This episode of CRACKCast covers Rosen’s Chapter 96, Anorectal Disorders. These complaints are sensitive in nature and are not easily volunteered by patients. A sensitive and thorough history is necessary to help resolve these complaints that can be devastating to quality of life.
Mixed bag of anorectal stuff - levator ani syndrome, proctalgia fugax, radiation proctitis, hidradenitis suppurativa, and more...
This episode of CRACKCast covers Rosen’s Chapter 95, Large Intestine. This chapter covers a number of pathologies affecting the large colon, including their associated risk factors & complications.
(Describe the Rome IV criteria and list 4 medications used to treat irritable bowel syndrome - show notes)
1) What is Ogilvie’s Syndrome? List 3 RFs
2) Compare AXR findings in SBO with LBO
3) What is the difference between each Cecal and Sigmoid volvulus on AXR? How is management different?
4) List 3 Perianal complications and 6 Extra-intestinal manifestations of Crohn’s disease.
5) How does adult intussusception differ from peds
This episode covers Chapter 94 of Rosen’s Emergency Medicine 8th edition (look at chapter 84 for the 9th edition). Have you ever seen gastroenteritis? If you haven't, its probably because you aren't in emergency medicine yet... but once you are... you will. Listen to this post to get ready for the brown winter.
This podcast covers Chapter 93 of Rosen's 8th Edition Emergency Medicine (or Chapter 83 if you've got the new-shiny 9th edition).
All hail to the appendix. The pluto of our organs.
1) Which patient groups present atypically
2) Describe the Alvarado Score and the Ped for Appendicitis
3) What are U/S findings of appendicitis?
This episode of CRACKCast covers Rosen’s Chapter 92 for the 8th Edition (Chapter 82 9th Edition), Small Intestine. This chapter covers the various pathologies, diagnoses and treatments of the Small Intestine.
1.What is an adynamic ileus? List at least 5 causes.
2.Which patients with SBO should receive antibiotics?
3.What are the 3 arteries supplying the GI tract? Which most common culprit in acute 4.mesenteric ischemia?
This episode covers Chapter 91 of Rosen’s Emergency Medicine 8th edition (or Chapter 81 of the 9th edition).
This episode covers Chapter 80 of Rosen's Emergency Medicine 9th edition. (Yes the new edition). Building on previous episodes (see fever, Jaundice and abdo pain), today we take a look at all things right upper quadrant badness.
1) List 8 ddx for hepatitis
2) Complete the following table for Hepatitis A, B & C: Transmission, Risk Factors, Carrier State, Acute Infection, Previous Infection, Chronic Infection, Prev Vaccine, Transmission Risk, Vaccine.
(show notes: What is hepatitis E? Where is it commonly found (geographically)? What is the significance of hepatitis D?)
3) Describe the post-exposure prophylaxis for exposure to HepA, HepB, HepC
4) Compare the expected lab work in acute viral hepatitis vs EtOH hepatitis
5) What liver diseases are associated with alcohol abuse? What non-hepatic conditions are associated with alcohol abuse? Describe the management of EtOH hepatitis
6) List 6 stigmata of chronic liver dz and list 3 complications
7) How is are chronic cirrhosis and ascites managed in the ER?
8) Describe a grading scale for hepatic encephalopathy and list 5 management considerations
9) Describe the ER diagnosis and management of SBP.
10) List 3 types of drug-induced liver disease.
11) What are two types of hepatic abscesses? How are they diagnosed and treated?
12) What is budd-chiari syndrome? How is it managed?
13) What is primary sclerosing cholangitis (PSC)? What is primary biliary cirrhosis? What is PSC associated with?
14) List 6 RFs for Cholelithiasis
15) Describe the clinical presentation of cholecystitis. List Lab, Xray (3) and US (4) findings
16) List 4 patients that get acalculous cholecystitis
17) List 4 considerations in the management of acute cholecystitis. When is surgery performed early?
18) What is the classic presentation of ascending cholangitis? What two clinical eponyms are described? How is ascending cholangitis managed?
1.. Which conditions are associated with transaminases in the 10000s?
This episode covers Chapter 89 of Rosen’s Emergency 8th edition (or chapter 79 of 9th edition). Great review of some old concepts already presented, add a few spritzers of new stuff.
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!
This episode covers Chapter 87 of Rosen’s Emergency Medicine
This episode covers Chapter 86 of Rosen’s Emergency Medicine. AAAs are our Great-White-Buffalo in emergency medicine. You need to know this!
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.
This episode covers Chapter 83 of Rosen's Emergency Medicine.
This episode covers chapter 82 of Rosen's Emergency Medicine. Take a listen for all those juicy pericardial-pump-pearls!
This episode covers Chapter 81 of Rosen’s Emergency Medicine. This one is mint! Heart failure is one of those must-know-about presentations, you WILL see this in the ED.
This episode covers chapter 80 of Rosen's Emergency Medicine. All those juicy pearls about those funny little [black] boxes in your patients chest.
Chapter 80 – Implantable Cardiac Devices
This episode covers Chapter 79 of Rosen’s Emergency Medicine.
All those funny squigly marks on the ECG confusing you? Us too. Here is some knowledge to help you out.
Here is the follow-up to the mammoth ACS chapter. This one has some key factoids to put into your mind map / memory pallace / organic computer.
This episode covers Chapter 78 of Rosen's Emergency Medicine. Acute Coronary Syndromes... its a gooder.
Acute Coronary Syndromes Part A (Monday)
What are the STEMI equivalents? Know these patterns!!!
This episode covers Chapter 77 of Rosen’s Emergency Medicine. The Pleural Space is not to be trifled with!
This episode covers Chapter 76 of Rosen’s Emergency Medicine. Have you ever seen pneumonia? Yeah.... we thought so. Now here are all the nitty-gritty details.
What are the typical associative pathogens?
Describe the typical clinical presentation/RFs/Management for each of the following
-Mycoplasma pneumoniae & Chlamydia pneumoniae
-PJP & Other Fungal Pneumsonia
List the typical etiologies of viral pneumonia.
Which patient groups should receive pneumovax?
Which pneumonias can present with cavitating lesions (abscesses) on x-ray
What is the differential for possible pneumonia visible on CXR?
Describe the analysis of pleural fluid.
-Which effusions should be sampled?
-What are Light's criteria?
What is the CURB65 score?
This episode covers Chapter 75 of Rosen’s Emergency Medicine.
1. List potential causes of pharyngitis. (List 5 viral and 5 bacterial etiology of pharyngitis)
2. What are the indications for steroids in a patient with pharyngitis?
3. List causes of epiglottitis.
4. What are the deep spaces of the neck? List 4 deep space infections of the neck
5. What are the typical bacterial causes of deep space infections? What are the different syndromes called?
6. What are the potential complications of deep space neck/face infections? List 5.
7. When do the sinuses typically develop?
8. What the pathophysiology of sinusitis? What are the typical pathogens?
9. Describe the management of acute rhinosinusitis and list 6 predisposing factors
List 5 suppurative and 5 non-suppurative complications of GABHS
List 4 findings on lateral neck xray of epiglottitis
Describe an approach to airway management in deep space neck infections
What are lateral neck xray findings suspicious for RPA?
This episode covers Chapter 74 of Rosen’s Emergency Medicine. As Vanilla is to chocolate, COPD is to Asthma. Look for all things wheez-e-y here.
This episode covers Chapter 73 of Rosen’s Emergency Medicine. The ancient Greeks knew about Asthma... so should you! We give you all the major points for diagnosis and treatment in the ED.