Medgeeks Podcast: Exam Review | Medicine | PANCE Preparation |-logo

Medgeeks Podcast: Exam Review | Medicine | PANCE Preparation |

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Recently rebranded from PA Boards -> Medgeeks. New name - same great content :) https://physicianassistantboards.com is dedicated to providing free medical content, motivation, and advice to help you get through school, the boards, and clinical practice. My goal here is not only to help make you better clinicians, but also better individuals. Remember to think of this as a journey and not a destination. You need to enjoy every moment of the process, because the process is really what is most important - not only in medicine, but in life.

Recently rebranded from PA Boards -> Medgeeks. New name - same great content :) https://physicianassistantboards.com is dedicated to providing free medical content, motivation, and advice to help you get through school, the boards, and clinical practice. My goal here is not only to help make you better clinicians, but also better individuals. Remember to think of this as a journey and not a destination. You need to enjoy every moment of the process, because the process is really what is most important - not only in medicine, but in life.
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Location:

United States

Description:

Recently rebranded from PA Boards -> Medgeeks. New name - same great content :) https://physicianassistantboards.com is dedicated to providing free medical content, motivation, and advice to help you get through school, the boards, and clinical practice. My goal here is not only to help make you better clinicians, but also better individuals. Remember to think of this as a journey and not a destination. You need to enjoy every moment of the process, because the process is really what is most important - not only in medicine, but in life.

Language:

English


Episodes

Influenza: just the facts

11/15/2018
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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 that influenza activity is low, however there have been small increases of activity seen over the prior week. So, it's coming... The three main strains seen are influenza A H1N1, influenza A H3N2, and influenza B. We'll do a quick review in just 5 minutes. Nothing but the facts today. - Subscribe to our YouTube here:...

Duration:00:06:44

Hyperparathyroidism

11/8/2018
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Hyperparathyroidism is one of those topics that is confusing, as it has primary, secondary, or tertiary causes. There are PTH, phosphate, calcium, and vitamin D levels. To be honest, it can get confusing. But, if you can understand the pathophysiology behind it all, then it will help you understand the labs and will help you come to the diagnosis. So, let's dive right in! - Subscribe to our YouTube here: http://www.youtube.com/subscription_center?add_user=medgeeks - Follow us on...

Duration:00:09:03

Hyponatremia

11/1/2018
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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, urine osmolality, urine sodium values, and corresponding treatments - then this podcast is not for you lol. But, for those who struggle with hyponatremia, like I do at times, then have a listen as I break this down this complicated topic for you. After this podcast, you'll feel a lot more comfortable when a patient comes in with...

Duration:00:09:51

Hypertensive crisis

10/25/2018
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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 patient's blood pressure is a little high at 220/110". The patient is a 55 year old male with a history of hypertension, hyperlipidemia, and heart failure with a preserved EF. So, what would be your next step? Today, we're going to talk hypertensive urgency and the management of this patient. - Subscribe to our YouTube here:...

Duration:00:12:10

Lymphomas

10/18/2018
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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 this topic was that reed sternberg cells were associated with Hodgkin lymphoma. Maybe you're in the same boat. But, hopefully after todays podcast, you'll feel much more comfortable with this. - Subscribe to our YouTube here: http://www.youtube.com/subscription_center?add_user=medgeeks - Follow us on Instagram...

Duration:00:04:41

Pain, anxiety, agitation, and delirium

10/10/2018
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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 75 year old female patient with a past medical history of dementia, chronic back pain with radiculopathy, CAD status post CABG, heart failure with a reduced EF, and ESRD on hemodialysis. She's on opiates, as well as on a neuropathic pain medication. The patient was brought into the ICU for septic shock due to UTI. She required pressors and...

Duration:00:11:59

Altered mental status

10/3/2018
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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 often - whether I'm in the emergency room, step down, or ICU. The etiologies can be endless. But, the goal after today's podcast, is to arm you with an algorithm to narrow in on that etiology. Enjoy! - Subscribe to our YouTube here: http://www.youtube.com/subscription_center?add_user=medgeeks - Follow us on Instagram...

Duration:00:13:57

Can you help us?

9/26/2018
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As you drive to your rotation, grad school, or to your morning shift in the hospital/outpatient clinic we want to be the podcast you turn to first. My goal with the Medgeeks podcast, is to share my knowledge and experience as an advanced practice provider, in hopes that my pearls improve your day to day practice. With well over 2.2 million downloads, we think it's about time we get some feedback to see how we could improve to better suit your needs. So, we created a short survey in hopes...

