Podcasts about Physical examination

Is AI About to Replace Your Doctor? Or Save Your Life? The tools that are reshaping healthcare will redefine medicine—and your life—in ways you've never imagined. Will artificial intelligence and regenerative therapies like stem cells and exosomes make doctors obsolete? Or will they finally unlock the secrets to living to 180? In this episode, Dave sits down with Dr. Pradeep Albert, a leader in regenerative medicine and AI-driven imaging, to explore the intersection of technology, longevity, and healing. Dr. Albert shares groundbreaking insights on how AI is revolutionizing medical diagnostics, replacing outdated systems, and empowering patients to take control of THEIR OWN health. He also dives deep into regenerative therapies—how PRP, exosomes, and stem cells are changing the game for injuries, inflammation, and aging. Can AI improve patient-doctor relationships? Are doctors becoming coaches instead of gatekeepers? And most importantly, how can you leverage these tools to outlive your peers and enhance every aspect of your health? What You'll Learn: • Why 50% of people won't make it past 76—and how to beat the odds • How AI is already better than doctors at diagnosing certain conditions • The truth about PRP, exosomes, and stem cells—and when to use each • The three rules of longevity every person needs to know • How your mindset and epigenetics can help you live longer and healthier Resources: 2025 Biohacking Conference – https://biohackingconference.com/2025 Dr. Pradeep Albert's Book: Exosomes, PRP, and Stem Cells…Medicine – https://www.amazon.com/Exosomes-Stem-Cells-Musculoskeletal-Medicine/dp/B0C2S59S8K Dr. Pradeep Albert's Book: Lifespan Decoded –https://lifespandecoded.com/ Dr Pradeep Albert's Website – https://drpradeepalbert.com/ Danger Coffee – https://dangercoffee.com Dave Asprey's Website – https://daveasprey.com Dave Asprey's Book: Smarter Not Harder – https://daveasprey.com/books Dave Asprey's Linktree – https://linktr.ee/daveasprey Upgrade Collective: Join The Human Upgrade Podcast Live – https://www.ourupgradecollective.com Own an Upgrade Labs – https://ownanupgradelabs.com Upgrade Labs – https://upgradelabs.com 40 Years of Zen – Neurofeedback Training for Advanced Cognitive Enhancement – https://40yearsofzen.com Sponsors: ARMRA | Go to https://tryarmra.com/ and use the code DAVE to get 15% off your first order. OneSkin | Go to https://oneskin.co/ and use code ASPREY15 for 15% off your purchase. Timestamps: • 00:00 – Introduction to AI in Medicine • 00:36 – The Role of AI in Longevity • 00:51 – Meet Dr. Pradeep Alpert • 01:11 – AI's Impact on Healthcare • 02:07 – Changing Role of Doctors • 05:01 – AI in Medical Imaging • 06:37 – Orthopedics and AI • 09:19 – Longevity and Epigenetics • 14:16 – The Importance of Mindset • 29:08 – Trust in the Medical System • 43:18 – DIY Health and Longevity • 44:21 – The Future of Insurance and Medical Costs • 45:45 – Advancements in Imaging Technology • 47:26 – The Art of Physical Examination • 50:21 – Regenerative Medicine: PRP, Exosomes, and Stem Cells • 01:00:23 – Challenges in the US Medical System • 01:07:54 – The Role of AI in Medicine • 01:18:14 – Final Thoughts and Book Promotion See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Is a subtle voice change something to ignore? In this episode of the Backtable ENT podcast, hosts Gopi Shah and Dr. Ashley Agan speak with Dr. Bharat Panuganti, a laryngologist from Washington University in St. Louis, about the diagnosis, treatment, and management of early glottic cancer. --- SYNPOSIS First, the doctors discuss the importance of not underestimating voice changes such as dysphonia. Then, they discuss the evolving demographics and risk factors of laryngeal cancers. Dr. Panaganti also explains his approach to using advanced imaging techniques and lasers in treatment. The conversation highlights the necessity of personalized and compassionate patient care, considering both surgical and radiation therapy options. The discussion concludes with advice on the importance of consistent patient follow-up for early detection and treatment of recurrences. --- TIMESTAMPS 00:00 - Introduction 03:09 - Understanding Early Glottic Cancer and Symptoms 08:09 - Physical Examination, FEES and Stroboscopy 14:19 - Intraoperative Imaging Techniques 31:33 - Radiation vs. Surgery: Predicting Outcomes 32:18 - Laser Surgery and Technologial Advances 42:51 - Robotic Surgery 47:13 - Postoperative Care and Patient Counseling 52:53 - Equitable Care and Treatment Choices --- RESOURCES BackTable+ for ENT https://plus.backtable.com/pages/ent Dr. Bharat Panuganti's WashU Profile: https://oto.wustl.edu/people/bharat-panuganti-md/

Nothing is more satisfying than draining an abscess, right? But when is medical management sufficient or even better? In this episode of the BackTable ENT Podcast, pediatric otolaryngologist Dr. John McClay joins host Dr. Gopi Shah to educate listeners on the diagnosis and management of pediatric retropharyngeal abscess (RPA). --- CHECK OUT OUR SPONSOR PearsonRavitz https://pearsonravitz.com/backtable --- SYNPOSIS First, Dr. McClay reviews the symptoms, pathophysiology, and workup of neck abscesses (including RPA) in children. When evaluating any suspected neck abscess, he uses CT results to evaluate its precise size and location. Then, he addresses the role of surgery in treatment of neck abscesses. While many patients will improve with IV antibiotics alone, he mentions that most abscesses lateral to the carotid sheath and greater than 2 cm in size require surgical drainage. Finally, the conversation shifts to cover important topics including antibiotic selection, the role of steroids, and cost-effective care. --- TIMESTAMPS 00:00 - Introduction 03:34 - Pathophysiology & Presentation of Retropharyngeal Abscess 09:54 - Physical Examination in the Child with Suspected Neck Abscess 17:43 - The Importance of CT Scans 31:40 - Treatment of Neck Abscesses: Antibiotics vs Surgery 37:56 - The Role of Steroids in Abscess Treatment 53:41 - Applying Value-Based Care as a Pediatric Otolaryngologist 55:44 - Recap & Final Pearls --- RESOURCES Dr. McClay's website: https://www.johnmcclaymd.com/pediatric-sinus-center/ Pearson Ravitz https://pearsonravitz.com/ McClay JE, Murray AD, Booth T. Intravenous antibiotic therapy for deep neck abscesses defined by computed tomography. Arch Otolaryngol Head Neck Surg. 2003 Nov;129(11):1207-12. Johnson RF. Emergency department visits, hospitalizations, and readmissions of patients with a peritonsillar abscess. Laryngoscope. 2017 Oct;127 Suppl 5:S1-S9.

We discuss a case of ataxia in children and how to approach the evaluation of these pts. Hosts: Ellen Duncan, MD, PhD Brian Gilberti, MD https://media.blubrry.com/coreem/content.blubrry.com/coreem/Ataxia_in_Children.mp3 Download Leave a Comment Tags: Neurology, Pediatrics Show Notes Introduction The episode focuses on ataxia in children, which can range from self-limiting to life-threatening conditions. Pediatric emergency medicine specialist shares insights on the topic. The Case An 18-month-old boy presented with ataxia, unable to keep his head up, sit, or stand, and began vomiting. Previously healthy except for recurrent otitis media and viral-induced wheezing. The decision to take the child to the emergency department (ED) was based on acute symptoms. Differential Diagnosis Common causes include acute cerebellar ataxia, drug ingestion, Guillain-Barre syndrome, and basilar migraine. Less common causes include cerebellitis, encephalitis, brain tumors, and labyrinthitis. Importance of History and Physical Examination A detailed history and physical exam are essential in diagnosing ataxia. Key factors include time course, recent infections, signs of increased intracranial pressure, and toxic exposures. Look for signs such as bradycardia, hypertension, vomiting, and overall appearance. Diagnostic Workup Initial tests include point-of-care glucose and neuroimaging for concerns about trauma or increased intracranial pressure. MRI is preferred for posterior fossa abnormalities, but non-contrast head CT is commonly used due t...

