Physician Assistant Boards Podcast: Exam Review | Medicine | Pance Preparation |

Ear pain! I see it almost every shift in the ED. Most of the time it is pretty routine stuff, otitis media, swimmer's ear, occasionally a foreign body in the case of some adventurous toddlers.  Bottom line, not really emergencies, MOST OF THE TIME! But what happens when ear pain presents in a really sick patient, who's at risk for serious life threatening complications if they are not managed appropriately today, right now? Today on the Medgeeks podcast we're talking Mastoiditis! -  Our goal at Medgeeks is to help you live the life you want to live as you navigate a career in medicine. This looks different to everyone, which is why we take such a personalized approach.  Whether you want to ... Stop taking your work home Have the skillset to work autonomously Improve your work life balance ...or anything in between, we can definitely help.   We've worked with thousands since 2013 and we're confident we can help take your career and life to the next level. You can learn more about our mentorship opportunities

Your patient is furious! He showed up to your office this morning demanding to speak with you regarding his most recent lab results. You had seen him for a routine visit two days ago, and you haven't had a chance to review the results, that came in late last evening... ...but the patient had. While reviewing the labs through his patient portal, the patient noticed something that concerned him very much: he noted his calcium was elevated. Not knowing what that means, he did what any sensible person would do, he googled it and of course he found out that his high calcium is probably due to cancer. Yes, another diagnosis of cancer made by google! So, he's upset that he wasn't immediately called in for this, and instead had to figure this out on his own; this is no doubt driving much of his anger. Nonetheless, you better know what you're talking about, in this very important conversation you're about to have. So, today on the Medgeeks podcast, we'll be discussing hypercalcemia! - Our goal at Medgeeks is to help

Does every twisted ankle need to be imaged? Does a negative ankle x-ray mean there isn't any need for ortho followup?  Does every ankle fracture need to be placed in a splint and made non-weight bearing? Today, we'll be discussing the high yield topics related to ankle injuries...as well as some clinical pearls, so you don't get burned! At the end, we'll be staring a question from one of our listeners, regarding thee DVT. - Our goal at Medgeeks is to help you live the life you want to live as you navigate a career in medicine. This looks different to everyone, which is why we take such a personalized approach.  Whether you want to ... Stop taking your work home Have the skillset to work autonomously Improve your work life balance ...or anything in between, we can definitely help.   We've worked with thousands since 2013 and we're confident we can help take your career and life to the next level. You can learn more about our mentorship opportunities here:   https://www.medgeeksmentorship.co/opportunities  

Your first patient of the morning is an 18 month year old female patient who's brought to the clinic by her mother.  The chief complaint is cough and difficulty breathing. The patients mother states she was up all night due to the nearly constant coughing. On exam, the girl appears very fatigued. She has a pervasive non-productive barking cough. You also notice there is tachypnea and stridor.  Her O2 saturation is 97% and her lungs are clear. So, what's the plan? Today on the Medgeeks podcast, we'll be discussing croup! If you work primary care, urgent care, pediatrics, or in the emergency departmeent, then you're bound to see this! It's common and most of the time it's not that big of a deal.  But, when it is a big deal, it's a very big deal. Today we'll share: How to recognize this disease process How to know when it is a big deal At the end of the podcast we'll be answering a question from our listeners regarding hypertonic saline. - Our goal at Medgeeks is to help you live the life you want to live as y

Today is part 2 of our discussion regarding pulmonary embolism! In part 1, we discussed the pathophysiology and presentation for pulmonary embolism. Today's episode will be focused more so on the workup of pulmonary embolism and how we're going to manage these patients. - Our goal at Medgeeks is to help you live the life you want to live as you navigate a career in medicine. This looks different to everyone, which is why we take such a personalized approach.  Whether you want to ... Stop taking your work home Have the skillset to work autonomously Improve your work life balance ...or anything in between, we can definitely help.   We've worked with thousands since 2013 and we're confident we can help take your career and life to the next level. You can learn more about our mentorship opportunities here:   https://www.medgeeksmentorship.co/opportunities   or schedule a time to chat with our advisors here:   https://www.medgeeksmentorship.co/application   - Learn more about what we do here https://medgeeks.

