with Bears, Jellyfish & Chest Pain
What are typical symptoms of ureteral stone and how do we distinguish from pyelo? • Which tests can be helpful for dx? Does flomax help w stone passage? How do we interpret urine dip? • What are the complications and referral indications in patients with ureteral/renal colic? Mike sits down …22min 26Mike Weinstock, MD and Adrienne Carmack, MD
Testicular TorsionFrom July 2016, Heart Score, PECARN and A Twist of Lyme
Discuss differential diagnosis of testicular pain, diagnosis and management of testicular torsion. •17min 13Mike Weinstock, MD, Adrienne Carmack, MD, and Mizuho Morrison, DO
Acute ProstatitisFrom May 2016, Danger Zones
Mike and Miz consult Dr.Carmack to discuss presentation and evaluation of acute prostatitis. Age groups affected, underlying organisms to consider and management of this infectious/inflammatory process as well as other differential diagnosis to consider. •16min 49Adrienne Carmack, MD, Mike Weinstock, MD, and Mizuho Morrison, DO