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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

11:13

Rectal Bleeding (GI Bleed Part 2/3)

Medgeeks Clinical Review Podcast ·

2018/06/21

Today, we have a 60 year old male patient, with a past medical history of: Osteoarthritis COPD Atrial fibrillation Hypertension Hyperlipidemia Diverticulosis Rectal cancer Chief complaint: 1 day rectal bleeding (episodes every hour) causing them to spend the entire day in the bathroom. The patient states he's had a similar episode like this years ago. Before we see the patient, we should be asking... What is the trend of our patient blood pressure since arrival? Is the patient actively bleeding

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14:21

The GI Bleed Patient Part 1/3

Medgeeks Clinical Review Podcast ·

2018/06/14

Over the next three weeks we are going to dive into the GI bleed patient. We're going to divide these lectures into: upper GI bleed (above the ligament of treitz), lower GI bleed (below the ligament of treitz), and the scary liver patient who has a GI bleed. Today, let's work through an upper GI bleed case presentation as we touch on the background, evaluation, and management of the patient. Today we're going to be discussing a 75 year male patient presenting with a chief complaint of 3 days of

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18:17

Acute respiratory failure (what would you do)

Medgeeks Clinical Review Podcast ·

2018/06/07

A 65 year old female presents to your ER with difficulty breathing over the past 3 days, despite increasing her home oxygen tank to 3 liters. Her husband called 9-11 because she wasn't really acting herself. EMS arrived and found her sats in the 70s and put her on a non-rebreather mask and had an improvement in her sats to the low 90s. They also reported some wheezing on exam, so they gave her one duoneb prior to arrival. Per EMS she has a past medical history of COPD (on 3 liters around the

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15:56

My most interesting cases of the week. Can you guess...

Medgeeks Clinical Review Podcast ·

2018/04/11

I just got off a long stretch of working 7 days in a row in the ER. Every time I finish a shift I like to replay in my mind every patient I saw and I ask myself: 1. is there anything I could have done better? 2. were there any gaps in knowledge regarding any disease processes? 3. was I able to make a positive impact in my patients life? Working in emergency medicine, we often feel like we make the most impact when working on a code, and we are able to bring a patient back and/or taking care of a

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04:26

Beauty of the PA profession

Medgeeks Clinical Review Podcast ·

2018/03/12

Today, I want to share why I love being a PA. Specifically, an emergency medicine physician assistant. First off, I love the fact you can practice in a specific field for a given duration, and later transition to another down the road. As nice as this is for most, I don't see myself doing this. Reason being is I have such a love for emergency medicine! With that said, I do see myself working in trauma to hone my schools further. I recently switched hospitals, where I've been allowed to handle the

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07:18

Do tetanus immunizations work?

Medgeeks Clinical Review Podcast ·

2018/03/03

First off, what is tetanus and clostridium tetani? Who's at risk? Is this fatal? We'll also explain who needs to be vaccinated and teach you how to handle clean and dirty wounds. We know this can get confusing - so we're going to make this as simple as possible! - Our goal at Medgeeks is to help you live the life you want to live as you navigate a career in medicine. This looks different to everyone, which is why we take such a personalized approach. Whether you want to ... Stop taking your work

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10:41

Child refuses to move their arm

Medgeeks Clinical Review Podcast ·

2018/02/09

Today, we're going to discuss Nurse Maid Elbow. Specifically, we’ll review: The anatomy of the elbow How this injury occurs How the patient presents Imaging studies to consider Treatment A case study of a patient he had presenting to the ER - I once had a mother who came into the ER with her two-year old son extremely upset with herself and very emotional. She was upset because she had just put her son in day care and gone back to work recently because she said money was really tight And that,

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11:42

My patient died (lessons learned)

Medgeeks Clinical Review Podcast ·

2018/01/30

There are certain things in medicine which simply can't be taught by reading a textbook. Not everything follows an algorithm. About one year ago I had an 80 year old patient who kept complaining of nausea and abdominal pain after having a cholecystectomy. The surgeons kept telling her this was normal following this type of procedure and prescribed Zofran. Well, she eventually came into my ER and she didn't look to good. She became septic. We followed the septic protocol - but she ended up dying

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06:22

PA life in the emergency room

Medgeeks Clinical Review Podcast ·

2018/01/22

Today, I'm going to be sharing my day with you in the emergency department. I had a patient coming in with isolated third cranial nerve palsy. I wasn't quite sure how to approach this and so we got a consult. Something clinicians struggle with is knowing when to call for help. They feel pressured to handle everything which comes there way - for fear of looking "stupid". But, as you'll see in today's video, that shouldn't be the case. If you want to see more videos like this - let us know in the

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16:42

Fatal complications of the flu

Medgeeks Clinical Review Podcast ·

2018/01/12

Todays lecture, builds on last weeks video, after discussing those at high risk for complications of the flue. Today, you'll learn: - about post influenza asthenia - how to remember possible complications using the mnemonic "crocs" - signs and symptoms of complications to help diagnose - Todays lecture, builds on last weeks video, after discussing those at high risk for complications of the flue. Today, you'll learn: - about post influenza asthenia - how to remember possible complications using the

