Rapid Review: Ottawa Ankle Rules
Feb
15
2018

Rapid Review: Ottawa Ankle Rules

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

  Ottawa Foot and Ankle Rules X-rays required if: Patient cannot bear weight for 4 steps Distal 6 cm tibia/fibula tenderness Medial/lateral malleolus tenderness 5th metatarsal tenderness Navicular tenderness Sample question: A 16-year-old boy presents complaining of right ankle pain after injuring himself while playing basketball. He states that he “twisted his ankle” when he landed […]

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Ep 41: Polycythemia Vera, Ischemic Hepatitis, Hypomagnesemia, Chest Tubes, Ranson’s Criteria, EMTALA, SBP
Feb
5
2018
Rapid Review: Respiratory Distress Syndrome
Feb
1
2018

Rapid Review: Respiratory Distress Syndrome

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

Sample question: You are called to the nursery to examine a newborn boy. He was born at 36 weeks via C section to a 32-year-old G3, P3 mother. APGAR scores were 7 and 9. After six hours, the neonate developed respiratory distress. On examination, respiratory rate is 70, with nasal flaring, expiratory grunting, intercostal retractions, decreased breath sounds, and diminished […]

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The PANCE Study Plan They Don’t Teach You In PA School: Tools, Tactics and Targeted Strategies for Passing Your PANCE
Jan
26
2018

The PANCE Study Plan They Don’t Teach You In PA School: Tools, Tactics and Targeted Strategies for Passing Your PANCE

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

At the end of 2016, I had a PA student reach out to me after having failed her PANCE four times. The fifth time she took the PANCE, she crushed it and easily passed. These are the techniques we employed for her that you can use to prepare for your exam. 

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How to Choose Your Medical Specialty as a Fourth Year Medical Student? Take a step back.
Jan
25
2018

How to Choose Your Medical Specialty as a Fourth Year Medical Student? Take a step back.

Author: Sarah Baruch, MD   |   Tagged: , , ,   |   No Comments

“Keep your minds open,” the dean announced at M3 orientation, “maybe you’ve always dreamed of becoming an orthopedic surgeon but will fall in love with psychiatry.” As freshly minted third year medical students with wrinkle free and yet to be coffee/pen/bodily fluid stained short white coats we entered clinical rotations much like undifferentiated cells, eager to be shaped and influenced as we transformed into the future physicians we were to become. However, for many students, choosing a specialty is not as easy as dreaming and falling in love. There is a fine line three quarters into M3 year when the reaction to uncertainty about choosing a specialty changes from a response of “you’ve got time” to a reaction that may make you feel like somehow over a few short months you became defective. In the midst of the uncertainty and doubt you then receive an email that it’s time to schedule your fourth year electives and are advised to “choose them wisely” as you are reminded that residency applications will be due just three months into the year. If that story sounds all too familiar of you anticipate that this could happen to you, don’t panic, you’re not alone, let’s get through this together.

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Rapid Review: Transient Tachypnea of the Newborn
Jan
25
2018

Rapid Review: Transient Tachypnea of the Newborn

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

Transient Tachypnea of the Newborn Patient will be a child shortly after birth Complaining of sudden onset of difficulty breathing PE will show tachypnea, nasal flaring, retractions and hypoxia CXR will show parenchymal infiltrates and fluid in the pulmonary fissures Most commonly caused by residual pulmonary fluid Treatment is supportive, self-resolving within 72 hours Comments: Most common cause of neonatal respiratory distress Sample question: A full-term male […]

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Updated PANCE and PANRE Prediction Tool. What is the likelihood of passing your PANCE or PANRE?
Jan
19
2018

Updated PANCE and PANRE Prediction Tool. What is the likelihood of passing your PANCE or PANRE?

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

Over the course of the last few years, we compiled real world scores from thousands of individuals who took the PANCE and PANRE exams. Using this data to aid learners in self-assessment of their preparedness for the PANCE and PANRE exams, we developed a proprietary algorithm using a regression model and standard correction factor to convert your Rosh Review performance to a projected PANCE and PANRE exam performance.

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Ep 40: Croup, Trigeminal Neuralgia, Odontoid Fractures, Reye’s Syndrome, PJP Pneumonia, Bronchiolitis
Jan
18
2018

Ep 40: Croup, Trigeminal Neuralgia, Odontoid Fractures, Reye’s Syndrome, PJP Pneumonia, Bronchiolitis

Author: Nachi Gupta, M.D, Ph.D, and Jeff Nusbaum, M.D.   |   Tagged: , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , ,   |   No Comments

Dreams and dedication are a powerful combination. -William Longgood Welcome back to Roshcast for Episode 40! After a quick detour last week to talk with Dr. Rosh, we are back at it with our regular routine. But before we get going, if you have any thoughts or feedback on last week’s episode, or even if you have […]

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Rapid Review: Septic Arthritis
Jan
18
2018

Rapid Review: Septic Arthritis

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

Septic Arthritis Patient will be complaining of fever, monoarticular pain with decreased ROM Labs will show WBC > 50,000 with > 75% PMNs Diagnosis is made by arthrocentesis Most commonly caused by: Age < 35: N. gonorrhea, S. aureus overall Treatment is IV ABX, surgical washout Sample question: A 23-year-old man with a history of intravenous heroin abuse presents to the emergency department with a […]

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Rapid Review: Megaloblastic Anemia
Jan
4
2018

Rapid Review: Megaloblastic Anemia

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

Megaloblastic Anemia Patient will be a vegan or alcoholic Complaining of fatigue, weakness PE will show pallor, glossitis Labs will show MCV > 100 and hypersegmented neutrophils Most commonly caused by vitamin B12 (Cobalamin) or folate deficiency Comments: only vitamin B12 deficiency results in neurological symptoms   Sample question: A middle-aged patient in the ED has a hemoglobin of 8.1 g/dL with an MCV of 112 fL. Which […]

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