Application to Acceptance NOW ENROLLING!! (Coaching starts July 18 so you're ready to submit by July 30)In this episode: These are the tried and true resources that our PA students swear by to help them succeed as a PA student, and that Physician Assistants use in practice!Current Medical Diagnosis and Treatment” by Maxine PapadakisHarrison's Principles of Internal MedicineBates' Guide to Physical Examination and History TakingUpToDateMedscapeQuizletAnkiEpocratesMDCalcPANCE Prep PearlsRosh ReviewExam MasterSo excited for you and your future as a PA!Katie & Beth

ASMR Detailed Physical Examination Cranial Nerve Exam, Motor Function, SensAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

A real pain in the neck (Get it?! We have fun.) Protect your neck!  Learn how to evaluate a patient with neck pain, and differentiate between mechanical neck pain, radiculopathy, and myelopathy. You'll learn who should be reassured, who should see a surgeon, and what nonoperative options are available.  We're joined by Dr. Anthony Mikula @anthony_mikula from Mayo Clinic.  Claim CME for this episode at curbsiders.vcuhealth.org! Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME Show Segments 00:00 Introduction  06:14 Anatomy and Pain Generators 09:58 Approach to Neck Pain 22:57 Differentiating Radiculopathy from Non-Specific Neck Pain 24:05 Management of Mechanical Neck Pain 27:36 Indications for Imaging 29:21 Terminology and Explanation of Spondylosis, Spondylolisthesis, and Spondylolysis 30:48 Diffuse Idiopathic Skeletal Hyperostosis (DISH) 32:23 Imaging Terminology and Plain Films 36:19 Pathophysiology of Cervical Radiculopathy 38:34 Physical Examination for Cervical Radiculopathy 44:54 Diagnostic Work-up for Radiculopathy 51:53 Interventions for Cervical Radiculopathy 53:53 Considerations for Surgery 57:49 Recognizing Cervical Myelopathy 01:00:17 Natural History of Myelopathy 01:02:25 Referral and Treatment for Myelopathy 01:09:28 Summary and Takeaways Credits Written and Produced by: Paul Williams, MD, FACP Show Notes: Paul Williams, MD, FACP Infographic and Cover Art: Paul Williams, MD, FACP Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP    Reviewer: Leah Witt, MD Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP Technical Production: PodPaste Guest: Anthony Mikula, MD Sponsor: Freed You can try Freed for free right now by going to freed.ai. And listeners of Curbsiders can use code CURB50 for $50 off their first month. Sponsor: Grammarly Make a bigger impact at work with Grammarly. Sign up and download for FREE at grammarly.com/PODCAST

Head to Toe ASMR Physical ExaminationAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

In this episode, hosts Dr. Gopi Shah and Dr. Ashley Agan talk to Dr. Stephen Schoeff, laryngologist at Kaiser Permanente (Tacoma, WA) about subglottic stenosis in adults. Dr. Schoeff introduces subglottic stenosis (SS) as a rare condition affecting adult women of all ages. Patients complain of progressive dyspnea, declining exercise tolerance, and mucus sensation. Sometimes confused for asthma, globus sensation, LPR, or paradoxical vocal fold motion, SS is diagnosed when airway scarring and narrowing is visible on laryngoscopy. After describing workup, Dr. Schoeff reviews etiologies of SS, including iatrogenic, idiopathic, and autoimmune. Treatment options for SS include cricotracheal resection, endoscopic dilation, and airway steroid injections. Dr. Schoeff concludes the episode by sharing his success using periodic airway steroid injections for treatment of SS. --- SHOW NOTES 00:00 - Introduction 01:21 - Dr. Schoeff's Journey & Practice 08:28 - Symptoms & Differential Diagnosis 12:31 - Physical Examination & Diagnosis 27:23 - Introduction to Endoscopic Dilation 28:57 - Steroid Injections as a Management Option 31:24 - The Three Big Categories of Treatment 33:05 - How Steroids Address Disease Pathophysiology 38:58 - Technique for Airway Dilation 49:06 - Deciding on Cricotracheal Resection 51:14 - How Insurance Affects Treatment Options 55:05 - Final Thoughts & Pearls

This week Dr Jonathan Bardgett discusses how to manage patients with a red hot painful swollen foot with Dr Callum Mutch. Jonathan and Callum discuss diagnostics, treatment and examples of different case presentations. Dr Mutch is an infection doctor working in Edinburgh with his time split between the microbiology lab and the infectious diseases ward. He has recently undertaken a medical education fellowship focusing on Simulation Based Mastery Learning and Digital Education. Outside of work he is the co-host of the Infectious Diseases Insight of Two Specialists (ID:IOTS) podcast. Disclaimer: Please always refer to the most up-to-date local antimicrobial guidelines -- Useful Links-- NICE guideline [NG141]: Cellulitis and erysipelas: antimicrobial prescribing - https://www.nice.org.uk/guidance/NG141 Sullivan T, de Barra E. Diagnosis and management of cellulitis. Clin Med (Lond). 2018 Mar;18(2):160-163. - doi: https://doi.org/10.7861/clinmedicine.18-2-160 MicroGuide App: https://apps.apple.com/gb/app/microguide/id447171786 / https://play.google.com/store/apps/details?id=com.xancu.utreat&pli=1 NHS Scotland Antimicrobial Companion app: https://www.antimicrobialcompanion.scot/ Shorter is better - https://www.bradspellberg.com/shorter-is-better NG141 Summary of the Evidence on Antibiotic prophylaxis for the prevention of recurrent cellulitis and erysipelas - https://www.nice.org.uk/guidance/ng141/chapter/Summary-of-the-evidence#antibiotic-prophylaxis-for-the-prevention-of-recurrent-cellulitis-and-erysipelas Differentials: Lipodermatosclerosis - https://cks.nice.org.uk/topics/venous-eczema-lipodermatosclerosis/, DVT NICE guideline NG158 - https://www.nice.org.uk/guidance/NG158 Fernando SM, Tran A, Cheng W, Rochwerg B, Kyeremanteng K, Seely AJE, Inaba K, Perry JJ. Necrotizing Soft Tissue Infection: Diagnostic Accuracy of Physical Examination, Imaging, and LRINEC Score: A Systematic Review and Meta-Analysis. Ann Surg. 2019 Jan;269(1):58-65. - doi: https://doi.org/10.1097/sla.0000000000002774 Infectious diseases tag on Education Portal - https://learning.rcpe.ac.uk/tag/index.php?tc=1&tag=Infectious%20Diseases ID:IOTS podcast - https://idiotspodcasting.buzzsprout.com/ (https://idiotspodcasting.buzzsprout.com/1782416/9227705-6-skin-and-soft-tissue-infection and https://idiotspodcasting.buzzsprout.com/1782416/9227743-7-necrotising-fasciitis) Recording Date: 28 June 2023 -- Follow us -- https://www.instagram.com/rcpedintrainees https://twitter.com/RCPEdinTrainees -- Upcoming RCPE Events -- https://events.rcpe.ac.uk/ Feedback: cme@rcpe.ac.uk

Dr. John Alchemy is back to tell us about the examination portion of a workers' comp impairment rating, and provide us with some useful tips to take into account during this crucial step in the process. For more information on this episode, and other helpful tips about workers' compensation, visit the RateFast Blog.If you're a workers' compensation provider, adjuster, or case manager check out RateFast Express: the service that writes your impairment reports with you!Questions? Comments? Suggestions for podcast episodes? Reach out to us anytime at caworkcompreport@rate-fast.com!Connect with RateFast CEO Dr. John Alchemy on LinkedIn! 

A Review of Total Hip Arthroplasty   Evaluation and Credit:  https://www.surveymonkey.com/r/MedChat54   Target Audience             This activity is targeted toward primary care and geriatric healthcare providers and advanced providers.   Statement of Need  This program will discuss the indications for total hip arthroplasty and identify when patients may benefit from total hip arthroplasty and identify red flags during routine exams of patients that have had total hip arthroplasty.   Objectives  At the conclusion of this offering, the participant will be able to:  Review the indications for total hip arthroplasty. Differentiate between the direct anterior approach and posterior approach for total hip arthroplasty. Identify red flags during routine medical care of patients that have undergone total hip arthroplasty.   Moderator James Jennings, M.D., MBA Executive Medical Director of Quality, Provider Development and Innovation Norton Medical Group  Louisville, Kentucky   Speaker Jeffrey Stimac, M.D. Orthopedic Surgeon Norton Orthopedic Institute  Louisville, Kentucky   Moderator, Speaker and Planner Disclosures   The speaker, planners and moderator of this activity do not have any relevant relationships to disclose.    Commercial Support   There was no commercial support for this activity.    Physician Credits Accreditation  Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians.   Designation  Norton Healthcare designates this enduring material for a maximum of 0.50 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.   Nursing Credits Norton Healthcare Institute for Education and Development is approved with distinction as a provider of nursing continuing professional development by the South Carolina Nurses Association, an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation. This continuing professional development activity has been approved for 0.50 contact hours. In order for nursing participants to obtain credits, they must claim attendance by attesting to the number of hours in attendance.     For more information related to nursing credits, contact Sally Sturgeon, DNP, RN, SANE-A, AFN-BC at (502) 446-5889 or sally.sturgeon@nortonhealthcare.org.   Resources for Additional Study: Arthroscopic Diagnosis and Treatment of Chronic Hip Pain After Total Hip Arthroplasty and the Role of Anterior Capsule Disruption in Iliopsoas Tendinopathy https://pubmed.ncbi.nlm.nih.gov/31276006/   Consensus statement for perioperative care in total hip replacement and total knee replacement surgery: Enhanced Recovery After Surgery (ERAS®) Society recommendations https://pubmed.ncbi.nlm.nih.gov/31663402/   Physical Examination of the Hip https://pubmed.ncbi.nlm.nih.gov/33217250/     Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. Five Louisville hospitals provide inpatient and outpatient general care as well as specialty care including heart, neuroscience, cancer, orthopedic, women's and pediatric services. A strong research program provides access to clinical trials in a multitude of areas. More information about Norton Healthcare is available at NortonHealthcare.com.     Date of Original Release |July 2023; Information is current as of the time of recording.  Course Termination Date | July 2025 Contact Information | Center for Continuing Medical, Provider and Nursing Education; (502) 446-5955 or cme@nortonhealthcare.org  