A 29 year old female presents to the emergency room with chest pain and shortness of breath that started last night.  The pain is located on her right anterior chest and she describes it as sharp and stabbing and is worse when she takes a deep breath. The EKG in triage shows she's in sinus rhythm at a rate of 114 without signs of ischemia. She appears anxious and when asked, she states she has a history of panic attacks. She denies cough, URI symptoms, back pain, fever, leg swelling. There has been no recent travel, no prolonged immobilization, but she does take birth control pills. How comfortable do you feel managing this patient? Today we'll be discussing pulmonary embolism! - Our goal at Medgeeks is to help you live the life you want to live as you navigate a career in medicine. This looks different to everyone, which is why we take such a personalized approach.  Whether you want to ... Stop taking your work home Have the skillset to work autonomously Improve your work life balance ...or anything in bet

It's 7:30 am and a 55 year old male presents to your emergency department complaining of stabbing pain in his right side, which woke him up from sleep, about 20 minutes ago. As you walk into the room, you see him pacing around, clutching his side and slightly hunched over. He won't sit still and can barely complete a sentence before groaning from all the pain.  He has a past medical history of hypertension and diverticulitis. He denies any associated symptoms and states yesterday he felt normal. The triage nurse obtained a urine sample showing hematuria. What do you do...? Today, we'll be discussing kidney stones and we will be answering a couple of your questions regarding acute kidney injury and post exposure prophylaxis after a needle stick.  - Our goal at Medgeeks is to help you live the life you want to live as you navigate a career in medicine. This looks different to everyone, which is why we take such a personalized approach.  Whether you want to ... Stop taking your work home Have the skillset to wo

Today, we'll be finishing up our discussion on the neurological exam. Last week, we talked about the cranial nerves and the motor exam. This week, for part 2, we'll be discussing reflexes and the sensory exam. At the end, I'll go over the flow I use in the emergency department. Afterwards, we'll be answering your questions about nystagmus and right ventricular MIs. - Our goal at Medgeeks is to help you live the life you want to live as you navigate a career in medicine. This looks different to everyone, which is why we take such a personalized approach.  Whether you want to ... Stop taking your work home Have the skillset to work autonomously Improve your work life balance ...or anything in between, we can definitely help.   We've worked with thousands since 2013 and we're confident we can help take your career and life to the next level. You can learn more about our mentorship opportunities here:   https://www.medgeeksmentorship.co/opportunities   or schedule a time to chat with our advisors here:   http

You'll need to do a good neurological exam and make sure there aren't any deficits. Are there any focal neuro findings? Who's heard these things before? Who's asked themselves these things before?  There are a ton of indications to do a complete neurological exam on a patient. Perhaps they are altered, have a headache, or have a head/spine injury? Let's be honest here, sometimes the neuro exam can be a little tedious and daunting for both students and clinicians alike. But, it doesn't need to be that way. Today on the Medgeeks podcast, we'll be talking about the neuro exam. - Our goal at Medgeeks is to help you live the life you want to live as you navigate a career in medicine. This looks different to everyone, which is why we take such a personalized approach.  Whether you want to ... Stop taking your work home Have the skillset to work autonomously Improve your work life balance ...or anything in between, we can definitely help.   We've worked with thousands since 2013 and we're confident we can help tak

Your next patient is a 25 year old man who called in to make a same day appointment.  He has no past medical history, but you know him pretty well. He's always been a bit of a hypochondriac, so you figure it's probably nothing major. When you walk in the room, the patient smiles, and you shake hands. That's when you notice... Today, we'll be talking Bells Palsy.  What is it, how do we diagnose, and how do we treat? - Our goal at Medgeeks is to help you live the life you want to live as you navigate a career in medicine. This looks different to everyone, which is why we take such a personalized approach.  Whether you want to ... Stop taking your work home Have the skillset to work autonomously Improve your work life balance ...or anything in between, we can definitely help.   We've worked with thousands since 2013 and we're confident we can help take your career and life to the next level. You can learn more about our mentorship opportunities here:   https://www.medgeeksmentorship.co/opportunities   or sche

