Medgeeks Clinical Review Podcast

Tumor Lysis Syndrome

28 Mar 2019

Contributed by Lukas

So, today's podcast topic is not a common one, but definitely an emergency when it walks through the door. I actually recently admitted a patient with...

Managing Vaginal Bleeding

22 Mar 2019

Contributed by Lukas

As I pick up more per diem shifts in the ER, I've been seeing more and more complaints of the dreaded vaginal bleeding. At first, I avoided these pati...

Syncope: what is the approach?

18 Mar 2019

Contributed by Lukas

Lately, I've been seeing a ton of patient's coming into the ER with a chief complaint of syncope. Today, I want to discuss an approach to the syncopal...

Serotonin Syndrome

07 Mar 2019

Contributed by Lukas

Today, we're going to discuss the last topic of the toxicology series and that's going to be serotonin syndrome. We have a 32 year old male with a pas...

Anticholinergic Toxicity

28 Feb 2019

Contributed by Lukas

Today, we're going to discuss anticholinergic toxicity. This is an important one as there are a ton of medications out there that have anticholinergic...

Tylenol Overdose

21 Feb 2019

Contributed by Lukas

We have an 18 year old male with a past medical history of depression and anxiety who presents with remorse following an intentional ingestion of anyt...

Acute Opioid Overdose

15 Feb 2019

Contributed by Lukas

Over the next few weeks, I want to do a mini toxicology series. With the amount of new drugs and the amount of overdoses which are occurring, I think ...

Acute Pancreatitis

08 Feb 2019

Contributed by Lukas

We have a 32 year old male with a past medical history of ETOH abuse (1 pint of vodka daily), ETOH related seizures, and hypertension. He presents wit...

Thrombotic Thrombocytopenic Purpura (TTP).

31 Jan 2019

Contributed by Lukas

Today, we have a 35 year old African American female with a past medical history of hypertension, who presents to the emergency department. He has a t...

ACE Inhibitors and Angioedema

24 Jan 2019

Contributed by Lukas

Today, I want to talk about a specific topic, that I've seen about 5 times total in my career: Ace inhibitor induced angioedema The first question we ...

Acute Migraine

17 Jan 2019

Contributed by Lukas

As you start your shift, your first patient comes in with a chief complaint of headache. A 38 year old female comes in with a two day history of heada...

Obstructive Sleep Apnea: A Rapid Fire Review

12 Jan 2019

Contributed by Lukas

This week, I want to do a quick rapid review of OSA (obstructive sleep apnea). It's a topic on the blueprint and one you should know about, because it...

Sepsis Updated Guidelines

04 Jan 2019

Contributed by Lukas

Sepsis is an ever changing syndrome that has evolving definitions, scoring systems, and management. You might have heard about the surviving sepsis ca...

Pulmonary Hypertension

28 Dec 2018

Contributed by Lukas

Today, I'd like to talk about pulmonary hypertension. Most find this quite dull and boring. But, I find this topic interesting, and actually wrote a P...

Rhabdomyolysis

20 Dec 2018

Contributed by Lukas

The next patient on your list is a 35 year old male with a past medical history of IV drug and alcohol abuse. He's been sober for the last 7 years.  ...

COPD exacerbation

13 Dec 2018

Contributed by Lukas

Today, I want to review the evaluation and management of an acute COPD exacerbation.  We have a 65 year old obese male who's a former smoker of 30 ye...

Anticoagulation reversal agents

07 Dec 2018

Contributed by Lukas

Last week, we reviewed the different types of anticoagulation medications.  Today, I want to review what to do when things go bad aka what are the re...

Anticoagulation

29 Nov 2018

Contributed by Lukas

Today, we're going to change gears.  No case today and no systematic review. Instead, I want to review anticoagulation pharmacology...any medication ...

Peritonsillar Abscess

23 Nov 2018

Contributed by Lukas

I was doing some moonlighting the other week, and I had a textbook case walk through the door. However, it's a case that doesn't walk through the door...

Influenza: just the facts

15 Nov 2018

Contributed by Lukas

It's that time of year ago and our little viral friend is quickly gracing us with it's presence.  As of November 2nd, the CDC informed the community ...

Hyperparathyroidism

08 Nov 2018

Contributed by Lukas

Hyperparathyroidism is one of those topics that is confusing, as it has primary, secondary, or tertiary causes.  There are PTH, phosphate, calcium, a...

