Thrombectomy in Patients with Large Ischemic Strokes – Guidelines Knowledge Check

Andrea Eberly, MD, MS, FAAEMBedside Diagnostic Challenge, Emergency Medicine, Family Medicine, Guideline Knowledge Check, Internal Medicine, Nurse Practitioner, Pediatric Emergency Medicine, Pediatric Medicine, Physician Assistant, Urgent Care

Thrombectomy in Patients with Large Ischemic Strokes - Study Findings

Thrombectomy in Patients with Large Ischemic Strokes – Guideline Knowledge CheckAndrea Eberly, MD, MS, FAAEM examines newly released data addressing the use of thrombectomy in patients with large ischemic stroke.In 2019, the American Heart Association (AHA) published stroke guidelines that, mostly due to a lack of data, did not recommend thrombectomy in patients with very large ischemic strokes. This data … Read More

Outpatient COVID-19 Treatments – Guidelines Knowledge Check

Andrea Eberly, MD, MS, FAAEMBedside Diagnostic Challenge, Emergency Medicine, Family Medicine, Guideline Knowledge Check, Internal Medicine, Nurse Practitioner, Pediatric Emergency Medicine, Pediatric Medicine, Physician Assistant, Urgent Care

New Outpatient COVID-19 Treatments - Guideline Knowledge Check

New Outpatient COVID-19 Treatments – Guideline Knowledge CheckAndrea Eberly, MD, MS, FAAEM examines newly updated COVID-19 recommendations from the NIH and IDSA addressing the omicron variant and two newly authorized oral antiviral treatments for ambulatory patients with COVID-19. In January / February 2022, both the National Institutes of Health (NIH) and Infectious Diseases Society of America (IDSA) updated their COVID-19 … Read More

MR CLEAN Study Findings – Thrombolysis Before Thrombectomy in Stroke Patients?

Andrea Eberly, MD, MS, FAAEMBedside Diagnostic Challenge, Emergency Medicine, Family Medicine, Guideline Knowledge Check, Internal Medicine, Nurse Practitioner, Pediatric Emergency Medicine, Pediatric Medicine, Physician Assistant, Urgent Care

MR CLEAN Study, Thrombolysis Before Thrombectomy in Stroke Patients

MR CLEAN Study Findings – Thrombolysis Before Thrombectomy in Stroke Patients?Andrea Eberly, MD, MS, FAAEM examines the recently published findings of the MR CLEAN study and the role of thrombolysis in patients with acute stroke who qualify for immediate thrombectomy. In 2019, the American Heart Association (AHA) published stroke guidelines that for the first time fully integrated both medical (thrombolysis) … Read More

Thrombolysis in Pediatric Versus Adult Ischemic Stroke – Closing the Clinical Knowledge Gap

Andrea Eberly, MD, MS, FAAEMBedside Diagnostic Challenge, Emergency Medicine, Family Medicine, Guideline Knowledge Check, Internal Medicine, Nurse Practitioner, Pediatric Emergency Medicine, Pediatric Medicine, Physician Assistant, Urgent Care

Thrombolysis in Stroke - Thrombolysis inPediatric Versus Adult Ischemic Stroke Patient Case Q&A - Closing the Clinical Knowledge Gap

Thrombolysis in Stroke: Thrombolysis in Pediatric vs Adult Ischemic Stroke – Closing Clinical Knowledge GapsAndrea Eberly, MD, MS, FAAEM examines the differences between thrombolysis in pediatric vs. adult ischemic stroke.In 2019, the American Heart Association (AHA) published updated adult and pediatric ischemic stroke guidelines. In what important ways are pediatric eligibility criteria for thrombolysis similar to/different from those for adults?Try … Read More

79-year-old Man with Severe Left Leg Pain of Two Days Duration – Bedside Diagnosis Challenge

Paul Griner, MD, MACPBedside Diagnostic Challenge, Emergency Medicine, Family Medicine, Internal Medicine, Nurse Practitioner, Nursing RN/PN, Personal Education, Physician Assistant, Urgent Care