Your next patient is a 21 year old female who was brought in to urgent care by her husband with the chief complaint of fatigue and vomiting. Before you go in to see the patient, you notice she has no past medical history and her vital signs are normal, aside from a heart rate of 122 BPM. The patient thought she was coming down with something, because she was feeling very tired and lost her appetite. She developed vomiting this am. They blame the sushi they ate. During the physical, you notice she looks very ill. She's laying on her side and holding her belly uncomfortably. Her skin looks pale and appears to be dehydrated. So, you ask for a glucose, and come to find, it's extremely high and reads ">500". Today, we'll be talking diabetic ketoacidosis. We will also be answering your questions at the end of our show in the Ask Medgeeks segment, which includes LFTs and clean catch urine samples. - Our goal at Medgeeks is to help you live the life you want to live as you navigate a career in medicine. This looks di

Your next patient is a 7 year old boy, brought in by his parents with a chief complaint that simply says, "bite". You're walking down the hall, to the patient, all the while wondering what kind of bite we're talking about. As you near the room, you hear the boy crying hysterically. You enter the room and see the mother trying to console the patient, holding a folded up t-shirt to the right side of his face, and there's blood all over the patient's clothes. The boys father is angrily pacing around the room on his cell phone.  The mother states they were playing at the park, when a very large dog began growling, and ultimately bit the patient in the face. The dog was wearing a collar, but they didn't see the owner.  When you examine the face, you see a 3 cm hooked shaped laceration over his cheek and gaping wide open, but doesn't extend all the way to the inside of his mouth.  As the clinician, how will you bring resolution to the family? How would you manage this patient? Todays podcast will be all about anima

A 22 year old female comes into your clinic and she's complaining of lower abdominal pain which started yesterday.  She has no past medical history.  The patient denies vomiting or fever. She really doesn't have any other complaints aside from the pain, which she states is sharp, but dull at times as well. She then reveals her last menstrual period was 6 week prior. What's one of the first things that should pop into your head when evaluating this patient? Well, that's exactly what we'll discuss on todays episode: Ectopic Pregnancy.  - Our goal at Medgeeks is to help you live the life you want to live as you navigate a career in medicine. This looks different to everyone, which is why we take such a personalized approach.  Whether you want to ... Stop taking your work home Have the skillset to work autonomously Improve your work life balance ...or anything in between, we can definitely help.   We've worked with thousands since 2013 and we're confident we can help take your career and life to the next level.

Today, we'll be discussing the patient presenting with atraumatic joint pain and the many differentials that come along with that. We'll also be answering all the questions everyone submitted at the end of the podcast. Have a question regarding clinical practice, school, exams, or anything medical? Submit your question (free) and we'll answer on the next episode! - Our goal at Medgeeks is to help you live the life you want to live as you navigate a career in medicine. This looks different to everyone, which is why we take such a personalized approach.  Whether you want to ... Stop taking your work home Have the skillset to work autonomously Improve your work life balance ...or anything in between, we can definitely help.   We've worked with thousands since 2013 and we're confident we can help take your career and life to the next level. You can learn more about our mentorship opportunities here:   https://www.medgeeksmentorship.co/opportunities   or schedule a time to chat with our advisors here:   https:

Today, I'd like to introduce Eric Gordon PA-C. He's the newest member of the Medgeeks team and is a physician assistant practicing emergency medicine in Fort Worth, Texas. He graduated from the University of North Texas Health Science Center in 2016. Eric developed a passion for teaching while working as a zipline and ecotour guide in Austin, Texas. He has also taught standardized test prep classes to high school students and currently enjoys training PA and NP emergency medicine residents. On this episode, he'll be breaking down syncope from presentation, the differentials, things to look out for, the workup, and management. We'll finish this all off with a nice case study to see how everything ties together! We want to be more interactive with our community and so we've decided to start doing a Q&A at the end of each episode. - Our goal at Medgeeks is to help you live the life you want to live as you navigate a career in medicine. This looks different to everyone, which is why we take such a personalize