Hyponatremia

01 Nov 2018

Contributed by Lukas

Today, we're going to do a quick systematic review of hyponatremia. If you're one of the few who know all the causes and correlating serum osmolality,...

Hypertensive crisis

25 Oct 2018

Contributed by Lukas

It's Monday morning and your first patient on your schedule comes in with one day of shortness of breath. The MA checks the vitals and says, "the pati...

Lymphomas

18 Oct 2018

Contributed by Lukas

Today, we are going to do a quick systematic review of lymphomas: Hodgkin and non-Hodgkin lymphomas. I'm pretty sure after school, all I knew about th...

Pain, anxiety, agitation, and delirium

11 Oct 2018

Contributed by Lukas

One of the most common issues I face are patients who have pain, anxiety, agitation, and delirium; sometimes all of them at once. Let's say we have a ...

Altered mental status

04 Oct 2018

Contributed by Lukas

Lets talk about the approach to the patient that presents to the hospital with altered mental status.  This is a very common presentation that I see ...

Intubating the asthmatic

20 Sep 2018

Contributed by Lukas

You're asked to see a 22 year old female with a past medical history of asthma who presents to the emergency room with increasing shortness of breath,...

Treating Pulmonary Embolism

13 Sep 2018

Contributed by Lukas

Last week we presented a patient presenting with signs and symptoms of a PE and CTA confirmed saddle pulmonary embolism.  So, now the questions is, w...

Pulmonary Embolism

06 Sep 2018

Contributed by Lukas

As you're working in the emergency room, you're asked to see a 62 year old female. She has a past medical history significant for morbid obesity (BMI ...

Starting a physician assistant emergency medicine fellowship

05 Sep 2018

Contributed by Lukas

Today, we'll be introducing Katelyn Reeve to the team who will be starting her emergency medicine fellowship November 2018. Prior to PA school she pla...

How to read medical literature

30 Aug 2018

Contributed by Lukas

Prior to PA school, Zach was a clinical research coordinator at Mass General Hospital. He was lucky enough to work with some of the worlds leading res...

ABG Part 4 [metabolic alkalosis]

23 Aug 2018

Contributed by Lukas

This is the final lecture in our ABG mini series. Today, we're going to finish it all off with metabolic alkalosis. This has the potential for some re...

ABG Part 3 [metabolic acidosis]

17 Aug 2018

Contributed by Lukas

This acid base disorder requires multiple steps! So, make sure to pay close attention to this one.  But, what are common metabolic acidosis disorders...

ABG Part 2 [respiratory alkalosis]

09 Aug 2018

Contributed by Lukas

Today, we'll be going over part 2 of 4 of the acid base disorders.  As a recap, what is normal?  Well, a normal pH is 7.35 - 7.45 If the pH is If t...

ABG Part 1 [respiratory acidosis]

02 Aug 2018

Contributed by Lukas

Over the next 4 weeks we will be going over ABGs. We're going to break them down into 4 parts, as they all require different approaches. This will be ...

Alcohol Withdrawal Syndrome

26 Jul 2018

Contributed by Lukas

Today, we're going to talk about the patient, who makes you want to go home and have your own drink.  You get a page from the ER about a new admissio...

Managing DKA and HHS

19 Jul 2018

Contributed by Lukas

In last weeks episode, we discussed the differences between DKA and HHS. Today, we'll be sharing how to manage these two diseases. If you missed last ...

DKA vs HHS

12 Jul 2018

Contributed by Lukas

Today, we're going to talk about the evaluation of your diabetic patient who walks into your clinical with a glucose which is unable to be read (500)....

Atrial Fibrillation with RVR

05 Jul 2018

Contributed by Lukas

​As you start to review your patients - you get your first page.  So, you call stat, and on the other end, you hear a frantic nurse saying, "Bed ...

Acute Variceal Bleed (GI Bleed Part 3/3)

28 Jun 2018

Contributed by Lukas

​You're on the rapid response team and are called over to a patient presenting with hypotension.  Per nursing, the patient is a 58 year old male w...

Rectal Bleeding (GI Bleed Part 2/3)

21 Jun 2018

Contributed by Lukas

Today, we have a 60 year old male patient, with a past medical history of: Osteoarthritis COPD Atrial fibrillation Hypertension Hyperlipidemia Divert...

The GI Bleed Patient Part 1/3

14 Jun 2018

Contributed by Lukas

Over the next three weeks we are going to dive into the GI bleed patient. We're going to divide these lectures into: upper GI bleed (above the ligamen...

