{"id":1223,"date":"2017-02-08T19:36:59","date_gmt":"2017-02-09T00:36:59","guid":{"rendered":"https:\/\/www.roshreview.com\/?p=1223"},"modified":"2017-02-08T19:36:59","modified_gmt":"2017-02-09T00:36:59","slug":"ep-15-erythema-multiforme-pneumothorax-heart-block-brain-natriuretic-peptide-angioedema-arterial-emboli-airway-obstructionand","status":"publish","type":"post","link":"https:\/\/www.roshreview.com\/blog\/ep-15-erythema-multiforme-pneumothorax-heart-block-brain-natriuretic-peptide-angioedema-arterial-emboli-airway-obstructionand\/","title":{"rendered":"Podcast Ep 15: BNP, Pneumothorax, Angioedema, &amp; More"},"content":{"rendered":"\n<figure class=\"wp-block-audio\"><audio controls src=\"https:\/\/media.blubrry.com\/thereveal\/s\/media.blubrry.com\/roshcast\/s\/content.blubrry.com\/roshcast\/Ep_15_Roshcast_Emergency_Board_Review.mp3\"><\/audio><\/figure>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\"><p>All our dreams can come true \u2014 if we have the courage to pursue them.&nbsp;<\/p><cite>-Walt Disney<\/cite><\/blockquote>\n\n\n\n<h6 class=\"wp-block-heading\">Welcome back to episode 15! As promised, we are back to our weekly episodes leading into the ITE. We start this week with a rapid review of some of the infectious disease high-yield points that we have covered in the past few months, and then we dive right into the new material. Stay tuned for some comical outtakes at the end of the podcast for an inside look at the recording of Roshcast. We think you will enjoy it. Let\u2019s get on with the rapid review.<\/h6>\n\n\n\n<hr class=\"wp-block-separator\" \/>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter\"><img loading=\"lazy\" decoding=\"async\" width=\"201\" height=\"74\" src=\"https:\/\/www.roshreview.com\/wp-content\/uploads\/RapidReview-2-e1475624722961.png\" alt=\"Rapid review\" class=\"wp-image-818\" \/><\/figure><\/div>\n\n\n\n<ul class=\"wp-block-list\"><li>The most common cause of a <strong>painless<\/strong>, <strong>clean-based, sharply defined penile ulcer<\/strong> is a <strong>chancre<\/strong>, seen in <strong>syphilis<\/strong>.<\/li><li>The <strong>small shallow ulcer of LGV<\/strong> and the <strong>red beefy ulcer of granuloma inguinale<\/strong> are <strong>painless<\/strong> also.<\/li><li><strong>Corneal abrasions<\/strong> can be treated with either <strong>erythromycin ointment<\/strong> or <strong>ciprofloxacin drops<\/strong>. Do not forget to update the <strong>tetanus vaccine<\/strong> if indicated.<\/li><li><strong>Native valve endocarditis<\/strong> is seen most commonly in the <strong>mitral valve<\/strong>.<\/li><li>The most common cause of <strong>pneumonia in alcoholics<\/strong> is <em><strong>Streptococcus pneumoniae<\/strong><\/em>.<\/li><\/ul>\n\n\n\n<p><strong>Now onto this week\u2019s podcast<\/strong><\/p>\n\n\n\n<hr class=\"wp-block-separator\" \/>\n\n\n\n<p><strong>Question 1<\/strong><\/p>\n\n\n\n<p>Which of the following is the most common infection associated with erythema multiforme?<\/p>\n\n\n\n<p>A.&nbsp;<em>Borrelia burgdorferi<\/em><\/p>\n\n\n\n<p><span>B.<em> Haemophilus influenzae<\/em>&nbsp;type b<\/span><\/p>\n\n\n\n<p><span>C. Hepatitis C virus<\/span><\/p>\n\n\n\n<p><span>D. Herpes simplex virus<\/span><\/p>\n\n\n\n<p><a href=\"https:\/\/www.roshreview.com\/wp-content\/uploads\/Image-Erythema-multiforme.jpg\">Teaching image&nbsp;<\/a><\/p>\n\n\n\n<hr class=\"wp-block-separator\" \/>\n\n\n\n<p><strong>Question 2<\/strong><\/p>\n\n\n\n<p>Which of the following patients is at highest risk for developing a pneumothorax?