Monthly Archives:
June 2017

Website Update

Published: June 29, 2017   |   Author: Adam Rosh   |   Category: Blog   |   Read more

8am EST: Site is coming back online. Our superhero developers were able to work around the Rackspace outage. Sorry for the disruption. Service should be restored to everyone shortly.

Rapid Review: Hyphema

Published: June 29, 2017   |   Author: Yehuda Wolf, MPA, PA-C   |   Category: Blog, Rapid Review   |   Tagged: , ,   |   Read more

Hyphema Patient with a history of blunt or penetrating trauma Complaining of blurry vision PE will show unequal pupils, injected conjunctiva/sclera and blood in anterior chamber Treatment is eye protection and rest with the head of the bed at 30-45 degrees all the times A 13-year-old boy is brought to the urgent care clinic by his mother. He […]

Rapid Review: Meniere’s Disease

Published: June 26, 2017   |   Author: Yehuda Wolf, MPA, PA-C   |   Category: Blog, Rapid Review   |   Tagged: , , ,   |   Read more

Meniere’s Disease Patient will be complaining of episodic low-frequency hearing loss, tinnitus with aural (ear) fullness, and vertigo lasting one to eight hours Diagnosis is made clinically Most commonly caused by too much inner ear endolymph and increased pressure within the inner ear Treatment is low salt diet, diuretics (HCTZ + triamterene) Example: A patient complains of […]

Podcast Ep 26: Retinal Detachment, Meningitis, Chicken Pox & More

Published: June 22, 2017   |   Author: Nachi Gupta, M.D., Ph.D., and Megha Rajpal, M.D.   |   Category: Blog, Podcasts   |   Tagged: , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , ,   |   Read more

There are two ways of spreading light: to be the candle or the mirror that reflects it. – Edith Wharton Welcome back to Episode 26! Remember to listen for a trauma ring tone and if you hear one send us the time via email or tweet us @Roshcast with the time you hear it. This […]

Rapid Review: Osgood-Schlatter Disease

Published: June 22, 2017   |   Author: Yehuda Wolf, MPA, PA-C   |   Category: Blog, Rapid Review   |   Tagged: , , ,   |   Read more

Osgood-Schlatter Disease Patient will be a boy athlete 10 – 15 years old Complaining of knee pain while running PE will show tenderness over the tibial tubercle Treatment is ice, NSAIDs, quadriceps stretching Example: A 12-year-old boy is brought to his pediatrician’s office for right knee pain that started three months ago after starting basketball practices. […]

Rapid Review: Myasthenia Gravis

Published: June 19, 2017   |   Author: Yehuda Wolf, MPA, PA-C   |   Category: Blog, Rapid Review   |   Tagged: , ,   |   Read more

Patient will be complaining of proximal muscle weakness, ptosis, and diplopia that is worse at the end of the day PE will show ice test improves sx Diagnosis is made by edrophonium (tensilon) test, EMG Most commonly caused by autoimmune destruction of acetylcholine receptors Treatment is acetylcholinesterase inhibitors, such as pyridostigmine Comments: associated with thymoma Example: A 28-year-old […]

Rapid Review: Multiple Myeloma

Published: June 15, 2017   |   Author: Yehuda Wolf, MPA, PA-C   |   Category: Blog, Rapid Review   |   Tagged: , ,   |   Read more

Multiple Myeloma Patient will be elderly Complaining of back pain PE will show CRAB: hyperCalcemia, Renal insufficiency, Anemia, lytic Bone lesions/Back pain Labs will show monoclonal antibody spike X-ray will show lytic lesions Peripheral blood smear: Rouleaux formations Serum protein electrophoresis: M spike Protein electrophoresis urine analysis: Bence-Jones proteins Most commonly caused by single clone plasma cell […]

Podcast Ep 25: Acute Mountain Sickness, Hyperthyroidism & More

Published: June 7, 2017   |   Author: Nachi Gupta, M.D., Ph.D., and Megha Rajpal, M.D.   |   Category: Blog, Podcasts   |   Tagged: , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , ,   |   Read more

Welcome back to Episode 25 — our silver anniversary episode! It was great connecting with a few listeners recently at SAEM. At the beginning of this week’s episode, we announced a new contest – be the first to tweet to us (@Roshcast) or email (Roshcast@roshreview.com) the exact time in episodes 26-30 that you hear a trauma phone ring tone to win a 30-day subscription to Rosh Review! First, let us get started with a rapid review covering fish poisonings.

Rapid Review: Bacterial Tracheitis

Published: June 6, 2017   |   Author: Yehuda Wolf, MPA, PA-C   |   Category: Blog, Rapid Review   |   Tagged: , , ,   |   Read more

Bacterial Tracheitis Patient will be 3 – 5 years old Complaining of high fever, barky cough, stridor Treat as airway emergency! Comments: Patient will look like croup but toxic appearing Sample Question: A 3-year-old boy presents in severe respiratory distress. His mother informs you that he has been ill for the last 5 days, initially with a low-grade […]