This episode of CRACKCast covers Rosen's Chapter 120, Thyroid and Adrenal disorders. This episode is going to have a nice breakdown of how each of these major endocrine glands can go haywire and what to do when the storm approaches. The shownotes also have some additional material worth checking out!
This 127th episode of CRACKCast covers Rosen’s 9th edition, Chapter 119, Rhabdomyolysis. Although usually benign, rhabdomyolysis can have deadly complications. Acute kidney injury and hyperkalemia are accompanied by high mortality. At-risk patients (see the "MUSCLE Breakdown" mnemonic) may present with muscle pain or altered mentation.
Describe the ECG features seen with hyperkalemia. List at least 5.
How is hyperkalemia managed? How does each intervention work, and how long do the effects typically last?
What are the five most common causes of hypokalemia?
Describe the ECG features seen with hypokalemia. List at least 4.
How is hypokalemia managed?
What are the three main types of hypernatremia? Give 3 examples of each.
List four central and four nephrogenic causes of diabetes insipidus.
What are the four broad categories of hyponatremia?
Give an example of two clinical conditions for each: hypovolemic, euvolemic and hypervolemic hyponatremia.
What are the three most common causes of SIADH?
Describe the management of hyponatremia in the following patients:
Euvolemic with acute hyponatremia
Hypovolemic with chronic hyponatremia
Hypovolemic with acute hyponatremia
What are the five most common causes of hypercalcemia?
What are the five most common symptomatic causes of hypocalcemia seen in the emergency department?
What ECG features are seen in hypercalcemia vs. hypocalcemia? How is each managed?
What are the five most common causes of hypermagnesemia?
List five clinical manifestations of hypermagnesemia.
List five common causes of hypomagnesemia.
What are the five most common causes of hyperphosphatemia?
What are the five most common causes of hypophosphatemia in the ED? How do they manifest clinically?
This episode of CRACKCast covers Rosen’s Chapter 124, Acid Base Disorders. This chapter covers a simple approach to acid base disorders and ABG interpretation, including the differential diagnosis for the identified disorders & treatment options.
This 123rd episode of CRACKCast covers Rosen’s 9th edition, Chapter 115, Selected Oncologic Emergencies. With an ever aging population, cancer incidence continues to rise. Therapies continue to prolong life often with high risks of side effects, and emergency physicians need to be equipped to treat complications of this treatment and importantly cancer morbidity itself.
This 121st episode of CRACKCast covers Rosen’s 9th edition, Chapter 112 and 113, Anemia, Polycythemia, and White Blood Cell Disorders. These blood disorders are numerous and this episode attempts to break their classification and approach down in a systematic manner.
This episode covers Chapter 110 of Rosen’s Emergency Medicine (9th Ed.), Dermatologic Presentations.
List five broad categories of rashes
Describe the primary skin lesion types
a. Bonus: What are the secondary skin lesions (show notes only)
List systemic diseases that present with cutaneous signs for each of the following locations:
Head and neck
Palms and Soles
Describe the various presentations of tinea and their treatment
List 8 RFs for candida infections
Describe the stepwise management of diaper dermatitis
Describe the distribution of Pityriasis rosea
Describe the management of atopic dermatitis
Describe the management of impetigo & folliculitis
List 6 RFs of C.A.-MRSA and 4 oral Abx treatments
Describe the presentation and management of Staph Scalded Skin andTSS
List 10 causes of EM / SJS / TEN
Describe presentation of EM + SJS/TEN. Differentiate between TEN and SJS
List 6 broad categorical causes of urticaria
Describe the typical features for each of the following:
Describe treatment of poison ivy
Describe presentation and treatment of Pediculosis + Scabies
List 10 causes of Erythema Nodosum
List a 6 ddx for vesicular lesions
List 4 lesions with a positive Nikolsky’s sign
List 4 complications of HSV infection
List 5 complications of Varicella + describe the management of an exposure during pregnancy
List 5 complications of Zoster + differentiate between Ophthalmicus and Oticus
What is the treatment of herpes zoster?
List 5 causes of desquamating lesions
List 5 palm and sole rashes
List 10 maculopapular rashes
List 1 low, medium and high potency topical steroid
Identify the following rashes: erythema migrans, erythema marginatum, erythema multiforme, erythema nodosum, meningococcemia
Episode 119 of CRACKCast covers chapter 109 of Rosen's Emergency Medicine 9th edition.
