CRACKCast & Physicians as Humans on CanadiEM

This episode of CRACKCast covers Rosen's Chapter 105, Brain and Cranial Nerve Disorders. These can be the weird and wonderful in the ED, but subtle hints can clue us in that further investigation is needed for our patients. Having a high suspicion for these diagnoses can help you make an appropriate care plan and follow up for patients with neurological disease.

This episode covers Chapter 104 (or 94 in the 9th Edition) of Rosen's Emergency Medicine. If you can't get delirium versus dementia straight in your head, then this is the podcast for you!

Core questions:

1. List the four key diagnostic criteria for delirium
2. List six strong predisposing or precipitating factors for delirium
3. List 15 causes of delirium
4. Describe how to use a screening tool for delirium: MMSE
5. List 3 potential medications used for chemical restraint
6. List 2 potential side effects of Haldol administration
7. Compare delirium with dementia
8. List important diagnostic studies for the workup of delirium
9. List four diagnostic criteria for dementia
10. List 10 specific causes of reversible dementia
11. List 10 causes of non-reversible dementia

Wisecracks:

1. Explain how you differentiate between psychosis, delirium and dementia.
2. How does Aricept work?
3. Describe the pathophysiology of Alzheimer's dz and list RFs for its development
4. What is the triad of normal pressure hydrocephalus?

This episode of CRACKCast covers Rosen's Chapter 103, Headache Disorders. This chapter covers an approach to headaches, including the red flags and key history questions to clinch the diagnosis.

This episode of CRACKCast covers Rosen's Chapter 102, Seizures. This can be a challenging complaint to diagnose without collateral, but recognition and treatment is critical for patient and public safety. This chapter covers the various etiologies of seizure and their management - both acutely and in the community.

This episode covers chapter 101 of Rosen's Emergency Medicine. Its a gooder... Stroke! All things brain badness, so come have a listen or take a gander at the shownotes.

This (centennial!) episode of CRACKCast covers Rosen's Chapter 100, Gynecologic Disorders. This chapter covers the common presentation of pelvic pain and vaginal bleeding in the emergency department, including can't miss life or organ diagnoses.

This episode of CRACKCast covers Rosen's Chapter 99, Urological Disorders. This episode will cover a selection of urological disorders commonly seen in the ED along with key steps in management.

Episode Overview

1. UTI's in Adults
2. Prostatitis
3. Renal Calculi
4. Bladder (Vesical) Calculi
5. Acute Scrotal Pain
6. Acute Urinary Retention
7. Hematuria

This episode of CRACKCast covers Rosen's Chapter 98, Sexually Transmitted Infections. This chapter covers an overview of the various sexually transmitted infections commonly seen in the ED, as well as their management.

This episode of CRACKCast covers Rosen's Chapter 97, Renal Failure. This chapter covers an approach to acute and chronic kidney injuries, including causes, complications and treatments.

This episode of CRACKCast covers Rosen's Chapter 96, Anorectal Disorders. These complaints are sensitive in nature and are not easily volunteered by patients. A sensitive and thorough history is necessary to help resolve these complaints that can be devastating to quality of life.

• What are risk factors for the develop of symptomatic haemorrhoids?

• Describe 4 degrees of internal hemorrhoids and indicated management options

• Describe the management of non-thrombosed external haemorrhoid & thrombosed external hemorrhoids

• List causes of fissures. Which type of fissure is suspicious for underlying disease?

• Describe the treatment of anal fissures – 5 options

• Which conditions are associated with the development of abscesses and fistulas?

• List 5 types/sites of anorectal abscess. Which can be drained in ER?

• What is a pilonidal cyst? How do you treat it?

• List 8 causes of fecal incontinence.

• List 8 causes of pruritus ani

• Describe 6 rectal STI's and their management

• List conditions associated with rectal prolapse.

• Describe the ED management of rectal foreign bodies

Wisecracks:

Mixed bag of anorectal stuff - levator ani syndrome, proctalgia fugax, radiation proctitis, hidradenitis suppurativa, and more...