Monthly Archives:
July 2017

Rapid Review: Chlamydia Cervicitis

Published: July 31, 2017   |   Author: Yehuda Wolf, MPA, PA-C   |   Category: Blog, Rapid Review   |   Tagged: , ,   |   Read more

Chlamydia Cervicitis Diagnosis is made by nucleic acid amplification testing (NAAT) Most commonly caused by Chlamydia trachomatis Treatment is azithromycin Comments: Most commonly reported sexually transmitted disease in the United States Empirically treat for concomitant gonorrhea The United States Preventive Services Task Force recommends routine screening for sexually active women < 24 years of age, and in women > […]

Rapid Review: Cushing’s Syndrome

Published: July 27, 2017   |   Author: Yehuda Wolf, MPA, PA-C   |   Category: Blog, Rapid Review   |   Tagged: , ,   |   Read more

Cushing’s Syndrome Patient will be complaining of amenorrhea, central obesity, depressive symptoms, and easy bruising PE will show purple striae, “moon face” (facial adiposity), “buffalo hump” (increased adipose tissue in the neck and upper back), and hypertension Diagnosis is made by 24 hr urine cortisol and testing ACTH levels Most commonly caused by hypercortisolism from ACTH-secreting pituitary tumor Comments: If cause is pituitary tumor then […]

Rapid Review: Hypercalcemia

Published: July 24, 2017   |   Author: Yehuda Wolf, MPA, PA-C   |   Category: Blog, Rapid Review   |   Tagged: , ,   |   Read more

Hypercalcemia Patient will be complaining of bone pain (Bones), kidney stones (Stones), abdominal pain (Groans), lethargy, psychosis (Psychiatric overtones) Labs will show ↓ QT interval Most commonly caused by: Malignancy (most common inpatient cause) Primary hyperparathyroidism (most common outpatient cause) Treatment is IV fluids Sample question: A 67-year-old woman who was recently diagnosed with breast cancer presents […]

Rapid Review: Pertussis (Whooping Cough)

Published: July 20, 2017   |   Author: Yehuda Wolf, MPA, PA-C   |   Category: Blog, Rapid Review   |   Tagged: , ,   |   Read more

Pertussis (Whooping Cough) Patient with a history of nasal congestion, cough, and low-grade fever Complaining of “rapid fire,” repetitive coughing followed by an inspiratory “whoop” and post-tussive emesis Most commonly caused by Bordetella pertussis Treatment is a macrolide – azithromycin Sample question:  A two-year-old boy who is new to your practice is brought to the clinic because of coughing. For the past two weeks, he has had […]

Podcast Ep 28: Vaginal Bleeding, DSM-V & More

Published: July 20, 2017   |   Author: Nachi Gupta, M.D., Ph.D., and Megha Rajpal, M.D.   |   Category: Blog, Podcasts   |   Tagged: , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , ,   |   Read more

Welcome back to Episode 28! We are already well into intern year. Remember it is a roller coaster, with ups and downs, but in the end, you will really appreciate just how far you have come. This week we start off with a quick ophthalmology review and then dive into the new material, covering ob/gyn, pediatric dermatology, torsades de pointes and much more. Let’s get started.

Rapid Review: Acanthosis Nigricans

Published: July 17, 2017   |   Author: Yehuda Wolf, MPA, PA-C   |   Category: Blog, Rapid Review   |   Tagged: , ,   |   Read more

Acanthosis Nigricans Patient will be obese or diabetic PE will show thickened, velvety, darkly pigmented plaques on the neck or axillae Comments: Screen for diabetes in those not yet diagnosed Sample question: A 19-year-old woman presents to her primary care provider’s office for a rash on the back of her neck that has grown and gotten darker over […]

Rapid Review: Subdural Hematoma

Published: July 13, 2017   |   Author: Yehuda Wolf, MPA, PA-C   |   Category: Blog, Rapid Review   |   Tagged: , ,   |   Read more

Subdural Hematoma Patient will be elderly or alcoholic With a history of a fall or traumatic head injury Complaining of headache, mental status changes, seizures, or focal deficits Diagnosis is made by non-contrast CT, crescent-shaped hematoma Most commonly caused by rupture of the bridging veins Treatment is neurosurgical consultation Sample question: A 68-year-old man presents to the ED after a fall down twelve stairs. […]

Rapid Review: Ankylosing Spondylitis

Published: July 10, 2017   |   Author: Yehuda Wolf, MPA, PA-C   |   Category: Blog, Rapid Review   |   Tagged: , , ,   |   Read more

Ankylosing Spondylitis Patient will be a male Complaining of low back pain that’s worse in the morning and improves with exercise X-ray will show multiple vertebral fusions (bamboo spine) Labs will show increased ESR Most commonly caused by presence of HLA-B27 Treatment is NSAIDs, physical therapy Comments: diseases associated with HLA-B27 PAIR: Psoriatic arthritis, Ankylosing spondylitis, Inflammatory bowel disease, Reactive arthritis Sample question: A 51-year-old man presents with low back […]

Podcast Ep 27: Hyperkalemia, Blast Injuries & More

Published: July 6, 2017   |   Author: Nachi Gupta, M.D., Ph.D., and Megha Rajpal, M.D.   |   Category: Blog, Podcasts   |   Tagged: , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , ,   |   Read more

It is during our darkest moments that we must focus to see the light. -Aristotle Welcome back to Episode 27 and a big welcome to all the new interns who are only about 1 week into residency! We hope you find Roshcast to be easy to listen to and helpful in your education. As we […]

Rapid Review: von Willebrand Disease

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

von Willebrand Disease Patient with a history of a parent with similar symptoms Complaining of mucosal hemorrhage or bleeding that is difficult to control Labs will show decreased factor VIII, prolonged bleeding time Treatment is desmopressin (DDAVP) Comments: Most common inherited bleeding disorder, autosomal dominant Sample question: A 9-year-old child is being evaluated for frequent epistaxis and easy bruising tendencies. Bleeding time is prolonged, PT, […]

Rapid Review: Hypothyroidism

Published: July 3, 2017   |   Author: Yehuda Wolf, MPA, PA-C   |   Category: Rapid Review   |   Tagged: , ,   |   Read more

  Hypothyroidism Patient will be complaining of generalized weakness, fatigue, facial swelling, constipation, cold intolerance, and weight gain PE will show periorbital edema, dry skin, and coarse brittle hair Labs will show high TSH and low free T4, antithyroid peroxidase, and antithyroglobulin autoantibodies Most commonly caused by Hashimoto’s thyroiditis Treatment is levothyroxine Comments: Takes about 6 weeks to see treatment effects. Monitor TSH Hashimoto’s: Risk factor for non-Hodgkin lymphoma Sample Question: A 55-year-old woman presents to your office with complaints of […]