The Podcasts of the Royal New Zealand College of Urgent Care

What is Kehr's sign?  

Check out the paper mentioned

Rastogi V, Singh D, Tekiner H, Ye F, Mazza JJ, Yale SH. Abdominal Physical Signs of Inspection and Medical Eponyms. Clin Med Res. 2019 Dec;17(3-4):115-126. doi: 10.3121/cmr.2019.1420. Epub 2019 Jul 15. PMID: 31308022; PMCID: PMC6886890.  

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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 

Drug-induced tendinopathy can occur early, and late in a person's usage.  So we must consider a patient's medication history closely whenever they have symptoms of tendinopathy or rupture.   

Check out the September 2024 Prescriber update, Vol 5, No 3.

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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 

Dry socket might present to urgent care.  What is it and what should we do about it?

Check out the papers mentioned

Chemaly D. How do I manage a patient with dry socket? J Can Dent Assoc. 2013;79:d54. PMID: 23763736.  https://pubmed.ncbi.nlm.nih.gov/23763736/ 

Mamoun J. Dry Socket Etiology, Diagnosis, and Clinical Treatment Techniques. J Korean Assoc Oral Maxillofac Surg. 2018 Apr;44(2):52-58. doi: 10.5125/jkaoms.2018.44.2.52. Epub 2018 Apr 25. PMID: 29732309; PMCID: PMC5932271.

https://pubmed.ncbi.nlm.nih.gov/29732309/ 

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[email protected]

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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 

A caddy offers words of wisdom to their golfer.  Some of their advice is relevant to urgent care.  

Check out the paper mentioned

Gotlieb R, Praska C, Hendrickson MA, Marmet J, Charpentier V, Hause E, Allen KA, Lunos S, Pitt MB. Accuracy in Patient Understanding of Common Medical Phrases. JAMA Netw Open. 2022 Nov 1;5(11):e2242972. doi: 10.1001/jamanetworkopen.2022.42972. PMID: 36449293; PMCID: PMC9713608.  https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9713608/ 

Check out the LITFL article, by Chris Nickson, Nov 2020 

https://litfl.com/communication-in-a-crisis/ 

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[email protected]

https://www.facebook.com/rnzcuc

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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 

We always look for the sail sign when reviewing radiographs of the elbow, but how often are they associated with occult fractures?

Check out the papers mentioned

Skaggs DL, Mirzayan R. The posterior fat pad sign in association with occult fracture of the elbow in children. J Bone Joint Surg Am. 1999 Oct;81(10):1429-33. doi: 10.2106/00004623-199910000-00007. PMID: 10535592.

https://pubmed.ncbi.nlm.nih.gov/10535592/

Al-Aubaidi Z, Torfing T. The role of fat pad sign in diagnosing occult elbow fractures in the pediatric patient: a prospective magnetic resonance imaging study. J Pediatr Orthop B. 2012 Nov;21(6):514-9. doi: 10.1097/BPB.0b013e328355e5d8. PMID: 22735922.

https://pubmed.ncbi.nlm.nih.gov/22735922/

Kappelhof B, Roorda BL, Poppelaars MA, The B, Eygendaal D, Mulder PGH, van Bergen CJA. Occult Fractures in Children with a Radiographic Fat Pad Sign of the Elbow: A Meta-Analysis of 10 Published Studies. JBJS Rev. 2022 Oct 24;10(10). doi: 10.2106/JBJS.RVW.22.00114. PMID: 36326720.

https://pubmed.ncbi.nlm.nih.gov/36326720/ 

Scheier E, Fuchs L, Taragin BH, Balla U, Shavit I. Children With Elbow Injuries and Sonographic Elevated Posterior Fat Pad but No Identifiable Posterior Fat Pad on Lateral Radiographs: A Case Series. J Ultrasound Med. 2023 Jul;42(7):1617-1624. doi: 10.1002/jum.16173. Epub 2023 Jan 12. PMID: 36633969.

