Medical Minute Archives - Page 84 of 89 - The Emergency Medical Minute

Medical Minute

Podcast #57: Anticholinergictoxidrome

Run Time: 2 minutes Author: Dr. Aaron Lessen Educational Pearls: Benadryl most common anticholinergic overdose. Gypsum weed is also a common plant ingestion that causes an overdose. Classic pneumonic for anticholinergictoxidrome: mad as a hatter: hatter used mercury in hat making which made people agitated. dry as a bone: not diaphoretic. red as a beet. blind…

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Podcast #56: 420! A Marijuana Podcast

Run Time: 16 minutes Author: Dr. Donald Stader Educational Pearls: Marijuana originally is from Asia and first used medically in China in 2400 B.C. 3 active metabolites in Marijuana: THC (tetrahydrocannabinol), Cannabidiol, Cannabigerol. Cannabidiol at low concentrations helps nausea, but at high concentrations induces nausea and vomiting. Cannabigerol has a pro-nausea effect. One study shows…

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Podcast #54: Prolonged QT/QTC

Run Time: 6 minutes Author: Dr. Eric Miller Educational Pearls: The QT interval is the time from the depolarization of the ventricle through the repolarization of the ventricle. Long QT increases the risk for dangerous dysrhythmias. The QTC – the corrected QT interval – abnormal is over 440ms for men and 460ms for women. Several…

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Podcast #53: PERC and WELLS Score for PE

Run Time: 4 minutes Author: Dr. Martin O’Bryan Educational Pearls: PERC Score: age >50, HR <100, O2 >95%, no history of PE or DVT, no recent trauma, no hemoptysis, no oral contraceptive, and no unilateral leg swelling. If all are negative then probability of a PE is under 2%. A WELLS Score of <4 =…

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Podcast #52: Syphilis the Great Imitator

Run Time: 7 minutes Author: Dr. Donald Stader Educational Pearls: Syphillis is a very important historical and current disease. The study of Syhpillis or “Syphilology” evolved into the field of dermatology. Syphilis, an is caused by the spirochete bacteria, Treponema pallidum.  Syphilis comes in three stages: primary, secondary, and tertiary stages. In the primary stage, they…

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Podcast #51: Diverticulitis

Run Time: 3 minutes Author: Dr. Michael Hunt Educational Pearls: Diverticulitis is the inflammation of diverticula or projecting pockets coming off of the colon. 2-4% of the population have this and 15-30% have recurrences of diverticulitis. Most of these cases do not have any complications. Flagyl and ciprofloxacin are given normally to treat the infection…

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Podcast #50: Pleural Effusion

Run Time: 4 minutes Author: Dr. Peter Bakes Educational Pearls: 75% of pleural effusions seen in US emergency rooms are caused by one of three non-trauma diagnoses: congestive heart failure, infection, and cancer. First test of choice without history is a diagnostic aspiration of the pleural fluid. This determines if the pleural effusion is transudate or…

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Podcast #49: Benzodiazepine Withdrawal

Run Time: 4 minutes Author: Dr. David Rosenberg Educational Pearls: Benzodiazepine withdrawal and alcohol withdrawal are similar due to their interaction with GABA receptors in the brain except benzodiazepine withdrawals can occur weeks after you stop taking the medication. This is due to the long half-life of certain benzodiazepines. Treatment for benzodiazepine withdrawals includes putting the…

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Podcast #48: Alcoholic Ketoacidosis

Run Time: 4 minutes Author: Dr. Eric Miller Educational Pearls: Alcoholic ketoacidosis occurs in chronic alcohol abusers who have low glycogen supplies and are dehydrated causing an overproduction of glucagon. This condition is very similar to diabetic ketoacidosis. The patients can have a ketotic smell to indicate alcoholic ketoacidosis, they also usually have a high…

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Podcast #47: Broken Penis

Run Time: 2 minutes Author: Dr. Erik Verzemnieks Educational Pearls: During an erection the corpus cavanosum fills with blood, when enough stress is placed on the penis during an erection the surrounding tissue can rupture. A broken penis most often occurs during intercourse in the “reverse cowgirl” position. This condition requires surgical repair of the…

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