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PODCAST

Medgeeks Clinical Review Podcast

Our goal is to change the way students and clinicians learn medicine. We are dedicated to providing the best medical content to help clinicians get through school, the boards, and to excel in clinical practice.

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All Episodes

06:46

Tumor Lysis Syndrome

Medgeeks Clinical Review Podcast ·

2019/03/28

So, today's podcast topic is not a common one, but definitely an emergency when it walks through the door. I actually recently admitted a patient with tumor lysis syndrome to the ICU. This was a very interesting case because it was spontaneous and not following chemotherapy treatment. So, I thought it would be appropriate to touch on this and break the case down in today's podcast. - Our goal at Medgeeks is to help you live the life you want to live as you navigate a career in medicine. This looks

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11:56

Managing Vaginal Bleeding

Medgeeks Clinical Review Podcast ·

2019/03/22

As I pick up more per diem shifts in the ER, I've been seeing more and more complaints of the dreaded vaginal bleeding. At first, I avoided these patients as much as I could, because this isn't your every day complaint in the ICU. I had no idea how to approach these patients - I mean the last time I did a speculum exam was when I was a student. So, I challenged myself to see more of these patients so that I could develop a good diagnostic algorithm and management plan. So now I wouldn't say I'm a

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11:32

Syncope: what is the approach?

Medgeeks Clinical Review Podcast ·

2019/03/18

Lately, I've been seeing a ton of patient's coming into the ER with a chief complaint of syncope. Today, I want to discuss an approach to the syncopal patient. I also want to get into: Identifying the red flag emergencies Common causes of syncope What diagnostics need to be ordered Today, we have a 75 year old female with a past medical history of hypertension, hyperlipidemia, aortic stenosis, and diabetes. She comes in with a chief complaint of passing out suddenly as she was walking to the

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10:08

Serotonin Syndrome

Medgeeks Clinical Review Podcast ·

2019/03/07

Today, we're going to discuss the last topic of the toxicology series and that's going to be serotonin syndrome. We have a 32 year old male with a past medical history of depression who presents with an intentional overdose of Zoloft. Per the family, the patient was found in his bedroom acting abnormal, and an empty bottle of Zoloft was found on the floor. His last known normal was when he got home at 3pm, which was about 4 hours prior to arriving to the ER. Vitals: 103.9 F, 130 HR, 110/78, and 96%

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10:25

Anticholinergic Toxicity

Medgeeks Clinical Review Podcast ·

2019/02/28

Today, we're going to discuss anticholinergic toxicity. This is an important one as there are a ton of medications out there that have anticholinergic properties. We have a 75 year old female with a past medical history of Parkinsons, COPD, hypertension, and hyperlipidemia. She presents from a skilled nursing facility with altered mental status. Per the SNF, the patients baseline is alert and oriented x4 but does need assistance with ADLs. This morning the patient had intermittent agitation and

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08:25

Tylenol Overdose

Medgeeks Clinical Review Podcast ·

2019/02/21

We have an 18 year old male with a past medical history of depression and anxiety who presents with remorse following an intentional ingestion of anything he could find in his parents medicine cabinet. He believes he took about a handful of tylenol tablets and thinks they were about 10 pills of 500 mg extended release tablets. It's the most commonly used fever reducing and pain control agent on the market. The most common cause of liver injury is drug induced, and half the cases, are due to

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08:46

Acute Opioid Overdose

Medgeeks Clinical Review Podcast ·

2019/02/15

Over the next few weeks, I want to do a mini toxicology series. With the amount of new drugs and the amount of overdoses which are occurring, I think it's important for providers to know... The clinical presentation Diagnosis Differential Diagnosis Workup Management ...for these critical patients. Today, we'll be discussing the acute opioid overdose. We'll go over a case, break it down by intro, etiology, clinical presentation, workup, diagnosis, differentials, and management. So, let's dive in

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14:48

Acute Pancreatitis

Medgeeks Clinical Review Podcast ·

2019/02/08

We have a 32 year old male with a past medical history of ETOH abuse (1 pint of vodka daily), ETOH related seizures, and hypertension. He presents with a complaint of severe epigastric pain and tenderness which started about a day ago and has progressively worsened over the day. The patient said he attempted to eat and drink this morning, but became nauseous and had one episode of non-bloody vomiting. The patient's last alcoholic drink was the night prior. He has no new medications. Vitals: 101.1F,

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08:27

Thrombotic Thrombocytopenic Purpura (TTP).

Medgeeks Clinical Review Podcast ·

2019/01/31

Today, we have a 35 year old African American female with a past medical history of hypertension, who presents to the emergency department. He has a two week history of a viral upper respiratory symptoms, including a low grade fever, cough, nasal congestion, rhinorrhea, sore throat, decreased oral intake - followed by a persistent nose bleed. The nose bleed began over the last couple days and isn't stopping despite persistent pressure. And over the last 24 hours, she had a change in her mental

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07:17

ACE Inhibitors and Angioedema

Medgeeks Clinical Review Podcast ·

2019/01/24

Today, I want to talk about a specific topic, that I've seen about 5 times total in my career: Ace inhibitor induced angioedema The first question we should ask is, why do we care (aside from it being fatal)? Well, many patient's have hypertension, and many of them are placed on an ACE inhibitor. This makes ACE inhibitors the number one cause of drug induced angioedema in the United States. The most important thing to remember is the pathophysiology. Today, we'll do a quick review of... The

