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CRACKCast & Physicians as Humans on CanadiEM

CRACKCast (Core Rosen's and Clinical Knowledge) helps residents to "Turn on their learn on" through podcasts that assist with exam prep by covering essential core content. Physicians as Humans explores the struggles that physicians face and how they have overcome them. From addictions, mental health issues, and all manner of personal crises will be discussed to help let those who are currently struggling know that they are not alone. CanadiEM aims to improve emergency care in Canada by building an online community of practice for healthcare practitioners and providing them with high quality, freely available educational resources.
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CRACKCast & Physicians as Humans on CanadiEM
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Now displaying: June, 2017
Jun 29, 2017

This Episode covers Chapter 88 (or 78 in 9th edition) of Rosen's Emergency Medicine.

PE and DVT. Jeff Kline wrote this chapter, so you knows its a gooder! 

 

  1. List 8 DDx for DVT
  2. Describe management of superficial thrombophlebitis + isolated calf thrombosis
  3. How is the d-dimer test used in the diagnosis of DVT?
  4. List 8 causes of an elevated D-dimer
  5. What are the Wells criteria for DVT? Describe how to use this score.
  6. Describe diagnostic approach of suspected DVT
  7. How is a proximal lower limb DVT managed?
  8. What are the common causes of upper limb DVT?
  9. How are upper limb DVTs managed?
  10. List 10 classic risk factors for PE
  11. What are the classifications of PE?
  12. List 4 ECG + 2 CXR findings consistent with PE
  13. What are the Wells criteria for PE? Describe how to use this score.
  14. What is the PERC rule? How is it used?
  15. Which imaging tests can be used to diagnose PE? List advantages and disadvantages of each.
  16. List indications for thrombolysis in PE, what is the risk of ICH?
  17. What are the absolute and relative contraindications for thrombolysis
  18. List markers of poor prognosis in patients with PE.

 

Wisecracks:

 

  • What is phlegmasia cerulea dolens? How is it managed?

 

 

 

  • Which patients should have an IVC filter?

 

 

 

  • What about PE/DVT in pregnancy?

 

 

 

  • What is the cause of hypoxia in patients with PE? What causes chest pain? What causes hypotension?

 

 

 

  • What is Paget-Schroetter Syndrome?

 

 

 

Jun 26, 2017

This episode covers Chapter 87 of Rosen’s Emergency Medicine

 

  1. What is an atheroma and how is it formed?
  2. What are the classic symptoms of arterial insufficiency?
  3. Provide a differential diagnosis for chronic arterial insufficiency.
  4. What is blue toe syndrome? What is its significance?
  5. Differentiate between thrombotic and embolic limb ischemia based on clinical features
  6. What is the management of an acutely ischemic limb?
  7. List three disorders characterized by abnormal vasomotor response.
  8. Describe Raynaud's disease and how it’s treated?
  9. What is the most common site for arterial aneurysm in the leg?
  10. List four potential sites for upper extremity aneurysms, and their associated underlying causes.
  11. Name three types of visceral aneurysms and their associated conditions.
  12. List 6 ddx of occluded indwelling catheter + describe the management of suspected line infection.
  13. What are the two types of AV fistulas used for dialysis?
  14. How do you access an AV fistula?
  15. List 5 complications of dialysis fistulas + treatment
  16. List the 3 types of thoracic outlet syndrome. What are the typical symptoms of thoracic outlet syndrome? What is a simple bedside test for this condition?
  17. List 4 anatomic abnormalities associated with thoracic outlet syndrome.


    Wisecracks:

    Describe Buerger’s sign and ankle brachial index
    List clinical criteria for Buerger’s Disease (5)
    What is Leriche's syndrome?
    List 4 types of infective aneurysms
    Differentiate between arterial insufficiency ulcers and venous stasis ulcers
Jun 15, 2017

This episode covers Chapter 86 of Rosen’s Emergency Medicine. AAAs are our Great-White-Buffalo in emergency medicine. You need to know this!

 

  1.  List six presentations of an abdominal aortic aneurysm.
  2. Compare Aneurysm and Pseudoaneurysm
  3. List common misdiagnoses in patients with ruptured AAA
  4. List three common early and delayed complications of AAA repair
  5. List common delayed complications of Endovascular repair

 

 

Wisecracks:

 

  • What to do about the intact, asymptomatic aneurysm?

 

 

Jun 8, 2017

This episode covers chapter 84 of Rosen's Emergency Medicine. All the little nuggets of medical goodness you wanted to know about hypertension related emergencies.