<\/p>\n\n\n\n<p><span>A. A 33-year-old woman with AIDS<\/span><span>&nbsp;<\/span><\/p>\n\n\n\n<p><span>B. A 45-year-old man with COPD who is maintained on inhaled steroids<\/span><\/p>\n\n\n\n<p><span>C. A 56-year-old obese woman with sleep apnea who uses BiPAP at night<\/span><\/p>\n\n\n\n<p><span>D. A 65-year-old man with heart failure and NY Heart Association Class 3<\/span><\/p>\n\n\n\n<p><a href=\"https:\/\/www.roshreview.com\/wp-content\/uploads\/Image-Spontaneous-Pneumothorax-left-side-PTX.png\">Teaching image&nbsp;<\/a><\/p>\n\n\n\n<hr class=\"wp-block-separator\" \/>\n\n\n\n<p><strong>Question 3<\/strong><\/p>\n\n\n\n<p>A 72-year-old man presents with chest heaviness associated with diaphoresis and shortness of breath. His ECG demonstrates complete heart block. Acute blockage of which of the following coronary arteries is most likely to be causing his dysrhythmia?<\/p>\n\n\n\n<p><span>A. Left anterior descending artery<\/span><\/p>\n\n\n\n<p><span>B. Left circumflex artery<\/span><\/p>\n\n\n\n<p><span>C. Left coronary artery<\/span><\/p>\n\n\n\n<p><span>D. Right coronary artery<\/span><\/p>\n\n\n\n<p><a href=\"https:\/\/www.roshreview.com\/wp-content\/uploads\/Image-Coronary-Anatomy.jpg\">Teaching image<\/a><\/p>\n\n\n\n<hr class=\"wp-block-separator\" \/>\n\n\n\n<p><strong>Question 4<\/strong><\/p>\n\n\n\n<p>Which of the following can decrease levels of brain natriuretic peptide?<\/p>\n\n\n\n<p><span>A. Elderly age<\/span><\/p>\n\n\n\n<p><span>B. Female sex<\/span><\/p>\n\n\n\n<p><span>C. Kidney failure<\/span><\/p>\n\n\n\n<p><span>D. Obesity<\/span><\/p>\n\n\n\n<p><a href=\"https:\/\/www.roshreview.com\/wp-content\/uploads\/Table-Brain-natriuretic-peptide-BNP.jpg\">Teaching image<\/a><\/p>\n\n\n\n<hr class=\"wp-block-separator\" \/>\n\n\n\n<p><strong>Question 5<\/strong><\/p>\n\n\n\n<p>A 55-year-old woman presents to the ED for swelling of her tongue and lips. She recently started a new antihypertensive medication. Which of the following is the direct mediator for her condition<\/p>\n\n\n\n<p><span>A. Angiotensin<\/span><span>&nbsp;<\/span><\/p>\n\n\n\n<p><span>B. Bradykinin<\/span><\/p>\n\n\n\n<p><span>C. C1-esterase inhibitor<\/span><\/p>\n\n\n\n<p><span>D. Histamine<\/span><\/p>\n\n\n\n<p><a href=\"https:\/\/www.roshreview.com\/wp-content\/uploads\/Image-Angioedema.png\">Teaching image&nbsp;<\/a><\/p>\n\n\n\n<hr class=\"wp-block-separator\" \/>\n\n\n\n<p><strong>Question 6<\/strong><strong>&nbsp;<\/strong><\/p>\n\n\n\n<p>Which of the following signs of acute arterial occlusion requires emergent surgical intervention<\/p>\n\n\n\n<p><span>A. Pain<\/span><\/p>\n\n\n\n<p><span>B. Pallor<\/span><\/p>\n\n\n\n<p><span>C. Paralysis<\/span><\/p>\n\n\n\n<p><span>D. Poikilothermia<\/span><\/p>\n\n\n\n<p><a href=\"https:\/\/www.roshreview.com\/wp-content\/uploads\/Image-The-6-Ps-of-Acute-Arterial-Occlusion.jpg\">Teaching image<\/a><\/p>\n\n\n\n<hr class=\"wp-block-separator\" \/>\n\n\n\n<p><strong>Question 7<\/strong><\/p>\n\n\n\n<p>A 3-year-old boy presents with stridor. His mother states that he was eating a grape and suddenly started choking. The patient has normal vital signs except for an increased respiratory rate. Physical examination reveals an anxious child who is able to speak, but has stridor. Which of the following management is most likely indicated?