Duration:00:02:09

Intubating the asthmatic

9/19/2018
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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, chest tightness, and wheezing. Over the past 24 hours she's been non-responsive to her home nebulizer treatment every 4 hours. A quick chart review allows you to see the patient has required ICU admission and mechanical ventilation last year due to an asthma exacerbation. As you walk into the room, you notice the patient can only speak one...

Duration:00:11:13

Treating Pulmonary Embolism

9/13/2018
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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, what type of PE is this? It's important we separate patients into different categories, because each category will have different adverse outcomes, and more importantly, differences in mortality risk. Therefore, if we can group these patients into a category, then this is the first step in identifying the best course of action. Today, we'll...

Duration:00:10:20

Pulmonary Embolism

9/6/2018
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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 43). She fell three weeks ago and fractured her right tibia, which required a cast, and has been not been mobile since. She developed shortness of breath two weeks ago which has worsened to the point where she can't even put her clothes on without becoming symptomatic. Her right leg has also become increasingly swollen and painful. She...

Duration:00:09:22

Starting a physician assistant emergency medicine fellowship

9/5/2018
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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 played D1 soccer at Clemson University, was elected as captain for 2 years, and ended her time there as in the Academic Hall of Fame as an All-American. She then attended the Medical University of South Carolina (MUSC) in Charleston, SC and graduated in 2018 with a 3.99 GPA. Katelyn will be sharing her journey as she starts and goes through her...

Duration:00:05:37

How to read medical literature

8/30/2018
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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 researchers in cardiac imaging. One thing he learned was how to approach a medical paper... This skill is usually overlooked and most simply read the abstract of the paper. But, there's a lot more that we need to know, as research drives medicine. It's also your duty to stay uptodate to provide the most current evidence based medicine. After...

Duration:00:12:28

ABG Part 4 [metabolic alkalosis]

8/23/2018
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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 really bad complications: seizures, arrhythmias, electrolyte abnormalities, and death. The patients with alkalosis should definitely scare you most. So, let's dive right in! - Subscribe to our YouTube channel here: https://www.youtube.com/medgeeks - Follow us on Instagram here: https://www.instagram.com/medgeeksinc - Ace your...

Duration:00:05:03

ABG Part 3 [metabolic acidosis]

8/17/2018
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This acid base disorder requires multiple steps! So, make sure to pay close attention to this one. But, what are common metabolic acidosis disorders? Well, everyone jumps to MUDPILES. The first step, however, is to determine if there's an increased anion gap or not. Remember, the body already has a normal anion gap (difference between anions and cations). Clinical pearl for all you Medgeeks: the anion gap is affected by albumin and this is the most abundant unmeasured anion in the...

Duration:00:09:37

ABG Part 2 [respiratory alkalosis]

8/9/2018
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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 <7.35 then we have acedemia. If the pH is >7.45 then we have alkalemia. A normal bicarbonate is 22-26 and a normal pCO2 is 35-45. In today's podcast we are going to tackle respiratory acidosis, partial vs complete compensation, and we'll show you what to look for to see if there is a co-existing acid/base disorder. - Subscribe to our YouTube...

Duration:00:07:18

ABG Part 1 [respiratory acidosis]

8/2/2018
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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 our schedule for the next few weeks: Today, we will be talking respiratory acidosis. Zach sees acid/base disorders on a daily basis and does an amazing job teaching this frustrating topic! - Subscribe to our YouTube channel here: https://www.youtube.com/medgeeks - Follow us on Instagram...

Duration:00:07:52

Alcohol Withdrawal Syndrome

7/26/2018
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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 admission. It's a 35 year old male patient with a past medical history of heavy alcohol abuse - he presents to the hospital asking for detox. For every ETOH patient that walks through the door, Zach normally has a set of questions he likes to ask, depending on the patient's cooperation... 1. How long have you been drinking for? 2. How much do you...

Duration:00:10:54

Managing DKA and HHS

7/19/2018
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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 weeks episode, you can listen to that here: https://medgeeks.co/podcast/ We had that 35 year old female with type 1 DM on insulin complaining of burning with urination, followed by a few days of nausea, vomiting, abdominal pain, and poor PO intake. Labs revealed DKA: glucose 480, HA1c 10.5%, positive urine/serum ketones, creatinine 1.6, and...

Duration:00:11:59

DKA vs HHS

7/12/2018
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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). A 35 year old female with type 1 DM on insulin arrives to the ER for evaluation after being referred by her PCP. The patient complains of burning with urination x3 days, followed by nausea, vomiting, and abdominal pain with poor PO intake. Because she hasn't been eating regularly, she didn't take her insulin last night. When a patient...

Duration:00:11:00