Acute respiratory failure (what would you do)

07 Jun 2018

Contributed by Lukas

A 65 year old female presents to your ER with difficulty breathing over the past 3 days, despite increasing her home oxygen tank to 3 liters. Her husb...

My most interesting cases of the week. Can you guess the diagnosis?

11 Apr 2018

Contributed by Lukas

I just got off a long stretch of working 7 days in a row in the ER. Every time I finish a shift I like to replay in my mind every patient I saw and I ...

Beauty of the PA profession

12 Mar 2018

Contributed by Lukas

​Today, I want to share why I love being a PA. Specifically, an emergency medicine physician assistant. First off, I love the fact you can practice ...

Do tetanus immunizations work?

03 Mar 2018

Contributed by Lukas

First off, what is tetanus and clostridium tetani? Who's at risk? Is this fatal? We'll also explain who needs to be vaccinated and teach you how to ha...

Child refuses to move their arm

09 Feb 2018

Contributed by Lukas

Today, we're going to discuss Nurse Maid Elbow. Specifically, we'll review: The anatomy of the elbow How this injury occurs How the patient presents I...

My patient died (lessons learned)

30 Jan 2018

Contributed by Lukas

There are certain things in medicine which simply can't be taught by reading a textbook. Not everything follows an algorithm. About one year ago I had...

PA life in the emergency room

22 Jan 2018

Contributed by Lukas

Today, I'm going to be sharing my day with you in the emergency department. I had a patient coming in with isolated third cranial nerve palsy. I wasn'...

Fatal complications of the flu

12 Jan 2018

Contributed by Lukas

Todays lecture, builds on last weeks video, after discussing those at high risk for complications of the flue. Today, you'll learn: - about post influ...

Influenza - What you need to know for 2018

04 Jan 2018

Contributed by Lukas

Whether you're working in family practice, the emergency room, or urgent care - knowing this disease is a must! Today, you'll learn: - Can influenza l...

Anterior Shoulder Dislocations and Procedural Sedation

30 Oct 2017

Contributed by Lukas

Today, we're going to build on our last lecture regarding anterior shoulder dislocations. If you missed it, you can watch that here: https://www.yout...

Anterior Shoulder Dislocation

23 Oct 2017

Contributed by Lukas

Today, we're going to talk about anterior shoulder dislocations. You're going to learn: 1. Shoulder anatomy 2. Patient presentation 3. Etiology 4. Wha...

Esophageal Foreign Body: Ingestion vs Impaction

19 Oct 2017

Contributed by Lukas

Foreign body or large food bolus ingestion occurs primarily in children and in the mentally impaired older adult. Food (meat) bolus impaction above a ...

UTI: Acute Cystitis vs. Pyelonephritis

16 Oct 2017

Contributed by Lukas

Pyelonephritis doesn't always present text book and cystitis doesn't always require a dipstick. Uncomplicated pyelonephritis can be treated out patien...

What do you want to accomplish before you die?

12 Oct 2017

Contributed by Lukas

This a talk Gray did in 2011 at North Georgia University - long before he became an emergency medicine PA! But, even at 21, he makes some great points...

Head Injuries

09 Oct 2017

Contributed by Lukas

Today, we're going to be talking pediatric head injuries! If you work with peds and/or are in the ER - then this lecture is a must. We're going to tea...

Scaphoid Fractures - Don't miss this!

02 Oct 2017

Contributed by Lukas

20% of providers miss this fracture on initial presentation. Today, we are going to make sure you never miss this fracture! - Our goal at Medgeeks is ...

Eye injuries: Corneal abrasion

28 Sep 2017

Contributed by Lukas

When I asked my students to set up for this exam, most had no idea what to do or what a corneal abrasion actually looks like. So, lets go over how the...

Emergency Medical Treatment: Compartment Syndrome

25 Sep 2017

Contributed by Lukas

This isn't a diagnosis you want to miss! Failure to do so can result in: muscle contracture, sensory deficits, paralysis, infection, and limb amputati...

Female Medical Emergency

18 Sep 2017

Contributed by Lukas

A 26 year old female patient presents with a sudden onset of pelvic pain while at the gym. She has a history of PCOS and her pregnancy test is negativ...

It's a great day to save a testicle!

14 Sep 2017

Contributed by Lukas

A 15 year old male patient is coming to your emergency department complaining of pain in his right testicle. He said the pain began 6 hours ago, mid s...

