Medgeeks Clinical Review Podcast

We all love movies and they're a great escape from reality. More often than not, we find ourselves rooting for the "good guys"...but sometimes there are villains who capture our attention as well. There is no greater example of a villain (captivating the main-stage, Hollywood and audiences world-wide) than Dracula! In this episode, we'll be discussing how the mythology of vampires is actually rooted in medicine. It can be traced back to hundreds of years of misunderstandings, cultural and religious beliefs, and most importantly, a fear of an unknown disease: Porphyria.

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We just put together a brand new course for primary care clinicians, which we're looking to give away for free! If you're a PA or NP working primary care (you can't be a student) and are willing to give us feedback on the material, here's how you can get full access to this free course:

https://www.medgeeksmentorship.co/primarycare

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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 of physician assistants and nurse practitioners working in Primary Care since 2013 and we're confident we can help take your career and life to the next level. If you're working in primary care, you can learn more about our mentorship opportunities here: https://www.medgeeksmentorship.co/application - Learn more about who we are here: https://medgeeks.co/about-us

Check out our free Facebook group, where we share daily clinical pearls, advice, and practice changing updates:

https://www.facebook.com/groups/medgeeks

One of the most common issues I face are patients who have pain, anxiety, agitation, and delirium; sometimes all of them at once.

Let's say we have a 75 year old female patient with a past medical history of dementia, chronic back pain with radiculopathy, CAD status post CABG, heart failure with a reduced EF, and ESRD on hemodialysis.

She's on opiates, as well as on a neuropathic pain medication.

The patient was brought into the ICU for septic shock due to UTI. She required pressors and also has acute decompensated CHF and acute on chronic renal failure due to the infection.

Today we are going to discuss the pharmacology of medications used for pain, anxiety, agitation, and delirium.

We'll touch on:

• Fentanyl
• Dilaudid
• Morphine
• Propofol
• Dexmedetomidine
• Benzodiazepines
• Haloperidol
• Quetiapine

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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 clinical pearls, advice, and practice changing updates:

https://www.facebook.com/groups/medgeeks

This video should not be used in any legal capacity whatsoever, including but not limited to establishing standard of care in a legal sense or as a basis for expert witness testimony. No guarantee is given regarding the accuracy of any statements or opinions made on the podcast, video, or blog.

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.

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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 clinical pearls, advice, and practice changing updates:

https://www.facebook.com/groups/medgeeks

This podcast should not be used in any legal capacity whatsoever, including but not limited to establishing standard of care in a legal sense or as a basis for expert witness testimony. No guarantee is given regarding the accuracy of any statements or opinions made on the podcast, video, or blog.

The bad news - you don't feel prepared. The good news - you're not alone. I tackled this question from a student:

"Hello! Hoping you're well. First off, thank you for being the best resource out there- you are amazing! I was wondering if you had any advice on keeping your head up as didactic year tries to drown you? I'm currently in my second semester (started rotations in May) and it's even harder than the first! Makes me want to find whoever said this semester should be easier and give them a piece of my mind, haha! How do I make this easier? Will clinicals be just as hard? Why do I feel so underprepared?! Thank you again for your guidance. I am truly appreciative."

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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 clinical pearls, advice, and practice changing updates:

https://www.facebook.com/groups/medgeeks - This podcast should not be used in any legal capacity whatsoever, including but not limited to establishing standard of care in a legal sense or as a basis for expert witness testimony. No guarantee is given regarding the accuracy of any statements or opinions made on the podcast, video, or blog.

A 16 year old male is being seen in the ER for cellulitis and a skin abscess. He has already undergone I & D of the abscess and he's waiting to be discharged. You order a shot of Clindamycin, 600mg to be given IM prior to his discharge. Five minutes later, you're called back into the room and you see the patient is in respiratory distress and having very labored breathing. His face is puffy and his voice sounds muffled.

As you consider what to do next, you are struck with a very important question. What type of hypersensitivity reaction is this again? Is it the one with IgE, type 1, type 2, I can't quite remember. Okay, not really that's really not the most important thing at the moment, you know its anaphylaxis, you know that you need to give him Epi; so you draw up 0.5mg and you give it IM, probably saving this guy's life.

So I'll admit maybe the type of hypersensitivity reaction isn't the most clinically relevant information in a crisis situation, but I will say hypersensitivity reactions are high-yield in terms of board review, and they also shed light on the pathophysiology behind many common diseases. Today on the Medgeeks podcast we discuss hypersensitivity reactions.

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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 clinical pearls, advice, and practice changing updates:

https://www.facebook.com/groups/medgeeks -

This podcast should not be used in any legal capacity whatsoever, including but not limited to establishing standard of care in a legal sense or as a basis for expert witness testimony. No guarantee is given regarding the accuracy of any statements or opinions made on the podcast, video, or blog.