Episodes
Friday Sep 20, 2024
Urgent Bite 231 - Drug induced tendinopathy
Friday Sep 20, 2024
Friday Sep 20, 2024
Drug-induced tendinopathy can occur early, and late in a person's usage. So we must consider a patient's medication history closely whenever they have symptoms of tendinopathy or rupture.
Check out the September 2024 Prescriber update, Vol 5, No 3.
https://www.facebook.com/rnzcuc
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Full Grip by Score Squad
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor
Friday Sep 13, 2024
Urgent Bite 230 - Dry Socket
Friday Sep 13, 2024
Friday Sep 13, 2024
Dry socket might present to urgent care. What is it and what should we do about it?
Check out the papers mentioned
Chemaly D. How do I manage a patient with dry socket? J Can Dent Assoc. 2013;79:d54. PMID: 23763736. https://pubmed.ncbi.nlm.nih.gov/23763736/
Mamoun J. Dry Socket Etiology, Diagnosis, and Clinical Treatment Techniques. J Korean Assoc Oral Maxillofac Surg. 2018 Apr;44(2):52-58. doi: 10.5125/jkaoms.2018.44.2.52. Epub 2018 Apr 25. PMID: 29732309; PMCID: PMC5932271.
https://pubmed.ncbi.nlm.nih.gov/29732309/
https://www.facebook.com/rnzcuc
Music licensed from www.premiumbeat.com
Full Grip by Score Squad
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor
Friday Sep 06, 2024
Urgent Bite 229 - Listening to the Caddy
Friday Sep 06, 2024
Friday Sep 06, 2024
A caddy offers words of wisdom to their golfer. Some of their advice is relevant to urgent care.
Check out the paper mentioned
Gotlieb R, Praska C, Hendrickson MA, Marmet J, Charpentier V, Hause E, Allen KA, Lunos S, Pitt MB. Accuracy in Patient Understanding of Common Medical Phrases. JAMA Netw Open. 2022 Nov 1;5(11):e2242972. doi: 10.1001/jamanetworkopen.2022.42972. PMID: 36449293; PMCID: PMC9713608. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9713608/
Check out the LITFL article, by Chris Nickson, Nov 2020
https://litfl.com/communication-in-a-crisis/
https://www.facebook.com/rnzcuc
Music licensed from www.premiumbeat.com
Full Grip by Score Squad
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor
Friday Aug 30, 2024
Urgent Bite 228 - Thinking about the Sail Sign
Friday Aug 30, 2024
Friday Aug 30, 2024
We always look for the sail sign when reviewing radiographs of the elbow, but how often are they associated with occult fractures?
Check out the papers mentioned
Skaggs DL, Mirzayan R. The posterior fat pad sign in association with occult fracture of the elbow in children. J Bone Joint Surg Am. 1999 Oct;81(10):1429-33. doi: 10.2106/00004623-199910000-00007. PMID: 10535592.
https://pubmed.ncbi.nlm.nih.gov/10535592/
Al-Aubaidi Z, Torfing T. The role of fat pad sign in diagnosing occult elbow fractures in the pediatric patient: a prospective magnetic resonance imaging study. J Pediatr Orthop B. 2012 Nov;21(6):514-9. doi: 10.1097/BPB.0b013e328355e5d8. PMID: 22735922.
https://pubmed.ncbi.nlm.nih.gov/22735922/
Kappelhof B, Roorda BL, Poppelaars MA, The B, Eygendaal D, Mulder PGH, van Bergen CJA. Occult Fractures in Children with a Radiographic Fat Pad Sign of the Elbow: A Meta-Analysis of 10 Published Studies. JBJS Rev. 2022 Oct 24;10(10). doi: 10.2106/JBJS.RVW.22.00114. PMID: 36326720.
https://pubmed.ncbi.nlm.nih.gov/36326720/
Scheier E, Fuchs L, Taragin BH, Balla U, Shavit I. Children With Elbow Injuries and Sonographic Elevated Posterior Fat Pad but No Identifiable Posterior Fat Pad on Lateral Radiographs: A Case Series. J Ultrasound Med. 2023 Jul;42(7):1617-1624. doi: 10.1002/jum.16173. Epub 2023 Jan 12. PMID: 36633969.
https://pubmed.ncbi.nlm.nih.gov/36633969/
Check out the Radiopaedia Article on the Sail Sign
Gaillard F, Feger J, Ismail M, et al. Sail sign (elbow). Reference article, Radiopaedia.org (Accessed on 29 Aug 2024) https://doi.org/10.53347/rID-2014
Check out the original paper by Norell
NORELL HG. Roentgenologic visualization of the extracapsular fat; its importance in the diagnosis of traumatic injuries to the elbow. Acta radiol. 1954 Sep;42(3):205-10. doi: 10.3109/00016925409174478. PMID: 13206822.
https://www.facebook.com/rnzcuc
Music licensed from www.premiumbeat.com
Full Grip by Score Squad
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor
Friday Aug 23, 2024
Urgent Bite 227 - The Cluster Headache
Friday Aug 23, 2024
Friday Aug 23, 2024
Cluster headaches present through urgent care and it is important to differentiate them correctly.