<\/p>\n\n\n\n<p><span>A. Back blows<\/span><\/p>\n\n\n\n<p><span>B. Emergent ENT consultation<\/span><span>&nbsp;<\/span><\/p>\n\n\n\n<p><span>C. Heimlich maneuver with patient supine<\/span><\/p>\n\n\n\n<p><span>D. Needle cricothyrotomy<\/span><\/p>\n\n\n\n<p><a href=\"https:\/\/www.roshreview.com\/wp-content\/uploads\/Image-Pediatric-foreign-body-aspiration.png\">Teaching image<\/a><\/p>\n\n\n\n<hr class=\"wp-block-separator\" \/>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter\"><img loading=\"lazy\" decoding=\"async\" width=\"201\" height=\"74\" src=\"https:\/\/www.roshreview.com\/wp-content\/uploads\/RapidReview-2-e1475624722961.png\" alt=\"Rapid review\" class=\"wp-image-818\" \/><\/figure><\/div>\n\n\n\n<ul class=\"wp-block-list\"><li><strong><a rel=\"noreferrer noopener\" aria-label=\" (opens in a new tab)\" href=\"\/tag\/Herpes-Simplex-Virus\" target=\"_blank\">Herpes simplex virus<\/a><\/strong> is the most common infection associated with <strong><a rel=\"noreferrer noopener\" aria-label=\" (opens in a new tab)\" href=\"\/tag\/erythema-multiforme\" target=\"_blank\">erythema multiforme<\/a><\/strong>.<\/li><li><strong>Hepatitis C<\/strong> can be associated with <strong><a rel=\"noreferrer noopener\" aria-label=\" (opens in a new tab)\" href=\"\/tag\/erythema-multiforme\" target=\"_blank\">erythema multiforme<\/a><\/strong>, but that\u2019s usually in the setting of active treatment with <strong><a rel=\"noreferrer noopener\" aria-label=\" (opens in a new tab)\" href=\"\/tag\/Telaprevir\" target=\"_blank\">Telaprevir<\/a><\/strong>.<\/li><li><strong><a rel=\"noreferrer noopener\" aria-label=\" (opens in a new tab)\" href=\"\/tag\/COPD\" target=\"_blank\">COPD<\/a><\/strong> accounts for 70% of the cases of secondary <strong><a rel=\"noreferrer noopener\" aria-label=\" (opens in a new tab)\" href=\"\/tag\/spontaneous-pneumothoraces\" target=\"_blank\">spontaneous pneumothoraces<\/a><\/strong>.<\/li><li>The incidence of secondary spontaneous pneumothoraces is three times <strong>greater in men<\/strong> than in women.<\/li><li>In the setting of&nbsp;<strong><a rel=\"noreferrer noopener\" aria-label=\" (opens in a new tab)\" href=\"\/tag\/acute-onset-heart-block\" target=\"_blank\">acute-onset heart block<\/a><\/strong> due to coronary occlusion, suspect a <strong><a rel=\"noreferrer noopener\" aria-label=\" (opens in a new tab)\" href=\"\/tag\/right-coronary-artery-occlusion\" target=\"_blank\">right coronary artery occlusion<\/a><\/strong> as this artery supplies the&nbsp;<strong><a rel=\"noreferrer noopener\" aria-label=\" (opens in a new tab)\" href=\"\/tag\/AV-node\" target=\"_blank\">AV node<\/a> <\/strong>in the majority of patients.<\/li><li><strong><a rel=\"noreferrer noopener\" aria-label=\" (opens in a new tab)\" href=\"\/tag\/Obesity\" target=\"_blank\">Obesity<\/a><\/strong>&nbsp;may lead to a spuriously <strong><a rel=\"noreferrer noopener\" aria-label=\" (opens in a new tab)\" href=\"\/tag\/low-BNP\" target=\"_blank\">low BNP<\/a><\/strong>.<\/li><li>A&nbsp;<strong><a rel=\"noreferrer noopener\" aria-label=\" (opens in a new tab)\" href=\"\/tag\/BNP\" target=\"_blank\">BNP<\/a> &lt; 100 can rule out heart<\/strong> <strong>failure,<\/strong> but an elevated BNP is not necessarily indicative of failure.<\/li><li>In <strong><a rel=\"noreferrer noopener\" aria-label=\" (opens in a new tab)\" href=\"\/tag\/ACE-inhibitor-mediated-angioedema\" target=\"_blank\">ACE inhibitor-mediated angioedema<\/a><\/strong>, an <strong><a rel=\"noreferrer noopener\" aria-label=\" (opens in a new tab)\" href=\"\/tag\/accumulation-of-bradykinin\" target=\"_blank\">accumulation of<\/a><\/strong><a rel=\"noreferrer noopener\" aria-label=\" (opens in a new tab)\" href=\"\/tag\/accumulation-of-bradykinin\" target=\"_blank\"> <\/a><strong><a rel=\"noreferrer noopener\" aria-label=\" (opens in a new tab)\" href=\"\/tag\/accumulation-of-bradykinin\" target=\"_blank\">bradykinin<\/a><\/strong> leads to <strong><a rel=\"noreferrer noopener\" aria-label=\" (opens in a new tab)\" href=\"\/tag\/swelling\" target=\"_blank\">swelling<\/a><\/strong>. &nbsp;The swelling typically occurs in the <strong><a rel=\"noreferrer noopener\" aria-label=\" (opens in a new tab)\" href=\"\/tag\/face\" target=\"_blank\">face<\/a>,<\/strong> but it can also lead to complications in the <strong><a rel=\"noreferrer noopener\" aria-label=\" (opens in a new tab)\" href=\"\/tag\/GI-tract\" target=\"_blank\">GI tract<\/a><\/strong>.<\/li><li><strong><a rel=\"noreferrer noopener\" aria-label=\" (opens in a new tab)\" href=\"\/tag\/Hereditary-angioedema\" target=\"_blank\">Hereditary angioedema<\/a><\/strong>&nbsp;is caused by a <strong>deficiency or dysfunction of C1 esterase inhibitor<\/strong>. &nbsp;Episodes are typically precipitated by stress or trauma.<\/li><li>With <strong><a rel=\"noreferrer noopener\" aria-label=\" (opens in a new tab)\" href=\"\/tag\/ACE-inhibitor-mediated-angioedema\" target=\"_blank\">ACE inhibitor-mediated angioedema<\/a>,<\/strong> the treatment is <strong>cessation of the agent and supportive care<\/strong>. An ENT consult may be needed. &nbsp;<\/li><li>For <strong><a rel=\"noreferrer noopener\" aria-label=\" (opens in a new tab)\" href=\"\/tag\/hereditary-angioedema\" target=\"_blank\">hereditary angioedema<\/a><\/strong>, the treatment is with <strong>C1 esterase inhibitor replacement or with FFP<\/strong> if the inhibitor is not available.<\/li><li>In the setting of an <strong><a rel=\"noreferrer noopener\" aria-label=\" (opens in a new tab)\" href=\"\/tag\/acute-arterial-occlusion\" target=\"_blank\">acute arterial occlusion<\/a><\/strong>,&nbsp;<strong><a rel=\"noreferrer noopener\" aria-label=\" (opens in a new tab)\" href=\"\/tag\/paralysis\" target=\"_blank\">paralysis<\/a>, and <a rel=\"noreferrer noopener\" aria-label=\" (opens in a new tab)\" href=\"\/tag\/paresthesias\" target=\"_blank\">paresthesias<\/a><\/strong> require <strong><a rel=\"noreferrer noopener\" aria-label=\" (opens in a new tab)\" href=\"\/tag\/emergent-surgical-intervention\" target=\"_blank\">emergent surgical intervention<\/a><\/strong>. &nbsp;Such findings usually herald more advanced disease.<\/li><li>Do not forget the <strong>six Ps of <a rel=\"noreferrer noopener\" aria-label=\" (opens in a new tab)\" href=\"\/tag\/acute-arterial-occlusion\" target=\"_blank\">acute arterial occlusion<\/a>: <a rel=\"noreferrer noopener\" aria-label=\" (opens in a new tab)\" href=\"\/tag\/paresthesias\" target=\"_blank\">paresthesias<\/a>, <a rel=\"noreferrer noopener\" aria-label=\" (opens in a new tab)\" href=\"\/tag\/paralysis\" target=\"_blank\">paralysis<\/a>, <a rel=\"noreferrer noopener\" aria-label=\" (opens in a new tab)\" href=\"\/tag\/pallor\" target=\"_blank\">pallor<\/a>, <a rel=\"noreferrer noopener\" aria-label=\" (opens in a new tab)\" href=\"\/tag\/pulselessness\" target=\"_blank\">pulselessness<\/a>, <a rel=\"noreferrer noopener\" aria-label=\" (opens in a new tab)\" href=\"\/tag\/poikilothermia\" target=\"_blank\">poikilothermia<\/a>, and pain out of proportion to exam<\/strong>.<\/li><li><strong><a rel=\"noreferrer noopener\" aria-label=\" (opens in a new tab)\" href=\"\/tag\/Acute-arterial-embolisms\" target=\"_blank\">Acute arterial embolisms<\/a><\/strong>&nbsp;should be managed by <strong><a rel=\"noreferrer noopener\" aria-label=\" (opens in a new tab)\" href=\"\/tag\/embolectomy\" target=\"_blank\">embolectomy<\/a><\/strong>, whereas<a rel=\"noreferrer noopener\" aria-label=\" (opens in a new tab)\" href=\"\/tag\/%20in-situ-thromboses\" target=\"_blank\"> <\/a><strong><a rel=\"noreferrer noopener\" aria-label=\" (opens in a new tab)\" href=\"\/tag\/%20in-situ-thromboses\" target=\"_blank\">in situ thromboses<\/a><\/strong> may respond to <strong><a rel=\"noreferrer noopener\" aria-label=\" (opens in a new tab)\" href=\"\/tag\/anticoagulation\" target=\"_blank\">anticoagulation<\/a><\/strong>.<\/li><li><strong><a rel=\"noreferrer noopener\" aria-label=\" (opens in a new tab)\" href=\"\/tag\/Left-ventricular-thrombus-formation\" target=\"_blank\">Left ventricular thrombus formation<\/a> after an MI<\/strong> is the most common source of <strong><a rel=\"noreferrer noopener\" aria-label=\" (opens in a new tab)\" href=\"\/tag\/arterial-emboli\" target=\"_blank\">arterial emboli<\/a><\/strong>.<\/li><li>In cases of&nbsp;<strong><a rel=\"noreferrer noopener\" aria-label=\" (opens in a new tab)\" href=\"\/tag\/partial-airway-obstruction\" target=\"_blank\">partial airway obstruction<\/a><\/strong> in <strong><a rel=\"noreferrer noopener\" aria-label=\" (opens in a new tab)\" href=\"\/tag\/children\" target=\"_blank\">children<\/a><\/strong> due to a <strong><a rel=\"noreferrer noopener\" aria-label=\" (opens in a new tab)\" href=\"\/tag\/foreign-body\" target=\"_blank\">foreign body<\/a><\/strong>, set-up for both direct <strong><a rel=\"noreferrer noopener\" aria-label=\" (opens in a new tab)\" href=\"\/tag\/laryngoscopy\" target=\"_blank\">laryngoscopy<\/a><\/strong> and <strong><a rel=\"noreferrer noopener\" aria-label=\" (opens in a new tab)\" href=\"\/tag\/cricothyrotomy\" target=\"_blank\">cricothyrotomy<\/a><\/strong> while awaiting&nbsp;<strong><a rel=\"noreferrer noopener\" aria-label=\" (opens in a new tab)\" href=\"\/tag\/ENT\" target=\"_blank\">ENT<\/a> <\/strong>arrival for <strong><a rel=\"noreferrer noopener\" aria-label=\" (opens in a new tab)\" href=\"\/tag\/foreign-body-removal\" target=\"_blank\">foreign body removal<\/a><\/strong> in the operating room.&nbsp;<strong><a rel=\"noreferrer noopener\" aria-label=\" (opens in a new tab)\" href=\"\/tag\/Avoid-agitating\" target=\"_blank\">Avoid agitating<\/a><\/strong> the child as&nbsp;<strong><a href=\"\/tag\/changing-positions\">changing positions<\/a><\/strong> may convert a&nbsp;<strong><a rel=\"noreferrer noopener\" aria-label=\" (opens in a new tab)\" href=\"\/tag\/partial-obstruction\" target=\"_blank\">partial obstruction<\/a> <\/strong>to a<strong> <a href=\"\/tag\/complete-obstruction\">compl<\/a><a href=\"\/tag\/complete-obstruction\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\"ete obstruction. (opens in a new tab)\">ete obstruction<\/a><\/strong><a href=\"\/tag\/complete-obstruction\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\"ete obstruction. (opens in a new tab)\">.<\/a><\/li><\/ul>\n\n\n\n<p>That wraps up episode 15! What do you guys think of the pauses after questions? Let us know by emailing us at <a href=\"mailto:Roshcast@roshreview.com\">Roshcast@roshreview.com<\/a>.<span>&nbsp;Do not forget to check out the high-yield questions and explanations in the&nbsp;<\/span><a href=\"https:\/\/www.roshreview.com\/specialties\/emergency-medicine\/\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\" (opens in a new tab)\">Rosh Review Emergency Medicine Qbank<\/a><span>.<\/span><\/p>\n\n\n\n<p>Until next time,<br>Jeff and Nachi<\/p>\n\n\n\n<p>P.S. If you missed last week\u2019s episode including frostbite, <a href=\"https:\/\/www.roshreview.com\/podcasts\/ep-14-otitis-media-hemophilia-pelvic-inflammatory-disease-strep-pharyngitis-frostbite-balanitis\/\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\" (opens in a new tab)\">listen here<\/a>.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Welcome back to episode 15! As promised, we are back to our weekly episodes leading into the ITE. We start this week with a rapid review of some of the infectious disease high-yield points that we have covered in the past few months, and then we dive right into the new material. Stay tuned for some comical outtakes at the end of the podcast for an inside look at the recording of Roshcast. We think you will enjoy it. Let\u2019s get on with the rapid review.<\/p>\n","protected":false},"author":11,"featured_media":1226,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"inline_featured_image":false,"footnotes":""},"categories":[2025,1999],"tags":[2063,2064,2065,2071,2072,2079,2113,2150,2167,2188,2190,2207,2208,2268,2290,2312,2362,2372,2413,2423,2441,2447,2458,2574,2585,2602,2616,2632,2679,2680,2716,2760,2786,2788,2792,2865,2939,2957,2982,3149,3201,3226,3232,3236,3237,3265,3330,3335,3416,3477,3567,3611,3627,3651],"coauthors":[],"class_list":["post-1223","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-emergency-medicine","category-podcast","tag-accumulation-of-bradykinin","tag-ace-inhibitor","tag-ace-inhibitor-mediated-angioedema","tag-acute-arterial-embolisms","tag-acute-arterial-occlusion","tag-acute-onset-heart-block","tag-airway-obstruction","tag-angioedema","tag-anticoagulation","tag-arterial-emboli","tag-arterial-occlusion","tag-av-node","tag-avoid-agitating","tag-bnp","tag-bradykinin","tag-c1-esterase-inhibitor","tag-changing-positions","tag-children","tag-cold","tag-complete-obstruction","tag-copd","tag-coronary-artery","tag-cricothyrotomy","tag-embolectomy","tag-emergent-surgical-intervention","tag-ent","tag-erythema-multiforme","tag-face","tag-foreign-body","tag-foreign-body-removal","tag-gi-tract","tag-heart-block","tag-hepatitis-c","tag-hereditary-angioedema","tag-herpes-simplex-virus","tag-in-situ-thromboses","tag-laryngoscopy","tag-left-ventricular-thrombus-formation","tag-low-bnp","tag-obesity","tag-pallor","tag-paralysis","tag-paresthesias","tag-partial-airway-obstruction","tag-partial-obstruction","tag-pediatrics","tag-pneumothorax","tag-poikilothermia","tag-pulselessness","tag-right-coronary-artery-occlusion","tag-spontaneous-pneumothoraces","tag-swelling","tag-telaprevir","tag-thrombus"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v21.7 (Yoast SEO v26.6) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Podcast Ep 15: BNP, Pneumothorax, Angioedema &amp; More | RoshReview.com<\/title>\n<meta name=\"description\" content=\"Welcome to RoshCast (Ep. 15), the first question and answer style emergency medicine podcast. Listen and learn more.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.roshreview.com\/blog\/ep-15-erythema-multiforme-pneumothorax-heart-block-brain-natriuretic-peptide-angioedema-arterial-emboli-airway-obstructionand\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Podcast Ep 15: BNP, Pneumothorax, Angioedema, &amp; More\" \/>\n<meta property=\"og:description\" content=\"Welcome to RoshCast (Ep. 15), the first question and answer style emergency medicine podcast. 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