Medgeeks with Andrew Reid

A 43 year old male presents to the emergency department with right wrist pain after falling on his outstretched right hand. You obtain an   x-ray of the wrist, which demonstrates no acute fracture or dislocation. The patient is neurovascularly intact, you decided to discharge the patient home with instructions to treat with: ice, rest, and some naproxen. 14 months later, you're being sued by this...

You have two patients. One is a 53 year old male with a past medical history of diabetes, and he's presenting to the emergency room with an abscess on his upper back, it has been growing larger for the past four days. His vitals are significant for a heart rate of 108 and temp of 99.9. Meanwhile down the hall, you're also seeing a 25 year old female who recently gave birth three weeks ago, she com...

A 36 year old man presents to your Urgent Care complaining of progressively worsening left eye pain. It started as a scratchy feeling three days ago but now it's worse. He can barely even open it, due to the pain and the light sensitivity. When you examine the eye it's red, and there is purulent drainage. Is this pinkeye? Could it be something worse? Today let's discuss pathology relating to the c...

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...

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...

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...

Welcome to the medgeeks podcast, this is Eric Gordon and we are going to be finishing up our conversation on anemia today. If you haven't done so already be sure and check out our two previous episodes on anemia. Part One was microcytic anemia and Part Two normocytic. Today we are finishing up with part three and that is macrocytic anemia. We're talking B12, we're talking folate, we're talking alc...

Today we are continuing our discussion on anemia, and we are focusing Normocytic Anemia. If you missed it last week, we talked Anemia Part 1: Microcytic Anemia. If you missed it go check it out. Lets go ahead and get started: Today we are going to discuss: How to approach Normocytic Anemia Best way to work-up Normocytic Anemia The Causes and Pathophysiology Decreased Production Increased destructi...

A 21 yo F presents c/o of increasing fatigue and occasional SOB. Her sx have been gradual in onset over the past few weeks. She denies: chest pain, cough, fever & leg edema. Vital signs are normal. No other complaints or Past Medical History. You obtain some labs that show you what you believe to be the answer. Hgb - 7.8 3 months ago: Hgb - 12.5 Whats the next step? What's the cause? How do you ma...

Your next patient is an 8yo girl; her mother brought her to your office because she has a red painful left eye. Her mother believes this is "Pink Eye".  There has been no drainage or any known exposure. On exam, you see a significant amount of edema and erythema of the upper and lower eyelids and the surrounding soft tissue. The patient's eye is effectively swollen shut and she is complaining of p...

A 43 year old male with a past medical history of hypertension, diabetes, and hyperlipidemia presents to the emergency department with dizziness that started 14 hours ago. He complains of nausea and vomiting. He denies recent trauma, fever, headache, visual disturbance, or weakness. He says he requires the assistance of his wife to walk because he feels unsteady.  His symptoms are relieved when he...

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 appr...

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...

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 liste...

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...

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...

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 h...

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 hyp...

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 hel...

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...

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, an...

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 appetit...

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...

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...

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...