Its hard to go a couple hours in the ED without seeing allergy or that life-threatening anaphylaxis, so you need to be tres familiar with this entity!!!
This episode covers Ch 108 of Rosens (9th Ed.), SLE and the Vasculitides. These conditions can lead to some pretty varied ED presentations, so we need to know when to suspect lupus or vasculitis, and how to manage it.
This episode covers Chapter 107 of Rosen’s Emergency Medicine (9th Ed.), Tendinopathy and Bursitis.
This episode of CRACKCast covers Rosen’s Ch 106, Arthritis. When a patient rolls in with an active joint, we need to know how to rule out those can't-miss diagnoses.
This episode covers Chapter 105 of Rosen’s Emergency Medicine (9th Ed.), Suicide.
In the fourth episode of the Physicians as Humans project, I speak with Dr. Kevin Dueck, a family medicine resident at McMaster, about his decision to take parental leave during residency. Also check out his blog https://abootmedicine.wordpress.com/!
This is an ongoing project, so if you or anyone you know have a story about managing personal struggles while in medicine, please contact firstname.lastname@example.org. If you are unfamiliar with the project, please read this post for more information on the origin of this podcast series. The CanadiEM podcast can be added to your podcast application from the iTunes store or by entering the podcast RSS feed. If you would prefer to download it, click here. It can also be streamed above.
Thanks for listening and please refer your colleagues!
Music for Episode 04 (All songs have been modified for the project)
This episode of CRACKCast covers Rosen' 9th edition, Chapter 104, Factitious Disorders and Malingering.
This 113th episode of CRACKCast covers Rosen’s 9th edition, Chapter 103, Somatoform Disorders. The diagnosis of SSD is made when there are persistent and clinically significant physical complaints that are accompanied by excessive and disproportionate health-related thoughts, feelings, and behaviours regarding these symptoms. Recent publications refer to “medically unexplained physical or somatic symptoms,” rather than somatization.
This episode covers Chapter 102 of Rosen’s Emergency Medicine (9th Ed.), Anxiety Disorders.
This episode of CRACKCast covers Rosen’s Chapter 101 (9th Ed.), mood disorders. The podcast will focus on the diagnosis and management of common mood disturbances.
Patients with apparent mood disorders should be evaluated for medical disorders, medication effects, substance abuse or withdrawal because these conditions can mimic both depression and mania.
Mood disorders should be suspected in patients with multiple, vague, nonspecific complaints and in patients who are frequent, heavy users of medical care.
The differentiation of depression and dementia in elders can be difficult, but is important because depression often responds dramatically to treatment.
Patients with mood disorders should be assessed for their suicide potential.
List the 3 neurotransmitters implicated in depression
List the DSM V criteria for Major Depressive Episode (box)
Define Seasonal Affective disorder, Dysthymic Disorder and Cyclothymic
Define Bipolar I and Bipolar II
List the DSM V Criteria for a Manic Episode (box)
List 8 general medical conditions and 8 medications that cause depression
Describe first line medical therapy for depression and bipolar disorder
List 4 criteria for hospitalization in an acute psychiatric episode
1. Mnemonics for symptoms of depression and mania
This episode covers chapter 110 of Rosen's emergency medicine (100 in the 9th edition). Confused about thought disorders? We can set you thinking straight!
This episode of CRACKCast covers Rosen’s Chapter 109, CNS Infections. This chapter covers a differential diagnosis for CNS infections, including necessary workup and approaches to treatment.
Are you confused by the NMJ? Good.... because we were too. This episode of CRACKCast covers Rosen’s Chapter 108, Neuromuscular Disorders. These disorders have a wide range of presentations and etiologies.
This episode of CRACKCast covers Rosen’s Chapter 107, Peripheral Nerve Disorders. These disorders have a wide range of presentations and etiologies. This chapter includes a comprehensive classification system to help in the ED in recognizing the various disorders.
This episode covers chapter 106 of Rosen's Emergency Medicine. Check out chapter 96 in the pretty new 9th edition. If you don't have it yet... you should. Ever wondered about how to get the spinal syndrome's straight? We've got that covered, and more of course!
This episode of CRACKCast covers Rosen’s Chapter 105, Brain and Cranial Nerve Disorders. These can be the weird and wonderful in the ED, but subtle hints can clue us in that further investigation is needed for our patients. Having a high suspicion for these diagnoses can help you make an appropriate care plan and follow up for patients with neurological disease.