Medical Minute

Podcast #52: Syphilis the Great Imitator

Run Time: 7 minutes Author: Dr. Donald Stader Educational Pearls: Syphillis is a very important historical and current disease. The study of Syhpillis or “Syphilology” evolved into the field of dermatology. Syphilis, an is caused by the spirochete bacteria, Treponema pallidum.  Syphilis comes in three stages: primary, secondary, and tertiary stages. In the primary stage, they…

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Podcast #50: Pleural Effusion

Run Time: 4 minutes Author: Dr. Peter Bakes Educational Pearls: 75% of pleural effusions seen in US emergency rooms are caused by one of three non-trauma diagnoses: congestive heart failure, infection, and cancer. First test of choice without history is a diagnostic aspiration of the pleural fluid. This determines if the pleural effusion is transudate or…

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Podcast #47: Broken Penis

Run Time: 2 minutes Author: Dr. Erik Verzemnieks Educational Pearls: During an erection the corpus cavanosum fills with blood, when enough stress is placed on the penis during an erection the surrounding tissue can rupture. A broken penis most often occurs during intercourse in the “reverse cowgirl” position. This condition requires surgical repair of the…

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Podcast #44: Myxedema Related Bradycardia

Run Time: 2 minutes Author: Dr. Susan Brion Educational Pearls: Myxedema is generally thought of as severe hypothyroidism. Presentation of myxedema is usually manifested with bradycardia, altered mental status, hypothermia, and swelling to the face. The patient’s labs will usually show hyponatremia, hypoglycemia, as well as some indication of primary or secondary hypothyroidism. Treatment is IV hydrocortisone…

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Podcast #39: Propranolol Overdose

Run Time: 4 minutes Author: Rachael Duncan, PharmD BCPS Educational Pearls: Propranolol overdose presents with bradycardia, hypotension, decreased activity, and decreased body temperature. Propranolol is a lipophilic beta-blocker. Appropriate reversal agents for overdose on propranolol are epinephrine, dopamine, glucagon, calcium, levophed, and an IV lipid sink to sequester the propranolol. In cardiogenic shock, the heart begins…

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Podcast #32: Preoxygenation

Run Time: 4 minutes Author: Dr. David Rosenberg Educational Pearls: Preoxygenation provides plenty of oxygen to the patient so that he/she does not desaturate during RSI. Even if the patient is at 100% on spO2 monitor, preoxygenation is necessary for continued saturation of hemoglobin and transport of oxygen to the rest of the body – respiration…

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Podcast #27: Variceal Upper GI bleed

Run Time: 9 minutes Author: Dr. Donald Stader Educational Pearls: Patients with variceal bleeding are sick at baseline, and come from a very sick patient population with a higher mortality rate. Varices occur in a patient with cirrhosis when blood goes through other pathways to get back to the heart – rather than going through…

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Podcast #24: Stevens-Johnson Sydrome/ TENS

Run Time: 7 minutes Author: Dr. Donald Stader Educational Pearls: Stevens-Johnson Syndrome (SJS) was first described in 1922 by pediatricians Dr. Stevens and Dr. Johnson after severe rash and skin peeling in one of their patients. SJS is described on a scale of <10% of body affected is Steve-Johnson Syndrome, 10%-30% is called Steven-Johnson/TENS, and…

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Podcast #21: Priapism Management

Run Time: 4 minutes Author: Dr. Donald Stader Educational Pearls: Priapism originates from the Greek god of fertility, Priapus. Causes of Priapsim include: chemically induced – Viagra, Cialis, spinal injury, low flow state, and Leukemia. Treatment of priapism Phenylephrine, Tributyltin, Epinephrine – can cause penile necrosis, and drainage and irrigation from the corpus callosum of…

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