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 […]Read more
Ep 26: Retinal Detachment, Meningitis, Caustic Ingestions, Cyanide Toxicity, Elder Abuse, Chicken Pox… And 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 […]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. […]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 […]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 […]Read more
Molluscum Contagiosum Patient will be a school-age child Complaining of “warts” PE will show multiple waxy, dome-shaped papules with umbilicated appearance Most commonly caused by Poxvirus Treatment is self-limitingRead more
Complex Regional Pain Syndrome Patient will have a history of previous extremity injury or fracture Complaining of light touch causing extreme pain and allodynia (pain felt from a nonpainful stimulus, such as clothes or bed sheets on the skin) Treatment is NSAIDs, gabapentin, sympathectomyRead more
Ep 25: Acute Mountain Sickness, Ectopic Pregnancy, Placental Abruption, Boerhaave Syndrome, Hyperthyroidism, PCP Pneumonia… And 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.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 […]Read more
Absence Seizures Patient will be a 5 – 10 yo Complaining of sudden mental status alteration without motor activity or a blank stare EEG during an event would show symmetric 3-Hz spike and wave activity Treatment is ethosuximide Comments: There will be no aura or postictal stateRead more
Shoot for the moon and if you miss you will be among the stars. – Les Brown Welcome back to Episode 24! We are coming to you live from Orlando at SAEM this week. Ok, it is not exactly live, but we are launching this episode from Orlando. Although the venue has changed, we have […]Read more
Ep 23: Pneumomediastinum, Pericarditis, SIRS, Multiple Sclerosis, Ramsay Hunt Syndrome, BRUEs… And More!
Welcome back to Episode 23! It was great running into a few listeners at CORD last week and hearing your feedback. This week, we start off with an OB/GYN related pharmacology review before jumping into the new material. Hope you enjoy!Read more