Ventricular Tachycardia Pitfalls

11 Sep 2017

Contributed by Lukas

Today, we're going to show you how this presents and how to manage your patient when it does. You better know this life threatening arrhythmia! - Our ...

Can nosebleeds prove fatal?

07 Sep 2017

Contributed by Lukas

Our goal at Medgeeks is to help you live the life you want to live as you navigate a career in medicine. This looks different to everyone, which is ...

How my patient almost lost his limb

04 Sep 2017

Contributed by Lukas

Today, I'm going to be sharing a case from the emergency room. I'll explain how this disease presents and show you the ins and outs so that you can sa...

Boxers fracture - why this would never happen to Mayweather

31 Aug 2017

Contributed by Lukas

Today, you're going to learn the mechanism behind a boxers fracture, why this would never happen to Mr. Money Mayweather, and how to quickly make the...

Herpes Zoster (Shingles) - Clinical Pearls

29 Aug 2017

Contributed by Lukas

Today, we're going to be sharing great clinical pearls for herpes zoster. From patient presentation to management. Here's a quick, high yield review, ...

Sepsis Explained & Made Easy

28 Aug 2017

Contributed by Lukas

Today, we'll be simplifying sepsis. Specifically, we'll be covering: 1. Infection vs bactermia vs sepsis vs septic shock vs MODS 2. The patient presen...

Stories from the emergency room

23 Aug 2017

Contributed by Lukas

During school, I considered doing an ER residency. I even did an elective rotation at arrowhead regional medical center, as they had a paid fellowshi...

A bigger purpose (I need help)

28 Jul 2017

Contributed by Lukas

Ever thought about teaching? I'm looking to bring on a practicing clinician to help with the podcast and youtube! If you're interested - have a listen...

How to pass the Boards (PANCE and PANRE)

13 Jun 2017

Contributed by Lukas

The number one reason people don't pass their exams is not due to a lack of knowledge - it's due to the fact they don't know how to take an exam. Toda...

Should you give steroids for acute bronchitis?

07 Jun 2017

Contributed by Lukas

Today, we're answering a listeners question: "What is your opinion on giving a steroid burst to those with the cough. I have seen this done a bunch an...

Does Thrombocytosis = Cancer?

31 May 2017

Contributed by Lukas

A new study links an increased platelet count with an increased risk of lung/colorectal cancer. This might be the only indicator in those patients who...

What's in the news | Postpartum hemorrhage TX, SVT TX, and FDA approval for Dupilumab

24 May 2017

Contributed by Lukas

Today, I'll be sharing 3 medical updates that may change the way you practice. Like these quick updates? Let me know by liking the video! - Our goal a...

How to be the best clinician possible!

16 May 2017

Contributed by Lukas

Today, I'm going to share my advice on becoming your very best. I'll be sharing a physician assistant's question where she asks how to be BETTER. - Ou...

Hypothyroid Treatment - a clinical review (part 2)

05 May 2017

Contributed by Lukas

This is part 2 of the hypothyroid lecture. We'll be diving into the details of levothyroxine therapy :) Don't forget to subscribe! - Our goal at Medge...

Hypoythroid - a clinical review (part 1)

02 May 2017

Contributed by Lukas

Today we're going to go in depth for all you practicing clinicians with hypothyroidism. Were talking prevalence, etiology, pathophysiology, the differ...

My last video/podcast sucked!

28 Apr 2017

Contributed by Lukas

Our goal at Medgeeks is to help you live the life you want to live as you navigate a career in medicine. This looks different to everyone, which is ...

Don't do this as a new physician assistant grad!

23 Apr 2017

Contributed by Lukas

Today, we have a question from a soon to be ER physician assistant - don't make this mistake! Also, I have a new set up which I'm pretty excited about...

Acute Bronchitis (clinical practice + board review)

18 Apr 2017

Contributed by Lukas

We are going to cover acute bronchitis in it's entirety: definition, etiology, signs, symptoms, differential diagnosis, imaging, labs, and treatment! ...

The perfect patient encounter!

11 Apr 2017

Contributed by Lukas

Ever wonder how to speed up the patient visit without diminishing the quality of the visit? Here are my top 4 tips to make this a reality. Faster visi...

I Sucked at Family Practice (Physician Assistant)!

04 Apr 2017

Contributed by Lukas

Yea, it's true. I was horrible. But, it's normal ;) If you've ever had these thoughts - then make sure to watch this video! - Our goal at Medgeeks is ...

