Ectopic Pregnancy Patient will be a woman With a history of prior ectopic, PID, tubal surgery, IUD Complaining of vaginal bleeding, abdominal pain, amenorrhea PE will show adnexal tenderness or unexplained hypotension Labs will show positive pregnancy test and lower than expected serum ß-hCG levels Diagnosis is made by ultrasound Most commonly located in a fallopian tube Treatment is MTX or surgery Sample question: A 44-year-old woman with […]Read more
Rosh Review’s Core Content Contest Winners Since the first day of emergency medicine residency (back in 2004), I struggled to understand dysbarism. Until today. The winners of Rosh Review’s Core Content Contest are Drs. Robert Sanders and Dana Levin. Dr. Sanders is the medical director at NASAs Neutral Buoyancy Laboratory and Assistant Clinical Professor at […]Read more
Polycythemia Vera Patient will be complaining of headache, dizziness, pruritus after showering PE will show hypertension, splenomegaly Labs will show increased RBC mass, overproduction of all cell lines, increased Hgb Most commonly caused by mutation of the Janus kinase 2 gene (JAK2) Treatment is phlebotomy, hydroxyurea, aspirin Sample question: A 60-year-old man presents to your office complaining of generalized pruritus following warm showers. He also […]Read more
Ep 33: Heart Block, Hypothermia, Bullous Myringitis, Segond Fractures, Tetralogy of Fallot, and More…!
People who are crazy enough to think they can change the world, are the ones who do. -Rob Siltanen Welcome back to Roshcast Episode 33! This episode marks an incredible milestone for Roshcast. Exactly 365 days ago, Roshcast was born (Apgar’s 7 and 9). It is wild to look back and think about how much […]Read more
Retinal Detachment Patient will be complaining of painless loss of vision, floaters, flashing lights, curtain lowering sensation PE will show retina appears hazy gray with white folds Treatment is stat ophthalmology consult Sample question: A 67-year-old man presents to the emergency department complaining of vision changes for the last few hours. He describes a painless decrease in the vision […]Read more
Pterygium Patient with a history of excessive sunlight exposure Complaining of something in the eye PE will show triangular shaped growth on the medial side Sample question: A 62-year-old man presents with complaints of right eye irritation for the past three days. He is a landscaper and he is often outside. Physical examination reveals a fleshy, triangular growth from […]Read more
Pyloric Stenosis Patient will be 2 – 6 weeks old Complaining of non-bilious projectile vomiting after feeding and early satiety PE will show RUQ olive-like mass (hypertrophied pylorus) Labs will show hypochloremic hypokalemic metabolic alkalosis Diagnosis is made by ultrasound or UGI series (string sign) Treatment is surgical Sample question: A 3-week-old boy presents with two days of non-bilious projectile vomiting. Examination reveals a mass in the […]Read more
Wolff-Parkinson-White (WPW) Syndrome ECG will show short PR interval, delta wave, wide QRS Most commonly caused by an accessory pathway (bundle of Kent) connects atria to ventricles, bypassing AV node Definitive treatment is radiofrequency ablation Sample question: A 23-year-old previously healthy man presents to your clinic with complaints of chest discomfort, heart palpitations and decreased exercise tolerance. Physical exam […]Read more
Ep 32: Iron Overdose, Fundal Height, Pyloric Stenosis, Ectopic Pregnancy, Hantavirus, Bedside Ultrasound, Serotonin Syndrome… and More!
Somewhere, something incredible is waiting to be known. -Sharon Begley Welcome back to Roshcast Episode 32! We are returning to our regular format – letting the question back randomly generate this week’s material. We will have another collaborative episode with the EM Clerkship podcast soon. We start this episode off with another rapid review based on […]Read more
Sample question: A 2-year-old boy is brought by his parents to the clinic because of opacity and hyperpigmentation of both eyes. His skin is noted to be dry and scaly, especially on the arms, legs, shoulders, and buttocks. He also gets sick frequently. Physical examination reveals an afebrile and weak-looking child. There is a note […]Read more
Ep 31: Ventricular Fibrillation, Wolff-Parkinson-White Syndrome, Traumatic Brain Injury, Torsades de Pointes, Healthcare-Associated Pneumonia, Multifocal Atrial Tachycardia!
The only journey is the one within. – Rainer Maria Rilke Welcome back to Episode 31! We are continuing our collaborative effort with the EM Clerkship podcast – focusing this week on tachydysrhythmias in addition to a mixture of random topics. We start the episode off with another rapid review of a few of the […]Read more