Rapid Review: Ectopic Pregnancy
Oct
19
2017

Rapid Review: Ectopic Pregnancy

Author: Yehuda Wolf, MPA, PA-C   |   Tagged: , ,   |   No Comments

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 […]

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Core Content Presentation Winner
Oct
17
2017

Core Content Presentation Winner

Author: Adam Rosh   |   Tagged: , ,   |   No Comments

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 […]

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Rapid Review: Polycythemia Vera
Oct
12
2017

Rapid Review: Polycythemia Vera

Author: Yehuda Wolf, MPA, PA-C   |   Tagged: , ,   |   No Comments

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 […]

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Oct
11
2017
Rapid Review: Retinal Detachment
Oct
9
2017

Rapid Review: Retinal Detachment

Author: Yehuda Wolf, MPA, PA-C   |   Tagged: , ,   |   No Comments

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 […]

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Rapid Review: Pterygium
Oct
5
2017

Rapid Review: Pterygium

Author: Yehuda Wolf, MPA, PA-C   |   Tagged: , ,   |   No Comments

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 […]

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Rapid Review: Pyloric Stenosis
Oct
2
2017

Rapid Review: Pyloric Stenosis

Author: Yehuda Wolf, MPA, PA-C   |   Tagged: , , ,   |   No Comments

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 […]

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Rapid Review: Wolff-Parkinson-White (WPW) Syndrome
Sep
28
2017

Rapid Review: Wolff-Parkinson-White (WPW) Syndrome

Author: Yehuda Wolf, MPA, PA-C   |   Tagged: , ,   |   No Comments

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 […]

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Sep
27
2017
Rapid Review: Vitamin Deficiencies
Sep
25
2017

Rapid Review: Vitamin Deficiencies

Author: Yehuda Wolf, MPA, PA-C   |   Tagged: , ,   |   No Comments

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 […]

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Sep
13
2017
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