79-year-old Man with Severe Left Leg Pain of Two Days Duration - Bedside Diagnosis Challenge

79-Year-Old Man Presents with Complaint of Severe Left Leg Pain of Two Days Duration – Bedside Diagnosis ChallengeA 79-year-old man presents to his physician with the complaint of severe left leg pain of 2 days duration. The patient was in good health until 5 weeks ago when he tripped and fell on his left side in the kitchen of his … Read More

Bedside Diagnostic Challenge – An Elderly Woman Presents to the Emergency Room Confused and Disoriented

Paul Griner, MD, MACPBedside Diagnostic Challenge, Emergency Medicine

confused and disoriented elderly woman diagnostic case

Bedside Diagnostic Challenge – An Elderly Woman Presents to the Emergency Room Confused and DisorientedBonus Follow-Up Question included in answer explanation.An elderly woman is brought to the emergency room of a local hospital after she is found wandering along the street and, upon questioning by the police, is noted to be confused and disoriented. In the emergency room, her personal … Read More

Bedside Diagnostic Challenge – A 56-year-old, Post-menopausal Woman with Enlarging Abdomen

Paul Griner, MD, MACPBedside Diagnostic Challenge, Emergency Medicine, Family Medicine, Internal Medicine, Nurse Practitioner, Nursing RN/PN, Physician Assistant, Urgent Care

enlarging abdomen ascites

Bedside Diagnostic Challenge – A 56-year-old, post-menopausal woman with enlarging abdomenA 56-year-old, post-menopausal woman presents with the complaint of an enlarging abdomen. She states that she noticed her dresses becoming tighter over the past 2 months. She measured her abdominal girth a few days ago and noted that it was 3 inches larger than her usual size. She has not … Read More

Learning Is Not Just Retention – Complex Questions vs Learning Questions: How We Remember and Why Question Types Matter

Med-ChallengerBedside Diagnostic Challenge, Emergency Medicine, Family Medicine, Internal Medicine, Medical News, Nurse Practitioner, Nursing RN/PN, Pediatric Emergency Medicine, Pediatric Medicine, Personal Education, Physician Assistant

Learning and retention

Learning Is Not Just Retention – Complex Questions vs Learning QuestionsHow We Remember and Why Question Types MatterLearning, the acquisition and retention of the information that helps us navigate the world, is simple as a concept. The actual psychological process of it, however, is intricate and complex. Before talking about how we retain and learn materials, it is important to recognize … Read More

The Big Miss: Cognitive Bias and the Problem of Misdiagnosis

Mark Perdue PA-CBedside Diagnostic Challenge, Emergency Medicine, Family Medicine, Internal Medicine, Medical News, Nurse Practitioner, Nursing RN/PN, Pediatric Emergency Medicine, Pediatric Medicine, Personal Education, Physician Assistant

cognitive bias and misdiagnosis

Cognitive Bias and the Problem of Misdiagnosis: Avoiding The Big MissThe problem of cognitive bias and its important role in misdiagnosis is well documented. The phenomenon of cognitive bias can take several forms and affects the capacity of both new clinicians and seasoned professionals. A consensus is emerging that clinicians need to be aware of cognitive biases and practice educational … Read More

POCUS, Point-of-Care Ultrasound: A New Paradigm in Clinical Medicine

Mark Perdue PA-CBedside Diagnostic Challenge, Emergency Medicine, Family Medicine, Internal Medicine, Medical News, Nurse Practitioner, Nursing RN/PN, Pediatric Emergency Medicine, Pediatric Medicine, Personal Education, Physician Assistant

POCUS Point of care ultrasound, why to know it, and how to learn it

POCUS, Point-of-Care Ultrasound: A New Paradigm in Clinical MedicineIf you haven’t heard about POCUS (point-of-care ultrasound) by now you must have been stranded on a deserted island, but if you’re just now back home and starting to get your wits about you, it’s time to get your knowledge base up to speed on this important technology. POCUS is revolutionizing the … Read More