Katie Barron is a Naturopath and Physical Examination expert, who trains fellow natural health practitioners about how to properly examine their clients in-person and online. Having taught at Endeavour college, run a 7 city workshop tour and run many successful online programs, webinars and workshops, Katie is a wealth of wisdom in the physical examination space and has lots to share about growing a thriving business. In this episode, Katie shares: Following her dream and finding what she loved. Having two babies while studying and doing things at her own pace. Finishing her degree then going back to help as a clinical assistant. Working in private practice and enjoying it, but noticing that she loved the teaching more. Developing the ‘let's get physical' program for practitioners. The importance of having fun with what you do. Running a 7 city workshop tour around Australia. Refining her offer and her values. Her plans to take a group to Sri Lanka for training and to give back to the communities over there. Taking her business online during lockdowns. Creating a freedom based business that allowed her to spend a year travelling. Giving the profits of her trainings to an organisation that touched her heart in Indonesia. Integrating her personal values into her business. Looking at the light and the shadow. Giving everything a try. Allowing your business to evolve as you do. Understanding there is no right or wrong. Getting comfortable being visible. Doing the things that scare you. Asking ‘is this helpful' and ‘will this help someone'. Finding your why. Why being vulnerable makes you a leader. Getting out of the comparison trap. The ins and outs of physical examination and how to differentiate in-person and online strategies. Enhancing your patients experience with clinical examination. The importance of knowing your limitations. Learning to trust yourself. How to navigate difficult cases in clinic. And so much more! Katie's book recommendation is The Big Leap by Gay Hendricks. You can find Katie via her website https://katiebarron.com.au/ and follow her journey via instagram @katiebarronnaturopath and Facebook: Katie Barron Educator & Facilitator. Be sure to sign up for the email newsletter to stay up to date with all of the latest news, updates and special offers that are coming to Nutrition Grad Guide. You can stay connected by adding your details here: https://mailchi.mp/3fce14de86bf/newsletter Social links to stay connected: Instagram: @nutritiongradguide Instagram: @shahnasarpi Facebook: Nutrition Grad Guide LinkedIn: Shahna Sarpi

Throughout your clinical career, physical assessments will be integral in crystallising a naturopathic diagnosis and directing care. Many assessments seem mundane (the expert clinician will often appraise their patients subconsciously), but done correctly and with cognisance they can reveal hidden pathology that is often missed by those who skip them . Take Blood Pressure (BP), for instance. It is one of the cardinal vital signs along with pulse, respirations and temperature, but how often do we repeat these measurement in our patients? But let's not stop at the usual medical assessments. What about patients' posture, symmetry, vitality, fingernails, eyes, hair, gait, thyroid palpation...and how much can we attend to all these assessments when consulting remotely? Today Katie Barron takes us through how critical these and other physical assessments can be in choosing the correct course of action and cementing your place as a responsible healthcare professional, not the least of which is referral to appropriate medical care when necessary. Katie is masterful at being present with her patients and she demands excellence in those she tutors.   REFERENCESKatie Barron- Free Stuff for PracsKatie Barron- Mini-TrainingsKatie Barron's Full course (Contact Katie for Discount) Aetiological Sieve Mnemonic: See("C") That Italian Vase Now Has Many New Dried Peas In It(Stands for the initials: C, T, I, V, N, H, M, N, D, P, I, I.)Possible causes: Congenital, Trauna, Inflammation (Infection or Autoimmune), Vascular, Neoplastic, Hormonal, Musculoskeletal, Nutritional, Drugs, Psychiatric, Idiopathic, Idiosyncratic. Rehman R, et al. Blood Pressure Measurement. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-.  [Updated 2022 Dec 28] (Accessed 2023 Feb 22).  Sapra A, et al. Vital Sign Assessment. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. [Updated 2023 May 1] (Accessed 2023 Feb 22). Belleza M. Head-to-Toe Assessment: Complete Physical Assessment Guide. Fundamentals of Nursing. NurseLabs. [Updated 2023 Jul 2] (Accessed 2023 Mar 01).  The Stanford Medicine 25. Stanford Medicine. Stanford University. (Accessed 2023 Mar 01). NB: ALWAYS REMAIN WITHIN SCOPE OF PRACTICE! Natural Medicine Podcast and Natural Medicine Partners Pty Ltd shall be held harmless in all undertakings and accept no responsibility for your actions. Refer to Natural Medicine Partners Full Terms and Conditions.

Our guest today is registered dietitian nutritionist, Stephanie Send, here to talk with us about her recent publication in the April 2023 edition of DNS SupportLine entitled Culturally Competent Nutrition Focused Physical Examination or NFPE.  Stephanie is a Chicago-based registered dietitian who specializes in nutrition support with a focus on digestive health, critical care, and surgical nutrition. She currently works at Northwestern Memorial Hospital on the nutrition support team, and also serves as an adjunct faculty member to graduate nutrition students at Loyola University teaching a nutrition-focused physical assessment course. Join us as we explore NFPE through a culturally competent lens.  This episode is hosted by Christina Rollins, MBA, MS, RDN, LDN, FAND, CNSC. Nonmembers can access the April 2023 edition of DNS SupportLine at https://www.dnsdpg.org/page/support-line-february-2023-open-access.

ASMR School Nurse Caring You ASMR Wound Treatment & Physical Examination

Continued restrictions imposed on face-to-face learning related to the pandemic resulted in a decision to permanently transition a graduate nursing education advanced assessment course from a hybrid to an online learning modality. This podcast with Drs. Barnes and Vance presents the process of transitioning from a hybrid format to a totally online format in a physical assessment course for advanced practice nursing students. Student-centered learning, faculty presence, student and faculty engagement, student-to-student engagement, and critical thinking are emphasized.

Zoe Russell discusses ankle sprain assessment and treatment, and how to return your patients to sport. You'll discover how to help your ankle sprain patients fully recover as quickly as possible, and avoid long term issues, such as chronic ankle instability, osteoarthritis or other lower limb injuries.  Zoe is a Specialist Sports Physiotherapist (FACP), APA Titled Musculoskeletal and Sports Physio, as well as a Clinical Edge Senior Educator and Presenter, and in this Physio Edge podcast hosted by David Pope, we discuss the latest evidence and practical strategies for ankle sprains, including:    Assessment  Common issues therapists face when rehabilitating ankle sprain patients.  Questions you need to ask your ankle sprain patients.  How a previous history of ankle sprains impacts your assessment & treatment. Why patients with inversion injuries may have medial ankle pain. How to avoid stirring up patients pain during your assessment.   Diagnosis Common mechanisms of injury, and how this guides your diagnosis.  Structures that are likely to be injured with different ankle injuries.   Treatment  10 key elements to include in your assessment & treatment. How to help reduce swelling quickly after an ankle sprain, and why this is important. Immediate sideline management for ankle sprains at sporting events. Whether manual therapy has a role in acute ankle injuries or persistent ankle pain and swelling.  How to explain ankle sprains, recovery & rehab to your patient. What you're looking to achieve with your early rehab.  How to set rehab targets or goals with your patients. The role of taping in ankle rehab. Taping compared to bracing. Whether long term taping or bracing is a useful long term injury prevention strategy.  The latest surgical procedures for patients with chronic ankle instability (CAI).   Links Zoe Russell David Pope on Twitter Improve your musculoskeletal and sports injury assessment & treatment results with a free trial Clinical Edge membership Explain acute and persistent pain to your patients, without giving them the message “It's all in your head” with the Making sense of pain training module Comprehensive low back pain assessment & treatment training module David Pope at Clinical Edge References CLICK HERE to download the article associated with this podcast Bestwick-Stevenson, T., Wyatt, L. A., Palmer, D., Ching, A., Kerslake, R., Coffey, F., Batt, M. E., & Scammell, B. E. (2021). Incidence and risk factors for poor ankle functional recovery, and the development and progression of posttraumatic ankle osteoarthritis after significant ankle ligament injury (SALI): the SALI cohort study protocol. BMC musculoskeletal disorders, 22(1), 362. https://doi.org/10.1186/s12891-021-04230-8 Delco ML, Kennedy JG, Bonassar LJ, Fortier LA. Post-traumatic osteoarthritis of the ankle: A distinct clinical entity requiring new research approaches. J Orthop Res. 2017 Mar;35(3):440-453. doi: 10.1002/jor.23462. Epub 2016 Nov 8. PMID: 27764893; PMCID: PMC5467729. Herzog MM, Kerr ZY, Marshall SW, Wikstrom EA. Epidemiology of Ankle Sprains and Chronic Ankle Instability. J Athl Train. 2019 Jun;54(6):603-610. doi: 10.4085/1062-6050-447-17. Epub 2019 May 28. PMID: 31135209; PMCID: PMC6602402. van Ochten, J. M., de Vries, A. D., van Putte, N., Oei, E., Bindels, P., Bierma-Zeinstra, S., & van Middelkoop, M. (2017). Association between Patient History and Physical Examination and Osteoarthritis after Ankle Sprain. International journal of sports medicine, 38(9), 717–724. https://doi.org/10.1055/s-0043-109554     Chapters: 03:47 - Untreated ankle sprains 05:27 - Latest evidence 07:04 - Subjective questions 09:45 - Common mechanisms of injury 11:47 - Plantarflexion/inversion injury with medial ankle pain 15:22 - Dorsiflexion eversion injuries 15:54 - Swelling 21:11 - Objective tests 26:32 - Irritability 26:47 - Figure of 8 taping technique 28:56 - Inferior and superior tib-fib joint assessment 32:14 - Treatment 42:41 - Change of direction 43:17 - Tape or brace? 50:06 - Mobilise or immobilise?

What actually is Rovsing sign and is it useful?   Check out the papers mentioned. Prosenz J, Hirtler L.  Rovsing Signs Revisited - Effects of an Erroneous Translation on Medical Teaching and Research.  Journal of Surgical Education, 2014-9/01, Vol 71, Issue 5, pages 738-742 https://pubmed.ncbi.nlm.nih.gov/24776856/ Benabbas R, Hanna M, Sinert R.  Diagnostic Accuracy of History, Physical Examination, Laboratory Tests, and Pont-of-care Ultrasound for Pediatric Acute Appendicitis in the Emergency Department:  A Systematic Review and Meta-analysis. Academic Emergency Medicine 2017; 24: 523– 551. https://onlinelibrary.wiley.com/doi/10.1111/acem.13181 Niels Thorkild Rovsing Obituary.  Br Med J.  1927 Feb 5; 1(3448):265 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2454133/?page=1     www.rnzcuc.org.nz podcast@rnzcuc.org.nz https://www.facebook.com/rnzcuc https://twitter.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

In episode 384 of the Mechanical Care Forum, we're continuing with season 12. We're spotlighting important books related to our field of conservative care of musculoskeletal disorders. This week we have Dr. Eric Hegedus and Dr. Chad Cook and their book Orthopedic Physical Examination Tests. We talk about the organization of the book, a few examples of orthopedic tests in the book, how they encourage clinicians to proceed with their physical examination going forward, and more. To hear the entire episode go to your favorite podcast player or go to www.mechanicalcareforum.com

This week we explore the 'basics' when we review a recent report from the team at the Amrita Institute in Cochin, India on the accuracy and precision of the physical examination in identifying heart disease. How did the stethoscope do in comparison to the 'gold standard' of echocardiography? Is it time to 'retire' the stethoscope or does it still have an honored role in the evaluation of children with possible heart disease? How can physicians and other providers get better at physical examination? Professor Krishna Kumar, chief of the cardiac program at Amrita Institute in Cocchin shares his deep insights this week! https://doi.org/10.1136/bmjpo-2022-001595

In this episode, Amit Correa, MD, speaks about the clinical evaluation and management of patients with an oral ulcer, including the causes, management of a patient with an aphthous ulcer, malignant and premalignant lesions of the oral cavity, and blood conditions that can lead to an oral ulcer or lesion in the mouth.

Check out this episode to learn more about Nutrition Focused Physical Examination, and listen in as Terese Scollard, MBA, RDN, LD, FAND shares her own journey to obtaining expert-level competency in this area. Recorded 10/14/20, Length 31 minutes

This episode will give a broad overview of the thorax & lungs assessment, corresponding to chapter 19 of Physical Examination and Health Assessment, 8th edition, by Carolyn Jarvis. Music by Gillicuddy, licensed under CC BY-NC 4.0. Transition sound by FoolBoyMedia, licensed under CC BY-NC 3.0

This episode will give a broad overview of the heart & neck vessels assessment, corresponding to chapter 20 of Physical Examination and Health Assessment, 8th edition, by Carolyn Jarvis. Here is a more detailed explanation of the jugular veins. Music by Gillicuddy, licensed under CC BY-NC 4.0. Transition sound by FoolBoyMedia, licensed under CC BY-NC 3.0

This episode will give a broad overview of the peripheral vascular system & lymphatic system assessment, corresponding to chapter 21 of Physical Examination and Health Assessment, 8th edition, by Carolyn Jarvis. Music by Gillicuddy, licensed under CC BY-NC 4.0. Transition sound by FoolBoyMedia, licensed under CC BY-NC 3.0

This episode will give a broad overview of the skin, hair, & nails assessment, corresponding to chapter 13 of Physical Examination and Health Assessment, 8th edition, by Carolyn Jarvis. Here is a flashcard deck with many of the most important terms. Music by Gillicuddy, licensed under CC BY-NC 4.0. Transition sound by FoolBoyMedia, licensed under CC BY-NC 3.0

This episode will give a broad overview of the mental status assessment, corresponding to chapter 5 of Physical Examination and Health Assessment, 8th edition, by Carolyn Jarvis. Music by Gillicuddy, licensed under CC BY-NC 4.0.

Bryan and Brandon talk about the physical exam: how we apply it in the ICU, its utility and changing role in the setting of modern diagnostic modalities, and its best and most practical use-cases. References McNamara LC, Kanjee Z. Counterpoint: Routine Daily Physical Exams Add Value for the Hospitalist and Patient. J Hosp Med. 2021 … Continue reading "Lightning rounds #10: Physical examination in the ICU"

Just over one year ago, at least 13 Australian women and hundreds of others were subjected to invasive gynaecological examinations without warning or explanation while they were transiting on flights through Doha Airport. It caused international outrage at the time, but what has happened since to ensure that those responsible for this gross violation of their rights are held to account, and that this never happens to anyone else ever again? The Quicky speaks to one of the women involved, a lawyer for a group suing the Qatari authorities, and an International Law expert to find out who is to blame for what happened, and how to make sure it never happens to you. A note on this podcast: While preparing this episode, we reached out to the Australian Federal Government for comment. We received a response from the Department of Foreign Affairs and Trade noting that they were unable to facilitate our interview request. We also contacted the Government of Qatar via their Embassy in Canberra for comment, but no response was received. The following is a statement from the office of the Australian Minister for Foreign Affairs Marise Payne that was sent to one of our colleagues: Minister Payne and DFAT registered the Australian Government's serious concerns about this incident to Qatari Government authorities in both Canberra and in Qatar. The Australian Government sought an immediate investigation into the incident by Qatar authorities, and that action be taken against those responsible. The Australian Government also sought assurances that concrete steps be taken to ensure this cannot happen again. The Australian Government acknowledges the steps the Government of Qatar took in this matter, including a comprehensive investigation, the prosecution and conviction of those responsible, and the implementation of revised airport security processes to ensure this cannot happen again. CREDITS  Host: Claire Murphy With thanks to:  Ana* - One of the women subjected to an inappropriate physical examination at Doha Airport in October 2020 who is suing Qatari authorities along with six other women who continue to suffer distress and ill effects and trauma one year on Daisy von Schoenberg - Senior Associate at Marque Lawyers who has a particular interest in media law and human rights who is part of the team working on Ana's* case Professor Donald Rothwell FAAL - One of Australia's leading experts in International Law based at the Australian National University in Canberra *Name has been changed for privacy. Producer: Claire Murphy Executive Producer: Siobhán Moran-McFarlane Audio Producer: Ian Camilleri Subscribe to The Quicky at... https://mamamia.com.au/the-quicky/ CONTACT US Got a topic you'd like us to cover? Send us an email at thequicky@mamamia.com.au GET IN TOUCH: Feedback? We're listening! Call the pod phone on 02 8999 9386 or email us at podcast@mamamia.com.au Mamamia acknowledges the Traditional Owners of the Land we have recorded this podcast on, the Gadigal people of the Eora Nation. We pay our respects to their Elders past and present and extend that respect to all Aboriginal and Torres Strait Islander cultures. Just by reading or listening to our content, you're helping to fund girls in schools in some of the most disadvantaged countries in the world - through our partnership with Room to Read. We're currently funding 300 girls in school every day and our aim is to get to 1,000. Find out more about Mamamia at mamamia.com.au  Support the show: https://www.mamamia.com.au/mplus/ See omnystudio.com/listener for privacy information.

Special live session from the 2021 AAOS Meeting in San Diego. Featuring special guest Rachel Goldstein from CHLA who joins us to discuss DDH. Discussion focuses on ultrasound assessment of children with dysplasia and the ominous finding of an inverted labrum. We also dive into other recent studies in the lightning round discussing the femoral head-shaft angle in children with Cerebral Palsy, NOF of the distal tibia, the effects of lumbar fusion on cervical sagittal alignment in patients with Lenke 5 AIS, and the ease of acquiring skills to diagnose DDH via ultrasound enhanced physical examination. Your hosts are Josh Holt from The University of Iowa, Carter Clement from Children's Hospital of New Orleans, and Julia Sanders from Children's Hospital Colorado. Music by A.A. Alto.   Featured article: An Inverted Acetabular Labrum is Predictive of Pavlik Harness Treatment Failure in Children with Developmental Hip Dysplasia. Adrian Lin, Ali Siddiqui, Lillian Lai, Rachel Goldstein. JPO. Sept 2021.   Lightning Round: 1. The Femoral Head-Shaft Angle is Not a Predictor of Hip Displacement in Children Under 5 Years with Cerebral Palsy: A Population-based Study of Children at GMFCS Levels III-V. Terje Terjesen, Joachim Horn. JPO. 2021   2. Nonossifying Fibroma of the Distal Tibia: Predictors of Fracture and Management Algorithm. Soroush Baghdadi, Jie Nguyen, Alexandre Arkader. JPO. 2021   3. Does Selective Posterior Correction and Fusion Surgery Influence Cervical Sagittal Alignment in Patient with Lenke Type 5 Adolescent Idiopathic Scoliosis?- A 5-year Follow-up Retrospective Cohort Study. Toshiki Okubo, Mitsuru Yagi, Satoshi Suzuki et al. Spine. 2021   4. What is the Intraobserver Reliability of an Ultrasound-enhanced Physical Examination of the Hip in Infants? A Prospective Study on the Ease of Acquiring Skills to Diagnose Hip Dysplasia. Neha Jejurikar, Leon Moscona-Mishy, Monica Rubio, Romina Cavallaro, Pablo Castaneda. COOR. 2021

Chapter 2: Physical Examination and Daily Assessment of the Critically Ill Patient to Small Animal Critical Care Medicine, 2e 2nd Edition by Deborah Silverstein DVM DACVECC, Kate Hopper BVSc MVSc DACVECC Host: Dr. Bobbi Conner Producer: Topher Conlan

Welcome to Episode 007 (cue the James Bond music please) of “The 2 View,” the podcast for EM and urgent care nurse practitioners and physician assistants! Show Notes for Episode 7 of “The 2 View” A Wolf in Sheep's Clothing Birnbaumer, Diane MD. A Wolf in Sheep's Clothing: Serious Causes of Common Complaints. Advanced Emergency Medicine Boot Camp. September 2019. Las Vegas. Accessed June 29, 2021. Subarachnoid Hemorrhage Carpenter CR, Hussain AM, Ward MJ, et al. Spontaneous Subarachnoid Hemorrhage: A Systematic Review and Meta-analysis Describing the Diagnostic Accuracy of History, Physical Examination, Imaging, and Lumbar Puncture with an Exploration of Test Thresholds. Acad Emerg Med. PubMed.gov. Published September 6, 2016. Accessed June 29, 2021. https://pubmed.ncbi.nlm.nih.gov/27306497/ Connolly ES Jr, Rabinstein AA, Carhuapoma JR, et al. Guidelines for the Management of Aneurysmal Subarachnoid Hemorrhage: A Guideline for Healthcare Professionals from the American Heart Association/American Stroke Association. Stroke. Published 2012. Accessed June 29, 2021. https://www.ahajournals.org/doi/full/10.1161/str.0b013e3182587839 Headache. Acep.org. Published June 2019. Accessed June 29, 2021. https://www.acep.org/patient-care/clinical-policies/headache/ Hine, J MD, Marcolini, E MD. Aneurysmal Subarachnoid Hemorrhage. EM:RAP CorePendium. Emrap.org. Published September 17, 2020. Accessed June 29, 2021. https://www.emrap.org/corependium/chapter/recTI59VW0TPBpesx/Aneurysmal-Subarachnoid-Hemorrhage Kim YW, Neal D, Hoh BL. Cerebral aneurysms in pregnancy and delivery: pregnancy and delivery do not increase the risk of aneurysm rupture. Neurosurgery. PubMed.gov. Published February 2013. Accessed June 29, 2021. https://pubmed.ncbi.nlm.nih.gov/23147786/ Marcolini E, Hine J. Approach to the Diagnosis and Management of Subarachnoid Hemorrhage. West J Emerg Med. NCBI. Published February 28, 2019. Accessed June 29, 2021. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6404699/ Ogilvy, C MD, Rordorf, G MD, Singer, R MD. Aneurysmal subarachnoid hemorrhage: Clinical manifestations and diagnosis. UpToDate. Uptodate.com. Updated February 25, 2020. Accessed June 29, 2021. https://www.uptodate.com/contents/aneurysmal-subarachnoid-hemorrhage-clinical-manifestations-and-diagnosis?search=subarachnoid%20hemorrhage&source=searchresult&selectedTitle=1~150&usagetype=default&display_rank=1 Ottawa Subarachnoid Hemorrhage (SAH) Rule for Headache Evaluation. Mdcalc.com. Accessed June 29, 2021. https://www.mdcalc.com/ottawa-subarachnoid-hemorrhage-sah-rule-headache-evaluation Subarachnoid Hemorrhage, no LP. EM:RAP. Emrap.org. Published May 2020. Accessed June 29, 2021. https://www.emrap.org/episode/emrap2020may/subarachnoid Gonococcal Arthritis Klausner, J MD, MPH. Disseminated gonococcal infection. UpToDate. Uptodate.com. Updated January 7, 2021. Accessed June 29, 2021. https://www.uptodate.com/contents/disseminated-gonococcal-infection Li R, Hatcher JD. Gonococcal Arthritis. In: StatPearls. StatPearls Publishing. Published July 26, 2020. Accessed June 29, 2021. https://www.ncbi.nlm.nih.gov/books/NBK470439/ Milne, Wm. MD. SGEM#335: Sisters Are Doin' It for Themselves…Self-Obtained Vaginal Swabs for STIs. Thesgem.com. Published June 26, 2021. Accessed June 29, 2021. https://www.thesgem.com/2021/06/sgem335-all-by-myselfself-obtained-vaginal-swabs-for-stis/ Ventura, Y MD, Waseem, M MD, MS. Disseminated Gonococcal Infection: Emergency Department Evaluation and Treatment. Emdocs.net. Published May 17, 2021. Accessed June 29, 2021. http://www.emdocs.net/disseminated-gonococcal-infection-emergency-department-evaluation-and-treatment/ Epiglottitis Abdallah C. Acute epiglottitis: Trends, diagnosis and management. Saudi J Anaesth. Published July-September 2012. Accessed June 29, 2021. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3498669/ Ames WA, Ward VM, Tranter RM, Street M. Adult epiglottitis: an under-recognized, life-threatening condition. Br J Anaesth. Oxford Academic. Published November 1, 2000. Accessed June 29, 2021. https://academic.oup.com/bja/article/85/5/795/273886 Dowdy RAE, Cornelius BW. Medical Management of Epiglottitis. Anesth Prog. Published July 6, 2020. Accessed June 29, 2021. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7342809/ Farkas, J. Epiglottitis. Emcrit.org. Published December 18, 2016. Accessed June 29, 2021. https://emcrit.org/ibcc/epiglottitis/ Mayo-Smith M. Fatal respiratory arrest in adult epiglottitis in the intensive care unit. Implications for airway management. Chest. PubMed.gov. Published September 1993. Accessed June 29, 2021. https://pubmed.ncbi.nlm.nih.gov/8365325/ Roberts, J MD, Roberts, M ACNP, PNP. Nasal Endoscopy for Urgent and Complex ED Cases. Lww.com. Published October 28, 2020. Accessed June 29, 2021. https://journals.lww.com/em-news/blog/theproceduralpause/pages/post.aspx?PostID=110 Wolf M, Strauss B, Kronenberg J, Leventon G. Conservative management of adult epiglottitis. Laryngoscope. PubMed.gov. Published February 1990. Accessed June 29, 2021. https://pubmed.ncbi.nlm.nih.gov/2299960/ Wellens Syndrome Wellens Syndrom EKG Sign: See full show notes here: https://bit.ly/3eSyzp0 Cadogan M, Buttner R. Wellens Syndrome. Life in the Fastlane. Litfl.com. Published June 4, 2021. Accessed June 29, 2021. https://litfl.com/wellens-syndrome-ecg-library/ Smith S. Wellens' missed. Then returns with Wellens' with dynamic T-wave inversion. Dr. Smith's ECG Blog. Blogspot.com. Published May 4, 2011. Accessed June 29, 2021. http://hqmeded-ecg.blogspot.com/2011/05/wellens-missed-then-returns-with.html?m=1 Wellens Syndrome ECG Recommended Book Resources for the Month Merck. The Merck Manual of Patient Symptoms. (Porter RS, ed.). Merck; 2008. Schaider JJ, Barkin RM, Hayden SR, et al., eds. Rosen and Barkin's 5-Minute Emergency Medicine Consult. 4th ed. Lippincott Williams and Wilkins; 2010. Recurring Sources Center for Medical Education. Ccme.org. http://ccme.org The Proceduralist. Theproceduralist.org. http://www.theproceduralist.org The Procedural Pause. Emergency Medicine News. Lww.com. https://journals.lww.com/em-news/blog/theproceduralpause/pages/default.aspx The Skeptics Guide to Emergency Medicine. Thesgem.com. http://www.thesgem.com Trivia Question: Send answers to 2viewcast@gmail.com Last month we asked you a trivia question regarding the very first NP program – who was the duo that began the program and what was the first NP specialty program? The correct answer was Dr. Loretta Ford and Dr. Henry Silver. The first NP specialty program was pediatrics. We'll be sending Lindsey Harvey, MSN, FNP-BC to the November Original EM Boot Camp Gratis for providing that answer! We can't wait to see you and all of the other registrants in November in Las Vegas! Be sure to keep tuning in for more great prizes and fun trivia questions! Once you hear the question, please email us your guesses at 2viewcast@gmail.com and tell us who you want to give a shout-out to.

Nancy Hill was CEO of the 4A's (American Association of Advertising Agencies) for 9 years. She left in 2017 and tonight on JJNF, we look back and see how far the business has come (or not), where things stands today (a checklist on progress) and most importantly, where things are heading for “the” business and business general. As I roll out the new format of Joseph Jaffe is not Famous, today I'm pre-recording my conversation with Nancy and airing it at 9pm EDT tonight when I'll be LIVE.  $JAFFE coin holders and regulars will be able to watch the “taping” and participate (comment, ask questions) LIVE.  Plus another performance from a talented creator.  Join us! As I countdown to my open-heart surgery, I'd love to invite you to support myself, my work and the show at rally.io/creator/JAFFE. There are a series of participation and reward levels all connected with and integrated into the show (and yes, there'll be an NFT as well!) Learn more about your ad choices. Visit megaphone.fm/adchoices

This week, the topic of discussion was: Digital Health TeleHealth Virtual Consultation Surgical Consultation Abdominal Wall Reconstruction Hernia Repair Incisional Hernia Mesh Groin Pain Physical Examination Gaslighting by Physician Medical Gaslighting Listening to your Patients Laparoscopic Open SurgeryRobotic Surgery Recurrent Hernia Our Guest Panelist is Dr. Vahagn Nikolian, General surgeon and Abdominal Wall Reconstruction specialist at OHSU in Portland, Oregon. HerniaTalk LIVE, a Q&A hosted by Dr. Shirin Towfigh, hernia and laparoscopic surgery specialist who practices at the Beverly Hills Hernia Center. This is the only Q&A of its kind, aimed at educating and empowering patients about all things related to hernias and hernia-related complications. For a personal consultation with Dr. Towfigh: +1-310-358-5020, info@beverlyhillsherniacenter.com.If you find this content informative, please LIKE, SHARE, and SUBSCRIBE to the HerniaTalk Live channel and visit us on www.HerniaTalk.com.Follow Dr. Towfigh on the following platforms:Youtube | Facebook | Instagram | Twitter

Credits: 0.25 AMA PRA Category 1 Credit™ Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/rems-podcast-10  Overview: Join neurologist and pain specialist, Dr. Charles Argoff, as he discusses a recent expert consensus on best practices in performing a pain assessment—including appropriate components of the physical exam—via telemedicine. This activity is supported by an independent educational grant from the Opioid Analgesic REMS Program Companies. Please see https://ce.opioidanalgesicrems.com/RpcCEUI/rems/pdf/resources/List_of_RPC_Companies.pdf for a listing of REMS Program Companies. This activity is intended to be fully compliant with the Opioid Analgesic REMS education requirements issued by the US Food and Drug Administration (FDA). Please note that any data, indications, and guidelines presented in this activity are current as of the recording on 2/20/2021 and they are subject to change as new information is published. Guest: Charles E. Argoff, MD

During today's episode, Dr. Malanga and Dr. Martin will discuss an excellent sports medicine case. One that provides medical students, residents, and fellows an opportunity to be reminded to never forget about the serious conditions even when at face value may present as a straightforward diagnosis. We hope you enjoy this learning opportunity. Time Stamp · Intro (0:00) · Dr. Martin's opening remarks about our first clinical case discussion (0:30) · Patient History (1:05) · Physical Examination (5:00) · Ultrasound Findings (6:05) · Dr. Malanga's thoughts on the patient presentation (7:30) · Doppler evaluation confirming DVT diagnosis (10:30) · Possible pulmonary embolism? (11:00) · Learning lessons from Dr. Malanga about this case (12:30) · Dr. Martin reviews Virchow's Triad, deep vein thrombosis, and pulmonary embolism (15:30) · Closing remarks (18:25)

We are officially on our second episode of the case study series! Follow along as I go through cases from the 'Case Files: Family Medicine' book. In today's episode, I will be going over a case of a 52-year-old male who presents to the clinic for a routine physical examination. We will discuss appropriate screenings, health maintenance, USPSTF recommendation levels, as well as immunizations. These episodes will be released on the last Monday of every month. Be sure to listen until the end when I will be presenting three questions with multiple choice answers and check back on Friday to the May's Anatomy Podcast instagram page for the answers!    Case Files: Family Medicine   To try my absolute favorite CBD product line from Cured Nutrition, use code "MAY10" at checkout for 10% off your entire order or simply click the link here Cured Nutrition   If you’re interested in consuming slow-release caffeinated vanilla or matcha lattes, or if you’re a coffee drinker who wants a little more collagen and protein in their diet, use code "MAY15" at checkout for 15% off your entire order or simply click the link here Strong Coffee   Use my WearFigs code to get a $20 gift card on purchases of $100+ http://fbuy.me/ofl13   To connect with Chase Chewning visit his Instagram page here: @chase_chewning   For nursing tips, my experiences, and more musings on the show, follow our Instagram @maysanatomypodcast or follow my personal account  @mayyazdi   This is an Operation Podcast production. chase@operationpodcast.com

L'Assemblée nationale du Québec a récemment adopté la nouvelle Loi sur la pharmacie. Celle-ci va notamment permettre aux pharmaciens d'effectuer de nouvelles activités, dont l'évaluation de la condition physique et mentale du patient. Pour en parler, Trait Pharmacien reçoit Marie-France Demers, pharmacienne et chercheuse associée à l'Institut universitaire en santé mentale de Québec et professeur à la Faculté de pharmacie de l'Université Laval ainsi que Marc Parent, pharmacien au CHU de Québec-UL et professeur à la Faculté de pharmacie de l'Université Laval. Références : Évaluation physique Jones Rhonda M. Patient assessment in pharmacy practice. Wolters Kluver, 3 ie ed 2016, 470p. https://www.ovid.com/product-details.13014.html Bates' Guide to Physical Examination and History Taking https://shop.lww.com/Bates--Guide-to-Physical-Examination-and-History-Taking/p/9781469893419#:~:text=Bates'%20Guide%20to%20Physical%20Examination%20and%20History%20Taking%20provides%20authoritative,firm%20understanding%20of%20clinical%20evidence. Évaluation mentale PHQ9 - Outils de repérage et d'appréciation de la sévérité des symptômes dépressifs https://www.inesss.qc.ca/fileadmin/doc/INESSS/Rapports/Geriatrie/INESSS_FicheOutil_QSP-9.pdf Échelles de cotation des symptômes psychotiques (PSYRATS) https://www.seretablir.net/wp-content/uploads/2015/07/PSYRATS.pdf Nanoprogramme en santé mentale Faculté de pharmacie, Université Laval https://www.ulaval.ca/les-etudes/nanoprogrammes/les-soins-pharmaceutiques-axes-sur-le-retablissement-en-sante-mentale Extrapyramidal rating scale (ESRS) https://www.sciencedirect.com/science/article/abs/pii/S0920996405000782

In this episode I talk to my friend and colleague Dr. Fernando Janer Sanchez, a naturopathic doctor and fellow graduate of the class of 2014 from the Canadian College of Naturopathic Medicine. Fernando lives in Puerto Rico teaching Mind-Body Medicine and Physical Examination at the Puerto Rican naturopathic college, Universidad Ana G. Mendez. Fernando and I talk about psychoneuroimmunology, the social determinants of health, and how your occupation might affect your immune system. He shares his history as a social worker in New York City and in Puerto Rico working in a needle exchange program with homeless youth. We discuss how acupuncture can be a helpful treatment in addictions, how harm reduction is important for empowering change, and how recognizing community needs is the most important factor to delivering care. This convo takes us from the weeds of inflammatory cytokine interleukin 6 to the expansive feelings of humility and awe. We also learn about Fernando's community project, Proyecto Bohique. Learn more about it here: https://www.facebook.com/proyectobohique/ Good Mood Foundations: a 6-week lifestyle program for mental health and emotional wellness: taliand.com/good-mood-learn

Dr. Centor discusses the appropriate use of focused bedside cardiac ultrasonography with Dr. Renee Dversdal of Oregon Health and Science University.

We start this week's episode with a Question of the Week from medical student Audrey Tran on translational research and medical student training. Afterwards, we have an in-depth interview with Dr. Adam Cifu of the University of Chicago on his recent publication: "Physical Examination Pet Peeves". Pet Peeves: doi.org/10.4300/JGME-D-18-01063.1 Back us on Patreon! www.patreon.com/plenarysession

El examen normal del Recién Nacido, desde los factores éticos que cada pediatra debería tener con la madre, el examen físico, plan educacional y otros temas importantes tocados y explicados por la Dra. Ana Lucía Diez, Pediatra Neonatóloga. Participantes Dra. Ana Lucía Diez Dr. Luis Hernández Bibliografía Fuloria, M., & Kreiter, S. (2002). The newborn examination: Part II. Emergencies and common abnormalities involving the abdomen, pelvis, extremities, genitalia, and spine. American Family Physician, 65(2), 265–270. Fuloria, M., & Shelley, K. (2002). The Newborn Examination: Part I. Emergencies and Common Abnormalities Involving the Skin, Head, Neck, Chest and Respiratory and Cardiovascular Systems. 61–68. Gooding, J. R., & McClead, R. E. (2015). Initial Assessment and Management of the Newborn. Pediatric Clinics of North America, 62(2), 345–365. https://doi.org/10.1016/j.pcl.2014.12.001 Lewis, M L. (2014). A comprehensive newborn examination: Part I. general, head and Neck, Cardiopulmonary. American Family Physician, 90, 289–296. https://doi.org/10.1016/S1872-5813(14)60037-2 Lewis, Mary L. (2014). A comprehensive newborn examination: Part II. Skin, Trunk, Extremities, Neurologic. American Family Physician, 90(5), 297–302. Malaria in Pregnancy Consortium. (n.d.). Newborn Examination Training Manual. 1–32. Pediatrics, A. A. of. (2012). PERINATAL CARE Guidelines. Retrieved from http://simponline.it/wp-content/uploads/2014/11/GuidelinesforPerinatalCare.pdf Programme, T. N. H. C. (n.d.). The Newborn Clinical Examination Handbook. (c), 2–6. Smith, J. B. (2012). Initial Evaluation: History and Physical Examination of the Newborn. In Avery’s Diseases of the Newborn (Ninth Edition) (Ninth Edition). https://doi.org/10.1016/B978-1-4377-0134-0.10025-3

deSouza IS et al. Accuracy of Physical Examination, Ankle-Brachial Index, and Ultrasonography in the Diagnosis of Arterial Injury in Patients With Penetrating Extremity Trauma: A Systematic Review and Meta-analysis. Acad Emerg Med. 2017 Aug;24(8):994-1017. doi: 10.1111/acem.13227. Review. PubMed PMID: 28493614. https://onlinelibrary.wiley.com/doi/full/10.1111/acem.13227

Välkommen till juniavsnittet av AKUTBOKEN podcast. Här är ämnena och artiklarna i detta avsnitt: Diagnostik av subarachnoidalblödning Marcolini et al. (2019) Approach to the Diagnosis and Management of Subarachnoid Hemorrhage. West J Emerg Med. 20:203-211. PMID: 30881537 Diagnostik av nekrotiserande fasciit Fernando et al. (2019) Necrotizing Soft Tissue Infection: Diagnostic Accuracy of Physical Examination, Imaging, […]

This podcast will go over the signs and symptoms, approach to physical exam, and differential diagnosis for suspected rheumatic disease. It was developed by Erin Dockery, a third-year medical student at Western University’s Schulich School of Medicine and Dentistry in Windsor, Ontario, Canada. This podcast was developed with Dr. Dax Rumsey, a pediatric rheumatologist at the Stollery Children’s Hospital and University of Alberta in Edmonton.

The second part of a 3-part series about Pediatric Rehabilitation. This podcast was created by Andy Le, a medical student at the University of Alberta, and Dr. Matthew Prowse, the Program Director of the Division of Physical Medicine and Rehabilitation at the University of Alberta. This episode will discuss pediatric rehabilitation history taking and physical examination. 

The physical exam has become a ritual of the modern doctor’s appointment, with pokes, prods, and strange tools. How did this become a normal thing to do? In this episode, I’ll discuss how the physical exam went from the medieval examination of a flask of urine to basically what we have today in just a few decades in early 19th century France, and how the exam is still developing in the 21st century. Plus, a brand new #AdamAnswers about why Americans insist on using the Hermes’ Staff as a symbol for medicine. All this and more in episode 34 of Bedside Rounds, a tiny podcast about fascinating stories in clinical medicine!   Sources: Antic T, DeMay RM. “The fascinating history of urine examination,” Journal of the American Society of Cytopathology (2014) 3, 103e107 Ghasemzadeh N and Zafari AM, “A Journey into the History of the Arterial Pulse,” Cardiology Research and Practice Volume 2011 (2011). McGee S, Evidence Based Physical Diagnosis 4th edition. Amazon link: https://www.amazon.com/Evidence-Based-Physical-Diagnosis-Steven-McGee/dp/0323392768 Nicolson M, Commentary: Nicholas Jewson and the disappearance of the sick man from medical cosmology, 1770–1870. Int J Epidemiol 2009;38:622–33) Jewson ND. The disappearance of the sick-man from medical cosmology, 1770–1870, Sociology , 1976, vol. 10 (pg. 225-44) Robertson WE. Physical diagnosis from the time of Rontgen. Ann Med Hist. 1934;6:255–63 Rodgers MM, “Piorry on Pleximetry and Auscultation,” Boston Med Surg J 1852; 46:151-152 Tan SY and Hu M, “Josef Leopold Auenbrugger (1722 - 1809): father of percussion. Singapore Med J 2004 Vol 45(3):103 Walker HK, “The Origins of the History and Physical Examination,” Clinical Methods: The History, Physical, and Laboratory Examinations.Boston: Butterworths; 1990. Wallis F, Signs and Senses: Diagnosis and Prognosis in Early Medieval Pulse and Urine Texts. Social History of Medicine Vol. 13 No. 2 pp. 265-278. Wilcox RA et al, “The Symbol of Modern Medicine: Why One Snake Is More Than Two,” Ann Intern Med. 2003;138:673-677. Verghese et al, A History of Physical Examination Texts and the Conception of Bedside Diagnosis. Voswinkel P, From uroscopy to urinalysis. Clinica Chimica Acta 297 (2000) 5–16

Interview with John Kugler, author of Price and the Evolution of the Physical Examination, and Jagat Narula, MD, PhD, author of Time to Add a Fifth Pillar to Bedside Physical Examination: Inspection, Palpation, Percussion, Auscultation, and Insonation

In these Otalaryngology Head and Neck Surgery videos, Dr. Kal Ansari, will guide you through a complete examination of the head and neck. After watching these videos you should be able to: Explain the inspection and palpation of the head and neck Identify the steps in a nasopharyngoscopy Understand the complete ear and nose exam Discuss the oral exam Review the cranial nerve exam    

Posterior hip pain can have a number of causes, with referral from the lumbar spine, SIJ and hip, along with local structures such as the hip joint, gluteals, glute tendons, proximal hamstring tendons. How can you identify the structures involved in your patient's posterior hip pain? What tests can you perform in your objective assessment to assist your treatment? What is the best way to treat the glutes if they are the involved in your patient's pain? In episode 63 of the Physio Edge podcast, Benoy Mathew and David Pope explore how you can improve your diagnosis and results with posterior hip pain. You will discover: What are some of the common causes of posterior hip pain? Gluteal tendinopathy (GT) What area of symptoms will patients with GT report? What are the pattern of symptoms for GT? What tests can we perform to make GT more or less likely How can we treat GT? Deep gluteal syndrome (DGS) What is deep gluteal syndrome? What muscles can be involved in DGS? How can we differentiate it from Gluteal tendinopathy? What tests can you perform to confirm or exclude DGS? How does the treatment for DGS differ to GT? Benoy is presenting a free webinar with Clinical Edge on "How to assess & diagnose posterior hip and gluteal pain, that complements this podcast, and takes you through the common sources of hip pain, how to identify hip and lumbar spine red flags, and demonstrates exactly how you can perform an assessment to test and differentially diagnose the structures involved in your patients pain. CLICK HERE to enrol on this free webinar with Benoy Mathew Ben also presented a webinar with Clinical Edge on how to rehabilitate adductor and psoas related groin pain. The webinar helps you discover: Rehabilitation of adductor and psoas related groin pain Practical tips Common presentations Osteitis pubis, sports hernia, hip impingement Rehabilitation from initial stages to plyometrics CLICK HERE to watch the webinar "Rehab of adductor and iliopsoas related groin pain" with Benoy Mathew with a free trial Clinical Edge membership Links of Interest Download and subscribe to the podcast on iTunes Download your free podcast handout on how to assess and treat posterior hip pain Physio Edge podcast 053 Hip and groin pain part 1 - diagnosis, pathology and red flags with Benoy Mathew Physio Edge 054 Hip and groin part 2 - assessment and treatment with Benoy Mathew Download the free podcast handout for Physio Edge 054 Hip & Groin pain Part 2 Webinar on groin pain rehabilitation with Benoy Benoy Mathew on Twitter Benoy Mathew's website and courses Access to Ben's webinar on rehabilitation of hip and groin pain, along with all of the Clinical Edge webinars and videos with a free trial membership David on Twitter Review the podcast on iTunes Like the podcast on Facebook Free sports injury videos   Articles related to this episode: Franklyn-Miller et al (2009)- The Gluteal Triangle: a clinical patho-anatomical approach to the diagnosis of gluteal pain in athletes , BJSM. Open Access Link Grimaldi & Fearon (2015)- Gluteal Tendinopathy: Integrating Pathomechanics and Clinical Features in Management, JOSPT. Open Access Link Hernando et al (2016)- Evaluation and management of ischio-femoral impingement: a pathophysiologc, radiolgic and therapeutic approach to a complex diagnosis, Skeletal Radiol Martin et al (2016)- Deep Gluteal Syndrome, JHPS, Open Access Link Martin et al (2016)- Ishiofemoral Impingement and Hamstrings Syndrome, Distal Causes of Deep Gluteal Syndrome. Where do we go next? Clin Sports Med. Open Access Link Michel et al (2013)- Piriformis muscle syndrome: Diagnostic criteria and treatment of a mono centricseries of 250 patients, Annals of Physical and Rehabilitation Medicine The Copenhagen Hip and Groin Outcome Score (HAGOS): development and validation according to the COSMIN checklist Physical Examination of the Hip by Dr. Hal D. Martin

Acute cholecystitis is a diagnosis that we make frequently in the Emergency Department. But like all diagnostic work ups there is a lot to know about which parts of the history, examination and bedside tests we can do in the ED that really help either rule in or rule out the disease. In this podcast we run through some of the key bits of information published in the Commissioning Guide Gallstone disease 2016, jointly published by the Association of Upper Gastrointestinal Surgeons of Great Britain and Ireland & the Royal College of Surgeons. We then concentrate on a recent systematic review of the diagnostic work up for Acute Cholecystitis. Yet again the evidence base brings up some issues to challenge our traditional teaching on the topic but should help polish our management of patients with a differential of Acute Cholecystitis. Enjoy! References & Further Reading Commissioning Guide Gallstone disease 2016 Up to date; Acute Cholecystitis NICE guidance; Acute Cholecystitis History, Physical Examination, Laboratory Testing, and Emergency Department Ultrasonography for the Diagnosis of Acute Cholecystitis. Jain A. Acad Emerg Med

Dr. Mark Hutchinson is professor of orthopaedics and head of the sports medicine services at the University of Illinois College of Medicine. He has been a team physician for the WNBA Chicago Sky, USA gymnastics, USA Field Hockey, USA Basketball and Team USA at two World University Games and the Paralympics Games. In this second of a two-part set, he discusses management of the patient who presents with recent onset of acute knee pain. You might be surprised by some of what this orthopaedic surgeon says! Timeline: 1:30m - Does everybody who ruptures an ACL need a knee reconstruction? 2:00m - How do you advise the person who wants to play soccer? 3:00m - How can you tell whether someone will make a good recovery or not with exercise therapy (not surgery)? 4:00m - OK for patients to go through a trial of physio to see if they are going to be stable or not 5:30m - Management of children who rupture their ACL. It’s a hot topic. On the one hand kids may be less compliant with ACL-risky behaviours than adults; on the other hand, operating and crossing growth plates can cause significant problems 7:30m - The key study by Håvard Moksnes and Lars Engebretsen – ACL injuries in kids (http://www.ncbi.nlm.nih.gov/pubmed/26025937) (not open access) 7:45m - How to discuss ACL management options with patients directly – ‘Tell us what you say to the patient Hutch’ (An introduction to shared decision-making) 9:15m - Non-operative, quality physiotherapy for ACL deficient patients 10:15m - Does ACL reconstruction prevent osteoarthritis? 11:15m - The elephant in the room – what about management of the patient whose ACL reconstruction has reruptured? 12:45m - Injuring the other knee – a disaster that occurs all too often! 13:30m - Psychological factors: a neglected part of the equation? http://bjsm.bmj.com/content/48/21/1543.abstract 14:30m - Return to play after reconstruction: the mind matters too! What is the optimal time for collagen healing? Coordination training, functional tests. 16:45m - Return to play with an unoperated knee: with a focus on neuromuscular training exercises Links: Previous BJSM podcasts: Pearls on knee examination: http://ow.ly/UBy3v Pearls on treating shoulder conditions and one wrist bonus: http://ow.ly/UBym YouTube videos on Physical Examination have been viewed more than 5 million times! https://www.youtube.com/user/BJSMVideos YouTube video: 39-minute lecture by Associate Editor Dr Clare Ardern on similar issues – return to play after ACL injury https://youtu.be/P_JJf0h6rhU Want a replay from last week? (1st podcast in this set) A 40-year old patient presents with an acute exacerbation of knee pain – Professor Hutchinson discusses whether arthroscopy is helpful in the arthritic knee. Which ones need orthopaedic referral? https://soundcloud.com/bmjpodcasts/mark-hutchinson?in=bmjpodcasts/sets/bjsm-1 Return to Play conference 2016: April 9-11, London (UK). The immensely successful annual Football Medicine Strategies conference focuses on Return to Play for all football injuries – not just ACL. Give this one serious consideration – top programme with over 100 invited speakers, terrific international audience (you will feel at home), friendly atmosphere and convenient venue. All the benefits of London without the need to own an expensive home there! http://www.footballmedicinestrategies.com/en/

Professor Mark Hutchinson, University of Chicago, Illinois, is an international leader in Orthopaedics and Sports Medicine. He has worked closely with the US Olympic Committee by serving at the Training Centre in Colorado and being part of Team USA at the Pan American Games in Canada (2015). In this first of two podcasts, he discusses management of the patient who presents with recent onset of acute knee pain. You might be surprised by some of what this orthopaedic surgeon says! Timeline 1:30m - Importance of a broad clinical workup 2:23m - In the arthritic knee, arthroscopy does not improve patient outcomes. 3:00m - Arthroscopy versus physiotherapy in MRI proven degenerative meniscal tears: no difference 3:30m - What about when there are mechanical symptoms such as ‘locking' or ‘giving way'? Prof Hutchinson says these may warrant a surgical referral. 4:30m - What would most orthopaedic surgeons do when faced with our clinical scenario? 5:30m - How long should the patient /physiotherapist persist with conservative management? What are the indications for arthroscopy? “Arthroscopy generally doesn't treat arthritis”. Links: Two previous podcasts on BJSM podcasts Pearls on knee examination: http://ow.ly/UBy3v Pearls on shoulder examination plus one wrist bonus: http://ow.ly/UBym8 Mark's YouTube videos on Physical Examination have been viewed more than 5 million times! https://www.youtube.com/user/BJSMVideos Next week: (2nd podcast) a patient presents after rupturing her/his ACL. Does she/he need a knee reconstruction and what are the issues about return to play?

Episode 4 focuses on the components and techniques for physical examination. This episode also includes physical examination of some of the selected body system.

Here are some resources I have used and would recommend for your study for the CCFP Exam, roughly in order of how effective I feel they are: Swanson's Family Medicine Review — My favourite study resource bar none! An American textbook (although I've been told Swanson himself was Canadian) focused on the AAFP examinations, but nonetheless broad enough in scope to touch on most if not all of what we need to know for the CCFP exam. Why do I love it? It's case-based: it holds my attention as I work through a presenting complaint, differential, management, and then I come out on the other side knowing more about a particular condition. Highly recommended, and a good resource that can hold your attention when you're burnt out from learning "bullet point medicine". The Practice Based Small Group (PBSG) Learning Program (a.k.a. "The McMaster PBLs") — The McMaster PBLs are a good resource for the CCFP, and useful for Mainpro credit once you're out into solo practice. If your Department doesn't provide you access, then beg them to get it. The University of Saskatchewan academic half-days usually include at least one of these. Each PBL works through a topic in great detail, with 2-3 cases, questions to prompt learning, as well as thoroughly-referenced and researched explanations. Dr. Mike Kirlew’s CCFP podcasts (iTunes) — Dr. Mike Kirlew practices in Sioux Lookout, Ontario, and his lectures are mostly focused on OSCE content rather than the 99 Topics, which I think complements this podcast nicely. I find his lecture style a tad scattered, and unfortunately the lectures don't have an accompanying description at this time (to match up to particular topics), but the content is fantastic, and he has a knack for simplifying complex content. Highly recommended. The Guide to the Canadian Family Medicine Examination — Published in 2013, it was created as an initiative of the University of Saskatchewan Family Medicine Residents at the time, along with faculty support. I think this book is great, although it's getting a bit out of date. It is brief but thorough — if you read through it from cover to cover, which won't take you very long, you'll have a great idea of what you know and what you don't, and where you need to focus your studies. Family Medicine Notes by Dr. Danielle O'Toole — These are compiled study notes from Dr. Danielle O'Toole, a former Family Medicine Resident, now practicing in Academic Family Medicine at McMaster. They are updated yearly, and comprehensive in scope. These study notes are quite condensed, but fairly comprehensively cover the topics. She has sample pages available on her website — have a look and see what you think. Bates' Guide to Physical Examination and History-Taking — Last but not least, if you need to brush up on your physical examination skills, which are a core component of both the MCCQE2 and CCFP examinations (but are generally considered prior knowledge from medical school), this is the book for you. Everything you need to know, with lots of pictures. Do you have study resources that I haven't covered here that you think are awesome? Let me know via email or Twitter.