CRACKCast & Physicians as Humans on CanadiEM

This episode covers Chapter 76 of Rosen's Emergency Medicine. Have you ever seen pneumonia? Yeah.... we thought so. Now here are all the nitty-gritty details.

1. What are the typical associative pathogens?

2. Describe the typical clinical presentation/RFs/Management for each of the following

   -S. pneumonia -H. influenzae -Staph aureus -Klebsiella -Mycoplasma pneumoniae & Chlamydia pneumoniae -Legionella -Anaerobes -Pseudomonas -PJP & Other Fungal Pneumsonia -Tuberculosis -Tularemia -Hantavirus

3. List the typical etiologies of viral pneumonia.

4. Which patient groups should receive pneumovax?

5. Which pneumonias can present with cavitating lesions (abscesses) on x-ray

6. What is the differential for possible pneumonia visible on CXR?

7. Describe the analysis of pleural fluid. -Which effusions should be sampled? -What are Light's criteria?

8. What is the CURB65 score?

This episode covers Chapter 75 of Rosen's Emergency Medicine.

1. List potential causes of pharyngitis. (List 5 viral and 5 bacterial etiology of pharyngitis)

2. What are the indications for steroids in a patient with pharyngitis?

3. List causes of epiglottitis.

4. What are the deep spaces of the neck? List 4 deep space infections of the neck

5. What are the typical bacterial causes of deep space infections? What are the different syndromes called?

6. What are the potential complications of deep space neck/face infections? List 5.

7. When do the sinuses typically develop?

8. What the pathophysiology of sinusitis? What are the typical pathogens?

9. Describe the management of acute rhinosinusitis and list 6 predisposing factors

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.

1. Define acute exacerbation
2. Describe GOLD classification for COPD
3. List factors of decompensation or triggers of an AECOPD
4. Name 4 mimics for AECOPD
5. What are the clinical features used to diagnose AECOPD?
6. Describe the ED management of AECOPD.
7. What does the end tidal tracing look like in COPD?
8. List indications and contraindications to NIPPV in COPD
9. Which patients with AECOPD should be treated with antibiotics?
10. Which patients with AECOPD require admission?
11. List indications for intubation for AECOPD

Wise Cracks

1. List 4 CXR and 3 ECG findings in COPD

This episode covers Chapter 73 of Rosen's Emergency Medicine. The ancient Greeks knew about Asthma... so should you! We give you all the major points for diagnosis and treatment in the ED.

Sign post

1. 10 different causes of a wheeze.
2. List 8 risk factors for death from asthma
3. List 6 objective findings of severe asthma
4. 10 therapies for an acute severe asthma exacerbation
5. Discuss a ventilation strategy for the critically-ill asthmatic patient
6. Discuss disposition and discharge planning for an acute asthma exacerbation presenting to the ER

Wise Cracks

1. What is delayed sequence intubation? Can it be used for severe Asthma exacerbation?
2. What about pregnancy and Asthma is so important?

This episode covers Chapter 72 of Rosen's Emergency Medicine. All those pearls you need for ears, masses, nose bleeds and weird stones in weird places.

1. Define Otitis Media
   1. Acute
   2. Chronic
   3. Recurrent
2. Describe the diagnosis treatment of Otitis Media
3. What are the complications of OM?
4. Describe the diagnosis and tx of Otitis Externa
5. Differentiate from malignant otitis externa
6. What is Ramsay Hunt Syndrome? How is it Tx?
7. Describe your approach to sudden hearing loss
   1. How is it treated?
8. Name 10 causes of epistaxis
9. Describe your approach to tx epistaxis
   1. Anterior bleeds
   2. Posterior bleeds
10. What is the differential diagnosis of neck masses?
11. What is SIALOLITHIASIS? How is it tx?

This episode covers Chapter 71 of Rosen's Emergency Medicine. For such a small organ, the eye has A LOT of things to cover. Here we finish up in everything you need to know about that juicy ball of potential badness.

1. List 10 causes of ↓ vision post blunt eye trauma
2. What historical features are concerning for intra-ocular foreign body?
3. List 4 options for treatment of corneal abrasions
4. Describe the management of traumatic hyphema
5. What causes the finding of a 'second pupil' post-trauma?
6. Describe the physical findings of globe rupture and describe management
7. List 5 indications for ophtho consultation for eyelid lacerations
8. Describe diagnosis and treatment for orbital floor fractures:
9. List 2 findings on X-ray of orbital floor fracture
10. List indications for surgical repair of orbital floor fracture
11. Describe the clinical findings of retrobulbar hemorrhage and the steps in performing lateral canthotomy
12. List 3 complications of ocular trauma

This episode covers Chapter 70 of Rosen's Emergency Medicine.

1. How are teeth traditionally numbered?
2. Describe the classification and management of tooth fractures
3. Describe the method for reducing a jaw dislocation? What is the usual direction of the dislocation?
4. Explain Ludwig's Angina and its management
5. List 3 complications of maxillary (eg canine) tooth infection?
6. Describe management of Dental Caries vs Periapical abscess
7. Describe your approach to Acute Necrotising Ulcerative Gingivitis
   1. what is Vincent's Angina?
   2. what is cancrum oris?
8. Rapid Fire treatment for the following:
   1. Post root canal pain
   2. Cracked Tooth or Split root syndromes
   3. Maxillary Sinusitis
   4. Atypical Odontalgia
   5. Post extraction pain
   6. Neuropathic pain
   7. Temporomandibular Myofascial Pain Dysfunction Syndrome
   8. Pericoronitis
   9. Apthous Stomatitis

WiseCracks

1. Spot diagnosis

This episode covers Chapter 69 of Rosen's Emergency Medicine.

Sign Post:

1. List six types of elder abuse? 2. List ten risk factors for elder abuse? 3. List ten questions to screen for elder abuse? 4. What are some indicators on the medical history and physical exam that may suggest ongoing elder abuse? 5. Discuss ethical and legal implications of elder abuse. Who needs to be reported?