  1. Define the three classes of hypertension relevant to emergency medicine practice
  2. List 10 possible etiologies for hypertension.
  3. What is the pathophysiology of target-organ damage?
  4. How does hypertensive encephalopathy occur?
  5. List 6 hypertensive emergencies; their management goals; the optimal agents for BP control and any relevant caveats
  6. List five intravenous antihypertensive medications and their mechanism of action.
  7. Describe the ER management of poorly controlled HTN

Wisecracks:

  1. What are the management targets / indications for treatment in the following pts:
    1. 57 yo male with ICH and no signs of ↑ ICP.
    2. 39 yo female with SAH in the ED.
    3. 22 yo female with eclampsia.
    4. 66 yo female with ACS.
    5. 57 yo male with aortic dissection.
    6. 62 yo female with ICH, ↓ GCS, shift on CT scan.

 

Jun 5, 2017

This episode covers Chapter 83 of Rosen's Emergency Medicine.

 

  1. List 6 RFs for bacterial endocarditis
  2. List 5 common bacteria responsible for infective endocarditis
  3. Give three examples of immunologic sequelae of IE.
  4. Give three examples of vascular sequelae of IE.
  5. What are the diagnostic criteria for endocarditis, and how are they used?
  6. List 5 lab or investigative findings in bacterial endocarditis
  7. Describe the treatment of infective endocarditis
  8. List four complications of IE.
  9. List the indications for infectious endocarditis prophylaxis. What are the empiric antibiotics used for pts with suspected infectious endocarditis?
  10. Describe the Jones Criteria for Acute Rheumatic Fever
  11. What is the treatment of rheumatic fever
  12. Name three causes of acute mitral regurgitation.
  13. How is acute MR managed?
  14. What is the pathophysiology of mitral valve prolapse?  How does it present?
  15. List four causes of mitral stenosis.
  16. List four causes of aortic valve insufficiency.
  17. List 3 physical exam findings associated with AS
  18. What is critical aortic stenosis?Outline the ED management for a pt with critical aortic stenosis with CHF and hypotension.
  19. List 5 complications of prosthetic valves. 

WiseCracks:

  1. Describe
    1. Janeway lesions
    2. Osler nodes
    3. Splinter hemorrhages
    4. Roth Spots
  1. What are the HACEK organisms, and what is their significance in pts with IE?
  1. Brief run down of all valvular disease - in one or two lines.
Jun 1, 2017

This episode covers chapter 82 of Rosen's Emergency Medicine. Take a listen for all those juicy pericardial-pump-pearls!

 

  1. List eight causes of pericarditis.
  2. Describe typical pain of pericarditis, expected lab work abnormalities,
  3. What is the typical sequence of ECG changes in pts with pericarditis? (the stages)
  4. Describe the treatment of pericarditis associated with: Uremia, Neoplasm, and SLE
  5. Outline the management of Dressler's syndrome.
  6. What is the pathophysiology of cardiac tamponade? Describe the mechanism of hypotension in pericardial tamponade and list 4 expected findings on physical examination.
  7. Describe the procedural steps in pericardiocentesis
  8. List 4 causes of pneumopericardium and one specific PEX finding
  9. List five causes of constrictive pericarditis.
  10. What is the pathophysiology of purulent pericarditis?  List 5 organisms responsible for infectious pericarditis? How is it managed?
  11. Describe the pathophysiology of hypertrophic cardiomyopathy
  12. Describe the clinical exam and ECG findings associated with HCM
  13. List 5 RFs for sudden death in HCM
  14. A pt with known hypertrophic cardiomyopathy presents to the ED with acute cardiogenic pulmonary edema causing mild hypoxia.  What is the general approach to management in the ED?  Explain your choices.
  15. List four causes of dilated cardiomyopathy.
  16. Describe ECG findings of dilated cardiomyopathy
  17. List 5 RFs for developing a dilated cardiomyopathy
  18. In what time frame would one expect peripartum DCM?
  19. List 5 causes of restrictive cardiomyopathy
  20. List 8 common pathogens responsible for myocarditis, and 3 non-infectious causes of myocarditis
  21. Describe the stages of viral myocarditis and the management at each stage

 

 

Wisecracks:

 

  1. What are some functions of the pericardium?
  2. What are Chagas Disease and Trichinosis, list bizz-buzz features for each?
  3. What are the expected cardiac findings in Lyme disease and how is it treated?
  4. How does sarcoid affect the heart?
  5. Amyloidosis?

 

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