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10:45

Acute Migraine

Medgeeks Clinical Review Podcast ·

2019/01/17

As you start your shift, your first patient comes in with a chief complaint of headache. A 38 year old female comes in with a two day history of headache. She describes 8/10 pain on the left side of her head and is pulsating in quality. She denies any radiation and states the pain started while she was at work and continued to worsen. She took Motrin with minimal improvement. As soon as she got off work, the patient went home, and locked herself in a dark room - which helped. She has had headaches

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06:03

Obstructive Sleep Apnea: A Rapid Fire Review

Medgeeks Clinical Review Podcast ·

2019/01/12

This week, I want to do a quick rapid review of OSA (obstructive sleep apnea). It's a topic on the blueprint and one you should know about, because it puts patient's at risk for many complications. OSA is one of the most common sleep disorders and occurs due to decreased airflow through the upper airway due to soft tissue collapse. This occurs during sleep and leads to derangement of the oxygen-carbon dioxide exchange. Today we'll touch on: OSA Etiology and Risk factors Signs and Symptoms

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19:53

Sepsis Updated Guidelines

Medgeeks Clinical Review Podcast ·

2019/01/04

Sepsis is an ever changing syndrome that has evolving definitions, scoring systems, and management. You might have heard about the surviving sepsis campaign. It's a joint collaboration between the Society of Critical Care Medicine and the European Society of Critical Care Medicine, which offers evidence based guidelines aimed at reducing sepsis related mortality and morbidity. Guidelines have been published 4 times now, with the 5th being in progress as we speak. Each edition has evolved, with the

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11:18

Pulmonary Hypertension

Medgeeks Clinical Review Podcast ·

2018/12/28

Today, I'd like to talk about pulmonary hypertension. Most find this quite dull and boring. But, I find this topic interesting, and actually wrote a PA school paper on the topic. Before you skip this podcast, reconsider... ...I mean this topic is on the boards. Can you really say you know all the groups of pulmonary hypertension without looking them up? If not, then let's dive right in! We'll cover everything you need to know in 10 minutes. - Our goal at Medgeeks is to help you live the

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07:48

Rhabdomyolysis

Medgeeks Clinical Review Podcast ·

2018/12/20

The next patient on your list is a 35 year old male with a past medical history of IV drug and alcohol abuse. He's been sober for the last 7 years. He presents to the ER after a mechanical fall at home. The nursing triage notes states the patient was in his normal state of health, until about two days prior. He may have hit his head, but is unsure. The patient had a loss of consciousness. No neurological deficits. The day after his fall, he's experienced decreased urine output, despite increasing

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09:11

COPD exacerbation

Medgeeks Clinical Review Podcast ·

2018/12/13

Today, I want to review the evaluation and management of an acute COPD exacerbation. We have a 65 year old obese male who's a former smoker of 30 years (1 pack/day), but quit 5 years ago. He has a past medical history of COPD on 3L nasal canula, coronary artery disease, GERD, and type 2 DM. He's presenting with a 3 day history of subjective fever, increasing cough, increasing sputum production, and shortness of breath. On exam, he has bilateral wheezing. First let's treat the vitals: fever =

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07:42

Anticoagulation reversal agents

Medgeeks Clinical Review Podcast ·

2018/12/07

Last week, we reviewed the different types of anticoagulation medications. Today, I want to review what to do when things go bad aka what are the reversal agents. There are 4 basic questions you should consider when thinking about anticoagulation reversal: Is the patient actively bleeding aka do I have to take action immediately? What anticoagulant is the patient on? When was their last dose? What doest the patient need the reversal for? i.e. life threatening bleed, emergent surgical procedure,

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13:32

Anticoagulation

Medgeeks Clinical Review Podcast ·

2018/11/29

Today, we're going to change gears. No case today and no systematic review. Instead, I want to review anticoagulation pharmacology...any medication that inhibits one or more steps of that coagulation cascade. We're going to review the new and old agents, including: Mechanism of action Indications Precautions Adverse effects Monitoring Dosing We'll also quickly review and simplify the intrinsic and extrinsic pathways. Next week, we'll touch on what to do when things get ugly and need to reverse

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07:30

Peritonsillar Abscess

Medgeeks Clinical Review Podcast ·

2018/11/23

I was doing some moonlighting the other week, and I had a textbook case walk through the door. However, it's a case that doesn't walk through the door all too often. I had a 63 year old male with a history of hypertension and type 2 DM who presented with sore throat x 5 days. He denies shortness of breath and chest pain. Vitals revealed normal temperature, HR 95, BP 145/80, and O2 sat 98% RA. At first, I was thinking this is likely a simple URI and was ready to give tylenol for pain coupled with a

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06:45

Influenza: just the facts

Medgeeks Clinical Review Podcast ·

2018/11/15

It's that time of year ago and our little viral friend is quickly gracing us with it's presence. As of November 2nd, the CDC informed the community that influenza activity is low, however there have been small increases of activity seen over the prior week. So, it's coming... The three main strains seen are influenza A H1N1, influenza A H3N2, and influenza B. We'll do a quick review in just 5 minutes. Nothing but the facts today. - Our goal at Medgeeks is to help you live the life you want to live

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