Podcasts about wisecracks list

Core Questions List risk factors for constipation . List 10 causes of constipation (Box 29.1). Describe an approach to the history and physical exam of the constipated patient.  What ancillary testing should and should not be ordered in constipation?  Describe an approach to management of constipation in the ED (figure 29.1) . Describe 5 classes of laxative agents. List the lifestyle changes that constipation patients should be counselled about.   Wisecracks List 5 medications that can cause constipation.  What agents can be considered in refractory opioid-induced constipation?  Describe the mechanism of action of PEG 3350.  Describe the mechanism of overflow incontinence.

Core Questions List risk factors for constipation . List 10 causes of constipation (Box 29.1). Describe an approach to the history and physical exam of the constipated patient.  What ancillary testing should and should not be ordered in constipation?  Describe an approach to management of constipation in the ED (figure 29.1) . Describe 5 classes of laxative agents. List the lifestyle changes that constipation patients should be counselled about.   Wisecracks List 5 medications that can cause constipation.  What agents can be considered in refractory opioid-induced constipation?  Describe the mechanism of action of PEG 3350.  Describe the mechanism of overflow incontinence.

Core Questions Define the following terms: Dyspnea Tachypnea Hyperpnea Hyperventilation Dyspnea on exertion Orthopnea Paroxysmal Nocturnal Dyspnea What anatomical structures are responsible for controlling respiratory effort? Outline an approach to the history for the dyspneic patient. Detail the physical examination for the dyspneic patient and highlight pivotal exam findings that point to specific pathologies. Outline the differential diagnosis for the patient presenting with dyspnea and highlight 5 critical, 5 emergent, and 5 non-emergent causes of shortness of breath. What ancillary tests are indicated for the dyspneic patient? Detail the utility of point-of-care ultrasound in the assessment of the dyspneic patient. Outline a management algorithm for the acutely dyspneic patient. Wisecracks List three findings on chest radiograph suggestive of pulmonary embolism. What is the utility of venous blood gas testing and how do its values correlate with that of an arterial blood gas?

Core Questions Define the following terms: Dyspnea Tachypnea Hyperpnea Hyperventilation Dyspnea on exertion Orthopnea Paroxysmal Nocturnal Dyspnea What anatomical structures are responsible for controlling respiratory effort? Outline an approach to the history for the dyspneic patient. Detail the physical examination for the dyspneic patient and highlight pivotal exam findings that point to specific pathologies. Outline the differential diagnosis for the patient presenting with dyspnea and highlight 5 critical, 5 emergent, and 5 non-emergent causes of shortness of breath. What ancillary tests are indicated for the dyspneic patient? Detail the utility of point-of-care ultrasound in the assessment of the dyspneic patient. Outline a management algorithm for the acutely dyspneic patient. Wisecracks List three findings on chest radiograph suggestive of pulmonary embolism. What is the utility of venous blood gas testing and how do its values correlate with that of an arterial blood gas?

This updated episode of CRACKCast covers Rosen’s Chapter 005, Monitoring the Emergency Patient (9th Ed.). Core Questions: List modalities for measurement of BP and note which modalities are likely to over and underestimate blood pressure. What is pulse pressure and how does it relate to stroke volume? List 4 indications for an arterial line. What is the Beer-Lambert Law and how does it allow us to measure pulse oximetry? How do dyshemoglobinemias affect your measured SpO2? What are the 4 phases of the ETCO2 waveform? List 5 uses for ETCO2. Wisecracks: List the pitfalls of pulse oximetry. Purple Yellow Tan   Describe colorimetric ETCO2 monitoring and cite the ranges at which you would expect to see the following colours: How are ETCO2 values related to PaCO2? What are causes of elevated ETCO2? What does MOVIE stand for (aka - how to rock your oral exam resus questions)?

This updated episode of CRACKCast covers Rosen’s Chapter 005, Monitoring the Emergency Patient (9th Ed.). Core Questions: List modalities for measurement of BP and note which modalities are likely to over and underestimate blood pressure. What is pulse pressure and how does it relate to stroke volume? List 4 indications for an arterial line. What is the Beer-Lambert Law and how does it allow us to measure pulse oximetry? How do dyshemoglobinemias affect your measured SpO2? What are the 4 phases of the ETCO2 waveform? List 5 uses for ETCO2. Wisecracks: List the pitfalls of pulse oximetry. Purple Yellow Tan   Describe colorimetric ETCO2 monitoring and cite the ranges at which you would expect to see the following colours: How are ETCO2 values related to PaCO2? What are causes of elevated ETCO2? What does MOVIE stand for (aka - how to rock your oral exam resus questions)?

Core questions What are the indications for orthopedic surgery for clavicle fracture? List 5 Xray features of supracondylar fracture Describe the Gartland Classification for Extension-type supracondylar fractures List specific complications of a supracondylar fracture. Describe the sequence of ossification around the elbow. What is Baumann’s Angle? (shownotes) Monteggia fracture-dislocation Toddler’s fracture Nursemaid’s elbow. Describe the radiographic findings and management of: Describe the Ortolani and Barlow maneuvers. (shownotes) List 3 physical exam findings consistent with DDH. List 10 causes of hip pain in children Provide a differential diagnosis of limp in the toddler, school-aged child and adolescent. How would you differentiate between transient synovitis and septic arthritis in a child with hip pain? What is the most common location for septic arthritis in a child? What is the prognosis for transient synovitis? What is the most common cause of septic arthritis? Age < 2 months 2 months – 5 yrs 5 yrs – 12 yrs > 12 yrs Prosthetic joint Sickle cell disease Immunocompromised What are the important pathogens of septic arthritis in the following groups: Describe three mechanisms for the development of septic arthritis in children. Regarding synovial fluid analysis, which tests should be ordered. How are the results interpreted? Describe the management of a child with septic arthritis? What the indications for operative debridement? What are the potential complications of septic arthritis? Describe the pathophysiology of Legg-Perthes disease; how does slipped capital femoral epiphysis (SCFE) occur? Describe the common clinical presentation of SCFE + LCPD Describe 2 radiographic findings consistent with SCFE + LCPD How is SCFE classified? How is this classification used to determine management? (shownotes) What is the risk of bilateral SCFE? (shownotes) What are the potential complications of SCFE? (shownotes) What is a juvenile Tilleaux fracture? How does it occur? What is a triplanar fracture? List seven red flags for pediatric back pain. What is spondylolysis? What is spondylolisthesis? How is it managed? List 4 common apophyseal injuries in children.     Wisecracks: List 6 specific xray findings / fractures consistent with non-accidental injury (shownotes) What is a corner / bucket handle fracture? What are the investigations in a complete skeletal survey (shownotes) List 4 conditions with similar presentation to child abuse (shownotes) List causes of pathologic fractures in children. What is the utility of blood culture, ESR and CRP in a child with suspected septic arthritis of the hip? What the mechanism of a lateral elbow condyle fracture and how are they managed? (shownotes) What is the mechanism of a medial elbow condyle fracture and how are they managed? (shownotes) What is the most common pediatric fracture?

Core questions What are the indications for orthopedic surgery for clavicle fracture? List 5 Xray features of supracondylar fracture Describe the Gartland Classification for Extension-type supracondylar fractures List specific complications of a supracondylar fracture. Describe the sequence of ossification around the elbow. What is Baumann’s Angle? (shownotes) Monteggia fracture-dislocation Toddler’s fracture Nursemaid’s elbow. Describe the radiographic findings and management of: Describe the Ortolani and Barlow maneuvers. (shownotes) List 3 physical exam findings consistent with DDH. List 10 causes of hip pain in children Provide a differential diagnosis of limp in the toddler, school-aged child and adolescent. How would you differentiate between transient synovitis and septic arthritis in a child with hip pain? What is the most common location for septic arthritis in a child? What is the prognosis for transient synovitis? What is the most common cause of septic arthritis? Age < 2 months 2 months – 5 yrs 5 yrs – 12 yrs > 12 yrs Prosthetic joint Sickle cell disease Immunocompromised What are the important pathogens of septic arthritis in the following groups: Describe three mechanisms for the development of septic arthritis in children. Regarding synovial fluid analysis, which tests should be ordered. How are the results interpreted? Describe the management of a child with septic arthritis? What the indications for operative debridement? What are the potential complications of septic arthritis? Describe the pathophysiology of Legg-Perthes disease; how does slipped capital femoral epiphysis (SCFE) occur? Describe the common clinical presentation of SCFE + LCPD Describe 2 radiographic findings consistent with SCFE + LCPD How is SCFE classified? How is this classification used to determine management? (shownotes) What is the risk of bilateral SCFE? (shownotes) What are the potential complications of SCFE? (shownotes) What is a juvenile Tilleaux fracture? How does it occur? What is a triplanar fracture? List seven red flags for pediatric back pain. What is spondylolysis? What is spondylolisthesis? How is it managed? List 4 common apophyseal injuries in children.     Wisecracks: List 6 specific xray findings / fractures consistent with non-accidental injury (shownotes) What is a corner / bucket handle fracture? What are the investigations in a complete skeletal survey (shownotes) List 4 conditions with similar presentation to child abuse (shownotes) List causes of pathologic fractures in children. What is the utility of blood culture, ESR and CRP in a child with suspected septic arthritis of the hip? What the mechanism of a lateral elbow condyle fracture and how are they managed? (shownotes) What is the mechanism of a medial elbow condyle fracture and how are they managed? (shownotes) What is the most common pediatric fracture?

Core questions: List 6 commonly abused opioids (Table 156:1) Describe the opioid toxidrome (list opioid effects on Neuro, Resp, Ophtho, CV, GI, Derm) List opioid preparations associated with the following presentations: Long QTc → Prolonged QRS → Seizures → Hallucinations →) Sensorineural hearing loss → Serotonin syndrome →   i) What is the dose of narcan? ii) What is the duration of action? iii) How do you administer a narcan infusion? What opioid overdoses/ingestions need longer than 6 hours of observation? What is the clinical presentation of opioid withdrawal? What are risk factors for opioid withdrawal? List 3 medications effective for opioid withdrawal. What is the number one killer of people under 50? What is Suboxone? How do you do a Suboxone induction? WiseCracks: List 5 ddx for opioid intoxication (CNS + resp depression, + miosis). What opioids don’t cause miosis? Risk factors for opioid overdose? What is NAPE? Narcan induced pulmonary edema. Difference between a “body packer” and “body stuffer”?

Core questions: List 6 commonly abused opioids (Table 156:1) Describe the opioid toxidrome (list opioid effects on Neuro, Resp, Ophtho, CV, GI, Derm) List opioid preparations associated with the following presentations: Long QTc → Prolonged QRS → Seizures → Hallucinations →) Sensorineural hearing loss → Serotonin syndrome →   i) What is the dose of narcan? ii) What is the duration of action? iii) How do you administer a narcan infusion? What opioid overdoses/ingestions need longer than 6 hours of observation? What is the clinical presentation of opioid withdrawal? What are risk factors for opioid withdrawal? List 3 medications effective for opioid withdrawal. What is the number one killer of people under 50? What is Suboxone? How do you do a Suboxone induction? WiseCracks: List 5 ddx for opioid intoxication (CNS + resp depression, + miosis). What opioids don’t cause miosis? Risk factors for opioid overdose? What is NAPE? Narcan induced pulmonary edema. Difference between a “body packer” and “body stuffer”?

Core questions: What are the top 5 rabies-virus carrying animals in Canada? In the world? Describe the pathogenesis of the rabies virus disease (see fig. 123.6) List 5 stages of rabies. What are the clinical presentations of rabies? How is rabies diagnosed? What factors are involved in a rabies risk assessment. Which types of animal contact require PEP? Non-immunized Immunized Describe important aspects of rabies post-exposure immunoprophylaxis for the following exposures: Wisecracks: List 4 reservoirs of rabies What is the dose of HRIG?

Core questions: What are the top 5 rabies-virus carrying animals in Canada? In the world? Describe the pathogenesis of the rabies virus disease (see fig. 123.6) List 5 stages of rabies. What are the clinical presentations of rabies? How is rabies diagnosed? What factors are involved in a rabies risk assessment. Which types of animal contact require PEP? Non-immunized Immunized Describe important aspects of rabies post-exposure immunoprophylaxis for the following exposures: Wisecracks: List 4 reservoirs of rabies What is the dose of HRIG?

This episode covers Chapter 110 of Rosen’s Emergency Medicine (9th Ed.), Dermatologic Presentations.  Episode Overview List five broad categories of rashes Describe the primary skin lesion types  a. Bonus: What are the secondary skin lesions (show notes only) List systemic diseases that present with cutaneous signs for each of the following locations: Generalized rash Head and neck Hands Legs Palms and Soles Describe the various presentations of tinea and their treatment List 8 RFs for candida infections Describe the stepwise management of diaper dermatitis Describe the distribution of Pityriasis rosea Describe the management of atopic dermatitis Describe the management of impetigo & folliculitis List 6 RFs of C.A.-MRSA and 4 oral Abx treatments Describe the presentation and management of Staph Scalded Skin andTSS List 10 causes of EM / SJS / TEN Describe presentation of EM + SJS/TEN. Differentiate between TEN and SJS List 6 broad categorical causes of urticaria Describe the typical features for each of the following: Measles Rubella Roseola Infantum Erythema Infectiosum Scarlet Fever Describe treatment of poison ivy Describe presentation and treatment of Pediculosis + Scabies List 10 causes of Erythema Nodosum List a 6 ddx for vesicular lesions List 4 lesions with a positive Nikolsky’s sign List 4 complications of HSV infection List 5 complications of Varicella + describe the management of an exposure during pregnancy List 5 complications of Zoster + differentiate between Ophthalmicus and Oticus What is the treatment of herpes zoster? Wisecracks List 5 causes of desquamating lesions List 5 palm and sole rashes List 10 maculopapular rashes List 1 low, medium and high potency topical steroid Identify the following rashes: erythema migrans, erythema marginatum, erythema multiforme, erythema nodosum, meningococcemia

This episode covers Chapter 110 of Rosen’s Emergency Medicine (9th Ed.), Dermatologic Presentations.  Episode Overview List five broad categories of rashes Describe the primary skin lesion types  a. Bonus: What are the secondary skin lesions (show notes only) List systemic diseases that present with cutaneous signs for each of the following locations: Generalized rash Head and neck Hands Legs Palms and Soles Describe the various presentations of tinea and their treatment List 8 RFs for candida infections Describe the stepwise management of diaper dermatitis Describe the distribution of Pityriasis rosea Describe the management of atopic dermatitis Describe the management of impetigo & folliculitis List 6 RFs of C.A.-MRSA and 4 oral Abx treatments Describe the presentation and management of Staph Scalded Skin andTSS List 10 causes of EM / SJS / TEN Describe presentation of EM + SJS/TEN. Differentiate between TEN and SJS List 6 broad categorical causes of urticaria Describe the typical features for each of the following: Measles Rubella Roseola Infantum Erythema Infectiosum Scarlet Fever Describe treatment of poison ivy Describe presentation and treatment of Pediculosis + Scabies List 10 causes of Erythema Nodosum List a 6 ddx for vesicular lesions List 4 lesions with a positive Nikolsky’s sign List 4 complications of HSV infection List 5 complications of Varicella + describe the management of an exposure during pregnancy List 5 complications of Zoster + differentiate between Ophthalmicus and Oticus What is the treatment of herpes zoster? Wisecracks List 5 causes of desquamating lesions List 5 palm and sole rashes List 10 maculopapular rashes List 1 low, medium and high potency topical steroid Identify the following rashes: erythema migrans, erythema marginatum, erythema multiforme, erythema nodosum, meningococcemia

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 Wisecracks: 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 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 Wisecracks: 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. Define acute exacerbation Describe GOLD classification for COPD List factors of decompensation or triggers of an AECOPD Name 4 mimics for AECOPD What are the clinical features used to diagnose AECOPD? Describe the ED management of AECOPD. What does the end tidal tracing look like in COPD? List indications and contraindications to NIPPV in COPD Which patients with AECOPD should be treated with antibiotics? Which patients with AECOPD require admission? List indications for intubation for AECOPD   Wise Cracks List 4 CXR and 3 ECG findings in COPD  

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. Define acute exacerbation Describe GOLD classification for COPD List factors of decompensation or triggers of an AECOPD Name 4 mimics for AECOPD What are the clinical features used to diagnose AECOPD? Describe the ED management of AECOPD. What does the end tidal tracing look like in COPD? List indications and contraindications to NIPPV in COPD Which patients with AECOPD should be treated with antibiotics? Which patients with AECOPD require admission? List indications for intubation for AECOPD   Wise Cracks List 4 CXR and 3 ECG findings in COPD  

This episode covers Chapter 16 of Rosen's Emergency Medicine. Episode Overview: List a broad differential diagnosis for coma List GCS / Pediatric GCS Describe the oculocephalic and oculovestibular reflex Wise Cracks: List the common age-related causes of altered mental status What is the initial investigation management of an altered LOC patient?

This episode covers Chapter 16 of Rosen's Emergency Medicine. Episode Overview: List a broad differential diagnosis for coma List GCS / Pediatric GCS Describe the oculocephalic and oculovestibular reflex Wise Cracks: List the common age-related causes of altered mental status What is the initial investigation management of an altered LOC patient?

This episode covers Chapter 13 of Rosen's Emergency Medicine. Episode Overview: Compare upper motor neuron (UMN), lower motor neuron (LMN), and neuromuscular junction (NMJ) causes of weakness List 10 neuromuscular causes of weakness and describe their basic pathophysiologic mechanism What are warning signs of impending respiratory failure in a patient with neuromuscular weakness? Wisecracks List seven non-emergent causes of peripheral neuropathy What are some causes of non-neuromuscular weakness? Clinical pearls for the weak patient

This episode covers Chapter 13 of Rosen's Emergency Medicine. Episode Overview: Compare upper motor neuron (UMN), lower motor neuron (LMN), and neuromuscular junction (NMJ) causes of weakness List 10 neuromuscular causes of weakness and describe their basic pathophysiologic mechanism What are warning signs of impending respiratory failure in a patient with neuromuscular weakness? Wisecracks List seven non-emergent causes of peripheral neuropathy What are some causes of non-neuromuscular weakness? Clinical pearls for the weak patient

This episode covers Chapter 9 of Rosen's Emergency Medicine Episode Overview: List 10 etiologies of non-traumatic cardiac arrest List the two most important determinants of good outcomes in cardiac arrest List the components of good quality CPR List 6 ways to monitor CPR What are 3 hard indicators of adequate perfusion during CPR? What are your post-cardiac arrest goals? Wisecracks: List 4 contraindications to CPR ACLS algorithms talk through – you must know! pulseless VT or VF PEA list all the 5H’s and 5T’s asystole respiratory arrest brain arrest / cognitive arrest Sleuthing out why the patient arrested? (our approach to the hx and physical)

This episode covers Chapter 9 of Rosen's Emergency Medicine Episode Overview: List 10 etiologies of non-traumatic cardiac arrest List the two most important determinants of good outcomes in cardiac arrest List the components of good quality CPR List 6 ways to monitor CPR What are 3 hard indicators of adequate perfusion during CPR? What are your post-cardiac arrest goals? Wisecracks: List 4 contraindications to CPR ACLS algorithms talk through – you must know! pulseless VT or VF PEA list all the 5H’s and 5T’s asystole respiratory arrest brain arrest / cognitive arrest Sleuthing out why the patient arrested? (our approach to the hx and physical)