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16:31

Influenza - What you need to know for 2018

Medgeeks Clinical Review Podcast ·

2018/01/04

Whether you're working in family practice, the emergency room, or urgent care - knowing this disease is a must! Today, you'll learn: - Can influenza lead to AFIB? - Who's at high risk for complications - don't miss this population! - Do we need labs or imaging for patients with influenza? - How to identify the septic patient at the bedside - What do we do with the high risk patient, with influenza, who presents after the 48 hour window? - When can your patient return to work? - Case studies to drive

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28:41

Anterior Shoulder Dislocations and Procedural Sedation

Medgeeks Clinical Review Podcast ·

2017/10/30

Today, we're going to build on our last lecture regarding anterior shoulder dislocations. If you missed it, you can watch that here: https://www.youtube.com/watch?v=Xihtc7UfcDQ&list=PLU4UKgzxXhWma3ryfYvX5tp1WvTO5Vfiy&index=4 Last week we touched on reducing the shoulder without sedation. But, truth is, there will be times where you will need to sedate the patient to properly reduce the shoulder. Some instances include: 1. The procedure is too painful for the patient 2. Really muscular individuals

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12:15

Anterior Shoulder Dislocation

Medgeeks Clinical Review Podcast ·

2017/10/23

Today, we're going to talk about anterior shoulder dislocations. You're going to learn: 1. Shoulder anatomy 2. Patient presentation 3. Etiology 4. What to look out for on the physical exam 5. The required imaging studies 6. How to reduce the shoulder Thursday we'll share part 2 of this lecture. In that lecture we'll discuss how to sedate your patients for those who can't tolerate the pain associated with reduction. - Our goal at Medgeeks is to help you live the life you want to live as you navigate

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14:32

Esophageal Foreign Body: Ingestion vs Impaction

Medgeeks Clinical Review Podcast ·

2017/10/19

Foreign body or large food bolus ingestion occurs primarily in children and in the mentally impaired older adult. Food (meat) bolus impaction above a pre-existing esophageal stricture is the most common cause in adults. The majority of foreign bodies in children are coins. Today, were going to get into the nitty gritty of food impaction and foreign body ingestion! - Our goal at Medgeeks is to help you live the life you want to live as you navigate a career in medicine. This looks different to

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09:12

UTI: Acute Cystitis vs. Pyelonephritis

Medgeeks Clinical Review Podcast ·

2017/10/16

Pyelonephritis doesn't always present text book and cystitis doesn't always require a dipstick. Uncomplicated pyelonephritis can be treated out patient - today we're going to show you how! We'll also teach you how to identify those high risk patients who should definitely be admitted. Here's what you need to know about the UTI. Enjoy! - Our goal at Medgeeks is to help you live the life you want to live as you navigate a career in medicine. This looks different to everyone, which is why we take such

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08:41

What do you want to accomplish before you die?

Medgeeks Clinical Review Podcast ·

2017/10/12

This a talk Gray did in 2011 at North Georgia University - long before he became an emergency medicine PA! But, even at 21, he makes some great points about living your passion and feeling fulfilled. After all, we only have one life... - Our goal at Medgeeks is to help you live the life you want to live as you navigate a career in medicine. This looks different to everyone, which is why we take such a personalized approach. Whether you want to ... Stop taking your work home Have the skillset to

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17:05

Head Injuries

Medgeeks Clinical Review Podcast ·

2017/10/09

Today, we're going to be talking pediatric head injuries! If you work with peds and/or are in the ER - then this lecture is a must. We're going to teach you how to classify these injuries, how to perform the physical exam, what imaging studies to order, how to manage these patients, and finally the disposition. - Our goal at Medgeeks is to help you live the life you want to live as you navigate a career in medicine. This looks different to everyone, which is why we take such a personalized

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06:25

Scaphoid Fractures - Don't miss this!

Medgeeks Clinical Review Podcast ·

2017/10/02

20% of providers miss this fracture on initial presentation. Today, we are going to make sure you never miss this fracture! - Our goal at Medgeeks is to help you live the life you want to live as you navigate a career in medicine. This looks different to everyone, which is why we take such a personalized approach. Whether you want to ... Stop taking your work home Have the skillset to work autonomously Improve your work life balance ...or anything in between, we can definitely help. We've

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08:33

Eye injuries: Corneal abrasion

Medgeeks Clinical Review Podcast ·

2017/09/28

When I asked my students to set up for this exam, most had no idea what to do or what a corneal abrasion actually looks like. So, lets go over how these patients will present, how to perform a good eye exam, and the available treatment options. - Our goal at Medgeeks is to help you live the life you want to live as you navigate a career in medicine. This looks different to everyone, which is why we take such a personalized approach. Whether you want to ... Stop taking your work home Have the

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05:40

Emergency Medical Treatment: Compartment Syndrome

Medgeeks Clinical Review Podcast ·

2017/09/25

This isn't a diagnosis you want to miss! Failure to do so can result in: muscle contracture, sensory deficits, paralysis, infection, and limb amputation. So, today, we're going to show you how to identify compartment syndrome in your patient! - Our goal at Medgeeks is to help you live the life you want to live as you navigate a career in medicine. This looks different to everyone, which is why we take such a personalized approach. Whether you want to ... Stop taking your work home Have the

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