Hypertensive Urgency - Say no to the ER!

29 Mar 2017

Contributed by Lukas

We're going to walk through urgency vs emergency. In other words, do we need to admit or can we treat as an outpatient? We'll go over the symptoms, ph...

PA Boards 129: Does hyperalbuminemia signify disease?

22 Mar 2017

Contributed by Lukas

Today I'll be answering a question regarding albumin levels - a short clinical pearl for you guys :) - Our goal at Medgeeks is to help you live the li...

PA Boards 128: How to workup acute low back pain

20 Mar 2017

Contributed by Lukas

Today, we're going to go over the initial management of acute back pain including: etiology, signs, symptoms, red flags, labs, imaging, and treatment....

PA Boards 127: How to learn better medicine

14 Mar 2017

Contributed by Lukas

Here's some quick advice on how to become better students of medicine! It's only 2 minutes - but I feel it's well worth the watch! - Our goal at Medge...

PA Boards 126: Low Testosterone (hypogonadism), family medicine advice, hyperlipidemia TX

10 Mar 2017

Contributed by Lukas

Today we'll be addressing 3 topics: 1. How to diagnose low testosterone/who to treat 2. My 4 tips for family medicine rotations/practice 3. Hyperlipid...

PA Boards 125: Can I get your feedback? (2 min)

06 Mar 2017

Contributed by Lukas

During the month of February, I published 13 podcasts and 13 youtube videos. The content was all very different because I wanted to see what you prefe...

PA Boards 124: Digoxin Made Easy!

02 Mar 2017

Contributed by Lukas

Everything you need to know about digoxin - it's not as complicated as you think. - Our goal at Medgeeks is to help you live the life you want to li...

PA Boards 123: PA Student Interview with Sarah Taub

27 Feb 2017

Contributed by Lukas

Sarah is a second year PA student at Tufts University, located in Boston Massachusetts. She's currently rotating through internal medicine and shares ...

PA Boards 122: Why do I feel so unprepared?

24 Feb 2017

Contributed by Lukas

The bad news - you don't feel prepared. The good news - you're not alone. I tackled this question from a student: "Hello! Hoping you're well. First of...

PA Boards 121: FAQ about being a physician assistant - PA collaboration

22 Feb 2017

Contributed by Lukas

I recently collaborated with two PA IG accounts (@lifeasaPA and @theskin.ny) to answer our most frequently asked questions. We got together on IG stor...

PA Boards 120: How to be a new PA grad solo provider

21 Feb 2017

Contributed by Lukas

I went from a being a PA student to practicing as a solo provider in family medicine/OBGYN. Here's some advice for those of you thinking about seeing ...

PA Boards 119: Systolic Murmurs with Audio Clips

18 Feb 2017

Contributed by Lukas

Today we'll be covering the systolic murmurs - high yield facts along with audio clips so you can commit these to memory :) The murmurs discussed incl...

PA Boards 118: New Physician Assistant Graduate Job Negotiation

17 Feb 2017

Contributed by Lukas

How much should you ask for? Should you work in a hospital or private setting? How can we negotiate? I'll share my thoughts on these questions asked b...

PA Boards 117: Interview with PA Student Shreya Patel

16 Feb 2017

Contributed by Lukas

Shreya started PA school in August 2014 with the University of Maryland Eastern Shore, and unfortunately, the school lost accreditation in December 20...

PA Boards 116: SIADH | The PANCE and PANRE don't matter...

14 Feb 2017

Contributed by Lukas

We have two topics today: 1. Signs and symptoms of SIADH 2. Does the PANCE/PANRE matter? The short answer is no - let me explain... - Our goal at Medg...

PA Boards 115: Fear and doubt - Can I handle the responsibility?

11 Feb 2017

Contributed by Lukas

Am I good enough? Do I know enough? Am I where I am supposed to be compared to others? It doesn't matter where you are in your career - you have to wa...

PA Boards 114: Feeling lost in the hospital

10 Feb 2017

Contributed by Lukas

Todays question comes from a new PA student who feels a little lost during rounds. Check it out! Our goal at Medgeeks is to help you live the life yo...

PA Boards 113: Hands on experience/Vertigo/PA Salary

09 Feb 2017

Contributed by Lukas

Today I'm answering 3 questions: 1. How do we get clinical experience early on in PA School? 2. How do we differentiate between vertigo? 3. My thought...