Check out the paper on which Lisa Kudrow has a credit
Messinger HB, Messinger MI, Kudrow L, Kudrow LV. Handedness and headache. Cephalalgia. 1994 Feb;14(1):64-7. doi: 10.1046/j.1468-2982.1994.1401064.x. PMID: 8200028.
Check out the paper mentioned
Weaver-Agostoni J. Cluster headache. Am Fam Physician. 2013 Jul 15;88(2):122-8. PMID: 23939643.
This links to the ICHD-3 Cluster Headache page
Check out the BPAC article mentioned
For Bootcamp details - https://rnzcuc.org.nz/urgent-care-bootcamp-2024/
https://www.facebook.com/rnzcuc
Music licensed from www.premiumbeat.com
Full Grip by Score Squad
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor
Friday Aug 16, 2024
Urgent Bite 226 - The Popeye Sign
Friday Aug 16, 2024
Friday Aug 16, 2024
Don't confuse the Popeye Sign with the reverse Popeye Sign.
Check out the Stat Pearls Page -
Check out the OrthoBullets Page on distal ruptures.
Get Bootcamp tickets here - https://rnzcuc.org.nz/urgent-care-bootcamp-2024/
https://www.facebook.com/rnzcuc
Music licensed from www.premiumbeat.com
Full Grip by Score Squad
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor
Friday Aug 09, 2024
Talking the STUMBL Score with Dr David Sorrell
Friday Aug 09, 2024
Friday Aug 09, 2024
When do you perform a chest X-ray for chest trauma presenting through urgent care?
This week we chat about this, and the STUMBL score, with Director of Clinical Training Dr David Sorrell.
Check out the STUMBL score on MD Calc - https://www.mdcalc.com/calc/10468/stumbl-battle-score
Check out the paper mentioned by Dave
Galvez, Carlos, Arenas-Jimenez, Juan, Del Campo, Jone, Maroto, Sergio, Sirera, Marina, Lirio, Francisco, 2020. Diagnostic imaging pathways in the setting of acute chest wall trauma. Journal of Visualized Surgery; Vol 6 (April 2020): https://jovs.amegroups.org/article/view/34041/html
Details of the Bootcamp 2024 in Wellington - https://rnzcuc.org.nz/urgent-care-bootcamp-2024/
https://www.facebook.com/rnzcuc
Music licensed from www.premiumbeat.com
Full Grip by Score Squad
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor
Friday Aug 02, 2024
Urgent Bite 225 - Anticholinergics in the elderly
Friday Aug 02, 2024
Friday Aug 02, 2024
We need to be aware of medications with anticholinergic effects, especially in the elderly.
Check out the BPAC article mentioned - https://bpac.org.nz/2024/anticholinergic.aspx#tab1
Check out the ACB calculator by Dr Rebecca King and Steve Rabino - https://www.acbcalc.com/
https://www.facebook.com/rnzcuc
Music licensed from www.premiumbeat.com
Full Grip by Score Squad
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor
Friday Jul 26, 2024
Urgent Bite 224 - Walking on your ankle injury
Friday Jul 26, 2024
Friday Jul 26, 2024
Weight-bearing at the time of the injury and assessment forms part of the Ottawa ankle rules.
Chien B, Hofmann K, Ghorbanhoseini M, Zurakowski D, Rodriguez EK, Appleton P, Ellington JK, Kwon JY. Relationship of Self-Reported Ability to Weight-Bear Immediately After Injury as Predictor of Stability for Ankle Fractures. Foot Ankle Int. 2016 Sep;37(9):983-8. doi: 10.1177/1071100716648009. Epub 2016 May 9. PMID: 27162225.
Check out the original Ottawa ankle paper
Stiell IG, McDowell I, Nair RC, Aeta H, Greenberg G, McKnight RD, Ahuja J. Use of radiography in acute ankle injuries: physicians' attitudes and practice. CMAJ. 1992 Dec 1;147(11):1671-8. PMID: 1362372; PMCID: PMC1336591.
https://www.facebook.com/rnzcuc
Music licensed from www.premiumbeat.com
Full Grip by Score Squad
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor
Friday Jul 19, 2024
Urgent Bite 223 - Using smell to diagnose
Friday Jul 19, 2024
Friday Jul 19, 2024
Smell can be used to diagnose.
Check out the paper mentioned
Trivedi DK, Sinclair E, Xu Y, Sarkar D, Walton-Doyle C, Liscio C, Banks P, Milne J, Silverdale M, Kunath T, Goodacre R, Barran P. Discovery of Volatile Biomarkers of Parkinson's Disease from Sebum. ACS Cent Sci. 2019 Apr 24;5(4):599-606. doi: 10.1021/acscentsci.8b00879. Epub 2019 Mar 20.
https://pubmed.ncbi.nlm.nih.gov/31041379/
Check out the BBC interview with Joy Milne
https://www.facebook.com/rnzcuc
Music licensed from www.premiumbeat.com
Full Grip by Score Squad
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor