Medical Minute

Podcast 516: Narcan and Pulmonary Edema

Contributor: Erik Verzemnieks, MD Educational Pearls: Important to realize complications can occur in the post-opioid overdose patient regardless of cause Narcan administration has been associated with non-cardiogenic pulmonary edema, although the mechanism of this is not quite known Symptoms include progressive shortness of breath and hypoxia.  Treatment is with positive-pressure ventilation and diuresis, similar to…

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Podcast 516: Narcan and Pulmonary Edema

Podcast 515: Non-Accidental Trauma 

Contributor: Jared Scott, MD Educational Pearls: Non-accidental trauma (NAT) to children is commonly missed by medical providers Try to remember TEN-4-FACES as a useful aide for concerning patterns that may reflect NAT: Torso, ears, neck and any bruising in child 4 months or longer Frenulum, angle of the mandible, cheek, eyes, sclera References Pierce MC,…

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Podcast 515: Non-Accidental Trauma 

Podcast 514: Pain Control While on Naltrexone 

Author: Don Stader, MD Educational Pearls: Suboxone, methadone, and naltrexone are commonly used as treatments for opiate use disorder.  Naltrexone is a full mu-opiate receptor antagonist, making acute pain control difficult in patients taking it.  Options for pain control in patients on naltrexone include nerve blocks, NSAIDS, ketamine, and high doses of opiates.  Of the…

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Podcast 514: Pain Control While on Naltrexone 

Podcast 513: Plague

Author: John Winkler, MD Educational Pearls: The plague (black death) is caused by the Yersinia Pestis bacteria. This bacteria is spread by fleas and carried by rats. It is very contagious and only needs ~ 100 bacteria to cause an infection.  The pulmonary form presents with cough, fever, night sweats, hemoptysis and has a near…

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Podcast 513: Plague

Podcast 512: Abstinence is Bad, mmmkay?

Author: Don Stader, MD Educational Pearls: Abstinence from substances such as tobacco or alcohol are effective strategies to achieve long term sobriety However, abstinence is not an effective strategy for achieving sobriety with opiate use disorder (OUD) Up to 90% of those who use an abstinence-only strategy for OUD will relapse within a month.  Attending…

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Podcast 512: Abstinence is Bad, mmmkay?

Podcast 511: Ebola Treatment 

Author: Rachel Beham, PharmD Educational Pearls: There are currently many Ebola vaccines that are being studied, and one (recombinant VZV-Ebola vaccine) is currently being used in Africa. This vaccine has so far shown good efficacy in reducing Ebola infections and mortality from Ebola in those who do become infected.  There are antibody-based treatments that are…

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Podcast 511: Ebola Treatment 

Podcast # 510: Ebola

Author: John Winkler, MD Educational Pearls: There is a new outbreak of Ebola in The Congo. This is likely due to civil war and rebel attacks on healthcare workers in the area.  Ebola is now spreading from the Congo into neighboring Uganda, but vaccination efforts are staving off the spread across the border  Early symptoms…

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Podcast # 510: Ebola

Podcast 509: Circadian Rhythm and Shift Work, From Z to Z

Contributor: Jared Scott, MD Educational Pearls: Sleep deprivation and disturbed sleep cycles increases the risk of many acute and chronic medical issues such as motor vehicle accidents, diabetes, cardiovascular disease, psychiatric disease,  and shift work sleep disorder (difficulty sleeping, fatigue, interference with daily activities) Stages of sleep  Stage 1: 5-10 minutes (light sleep, may not…

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Podcast 509: Circadian Rhythm and Shift Work, From Z to Z

Podcast 508: Are you with child?

Contributor: Chris Holmes, MD Educational Pearls: In ancient Egypt, pregnant women would urinate over barley and wheat seeds to help determine the sex of thier fetus, as well as if they were pregnant. Amazingly, this has 70% accuracy (!!) for determining pregnancy (not sex). Piss Prophets in the middle ages would examine urine for changes…

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Podcast 508: Are you with child?

Podcast 507: Who gonna crump?

Contributor: Nick Tsipis, MD Educational Pearls: Communication proves time and time again to be most helpful in preventing surprises after patient admission Frequent re-evaluations and repeat vital signs can be important to evaluating a patient’s risk for deterioration once admitted as well as selecting the proper level of care at admission Broad categories of patients…

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Podcast 507: Who gonna crump?

 

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