https://pubmed.ncbi.nlm.nih.gov/36633969/

Check out the Radiopaedia Article on the Sail Sign

Gaillard F, Feger J, Ismail M, et al. Sail sign (elbow). Reference article, Radiopaedia.org (Accessed on 29 Aug 2024) https://doi.org/10.53347/rID-2014

Check out the original paper by Norell

NORELL HG. Roentgenologic visualization of the extracapsular fat; its importance in the diagnosis of traumatic injuries to the elbow. Acta radiol. 1954 Sep;42(3):205-10. doi: 10.3109/00016925409174478. PMID: 13206822.

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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 

Cluster headaches present through urgent care and it is important to differentiate them correctly.

Check out the paper on which Lisa Kudrow has a credit

Messinger HB, Messinger MI, Kudrow L, Kudrow LV. Handedness and headache. Cephalalgia. 1994 Feb;14(1):64-7. doi: 10.1046/j.1468-2982.1994.1401064.x. PMID: 8200028.

Check out the paper mentioned

Weaver-Agostoni J. Cluster headache. Am Fam Physician. 2013 Jul 15;88(2):122-8. PMID: 23939643.

This links to the ICHD-3 Cluster Headache page

Check out the BPAC article mentioned

For Bootcamp details - https://rnzcuc.org.nz/urgent-care-bootcamp-2024/ 

www.rnzcuc.org.nz

[email protected]

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 

Don't confuse the Popeye Sign with the reverse Popeye Sign.  

Check out the Stat Pearls Page - 

Check out the OrthoBullets Page on distal ruptures.

Get Bootcamp tickets here - https://rnzcuc.org.nz/urgent-care-bootcamp-2024/ 

www.rnzcuc.org.nz

[email protected]

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 

When do you perform a chest X-ray for chest trauma presenting through urgent care?

This week we chat about this, and the STUMBL score, with Director of Clinical Training Dr David Sorrell.  

Check out the STUMBL score on MD Calc - https://www.mdcalc.com/calc/10468/stumbl-battle-score

Check out the paper mentioned by Dave

Galvez, Carlos, Arenas-Jimenez, Juan, Del Campo, Jone, Maroto, Sergio, Sirera, Marina, Lirio, Francisco, 2020.  Diagnostic imaging pathways in the setting of acute chest wall trauma.  Journal of Visualized Surgery; Vol 6 (April 2020): https://jovs.amegroups.org/article/view/34041/html 

Details of the Bootcamp 2024 in Wellington - https://rnzcuc.org.nz/urgent-care-bootcamp-2024/ 

www.rnzcuc.org.nz

[email protected]

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 

We need to be aware of medications with anticholinergic effects, especially in the elderly.  

Check out the BPAC article mentioned - https://bpac.org.nz/2024/anticholinergic.aspx#tab1

Check out the ACB calculator by Dr Rebecca King and Steve Rabino - https://www.acbcalc.com/ 

www.rnzcuc.org.nz

[email protected]

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 

Weight-bearing at the time of the injury and assessment forms part of the Ottawa ankle rules.  

Check out the paper mentioned

Chien B, Hofmann K, Ghorbanhoseini M, Zurakowski D, Rodriguez EK, Appleton P, Ellington JK, Kwon JY. Relationship of Self-Reported Ability to Weight-Bear Immediately After Injury as Predictor of Stability for Ankle Fractures. Foot Ankle Int. 2016 Sep;37(9):983-8. doi: 10.1177/1071100716648009. Epub 2016 May 9. PMID: 27162225.

Check out the original Ottawa ankle paper

Stiell IG, McDowell I, Nair RC, Aeta H, Greenberg G, McKnight RD, Ahuja J. Use of radiography in acute ankle injuries: physicians' attitudes and practice. CMAJ. 1992 Dec 1;147(11):1671-8. PMID: 1362372; PMCID: PMC1336591.

Check out the MDCalc page

www.rnzcuc.org.nz

[email protected]

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