Last week we discussed some scoring systems regarding neuro, cardiac, and respiratory. This week, I want to go over GI, renal, endocrinology, infectious disease, and hematology. Let's get started! - Our goal at Medgeeks is to help you live the life you want to live as you navigate a career in medicine. This looks different to everyone, which is why we take such a personalized approach.  Whether you want to ... Stop taking your work home Have the skillset to work autonomously Improve your work life balance ...or anything in between, we can definitely help.   We've worked with thousands since 2013 and we're confident we can help take your career and life to the next level. You can learn more about our mentorship opportunities here:   https://www.medgeeksmentorship.co/opportunities   or schedule a time to chat with our advisors here:   https://www.medgeeksmentorship.co/application   - Learn more about what we do here https://medgeeks.co/about-us - Check out our free Facebook group, where we share daily clin

Over the next couple weeks, I want to take a break from the normal disease based podcasts. Instead, I want to shift our focus and discuss some high yield useful scoring, equations, and algorithms, such as the NEXUS C-Spine rule, PERC rule, calcium correction for albumin, FENA, free water deficit for hyponatremia, etc. There are a ton to know. But, I want to touch on the ones I use day in and day out.  You're probably thinking... Well, Zach, I can just hop online and use the free calculator.  And, I agree. Use those for the math side of things. However, you need to know why and when to use them to help improve your patient care. I want to break this all down by organ system. This week we'll touch on neurology, respiratory, and cardiac.   So, let's begin! - Our goal at Medgeeks is to help you live the life you want to live as you navigate a career in medicine. This looks different to everyone, which is why we take such a personalized approach.  Whether you want to ... Stop taking your work home Have the skills

So, you scroll to the next patient on your list and see the chief complaint of "eye problem". This can be anything. From a simple hordeolum to an emergency situation like a retrobulbar hematoma. So, let's go over some common eye problems you might see in the emergency department, urgent care, or primary care office. Enjoy! - Our goal at Medgeeks is to help you live the life you want to live as you navigate a career in medicine. This looks different to everyone, which is why we take such a personalized approach.  Whether you want to ... Stop taking your work home Have the skillset to work autonomously Improve your work life balance ...or anything in between, we can definitely help.   We've worked with thousands since 2013 and we're confident we can help take your career and life to the next level. You can learn more about our mentorship opportunities here:   https://www.medgeeksmentorship.co/opportunities   or schedule a time to chat with our advisors here:   https://www.medgeeksmentorship.co/application  

Today, we're going to talk about toxic shock syndrome.  You're probably thinking this is the disease associated with tampons and menstrual cycles. Well, let me tell you it's not just menstrual cycle related. In fact, half of the reported case are not menstrual related. Regardless, when you hear toxic shock syndrome, get concerned and get worried. Hopefully, you won't ever have to make this diagnosis, as it's quite lethal. I've seen in one time so far in my career and the case didn't end well. So, let's get started! - Our goal at Medgeeks is to help you live the life you want to live as you navigate a career in medicine. This looks different to everyone, which is why we take such a personalized approach.  Whether you want to ... Stop taking your work home Have the skillset to work autonomously Improve your work life balance ...or anything in between, we can definitely help.   We've worked with thousands since 2013 and we're confident we can help take your career and life to the next level. You can learn more

You have a 54 year old male patient with a past medical history of schizophrenia, ETOH abuse, drug abuse (crack cocaine), hypertension, hyperlipidemia, and diabetes. He was brought in by police for aggressive behavior in public. The patient was roaming the street, yelling and banging on restaurant windows.  Upon police arrival, the patient was awake and alert. However, he wasn't calm or cooperative; ultimately he required restraints by EMS. You're unable to get his vital signs due to his agitation. So, what would you do?  Today, I want to discuss the agitated patient and how we should approach this scenario. - Our goal at Medgeeks is to help you live the life you want to live as you navigate a career in medicine. This looks different to everyone, which is why we take such a personalized approach.  Whether you want to ... Stop taking your work home Have the skillset to work autonomously Improve your work life balance ...or anything in between, we can definitely help.   We've worked with thousands since 2013