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Quick Pimps: Causes of Postoperative Fever

October 29, 2012

Postoperative fever is an extremely common finding and therefore an extremely common topic for med students to be pimped on. Fever is found in as many as 91% of post-op patients. It is most often benign and self-limited and a normal physiologic response to the trauma of surgery. However it can be due to a variety of causes, some benign and some life threatening.

Ws mnemonic
- POD 1-2: Wind- Pneumonia, Aspiration, PE (NOT ATELECTASIS…listen to podcast for more details)
- POD 3-5: Water- UTI
- POD ~5: Walking- DVT, PE
- POD ~7: Wound- Surgical Site Infection
- POD >7: What we did- Line infections of drug/blood product reactions at any time
- POD >10: Wonder Where?- Deep Abcess

Causes of Postoperative Fever Podcast

Postoperative fever notes

Evaluating postoperative fever: A focused approach. By James C. Pile MD

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How to present a patient (Oral Case Presentations)

September 30, 2012

Oral case presentations (OCPs) are an integral part of the medical student learning experience and more importantly the team aspect of patient care. In this podcast I sit down with Dr. Natasha Bray DO, Director of Medical Education at Broward Health Medical Center, to discuss some tips for presenting a patient, the common mistakes made by students, and to hear an example from a master of the art of presenting.

How to Present a Patient Podcast

Approach to the Oral Presentation PDF

Article by Greeen et al on the SOAPS method for OCPs

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Chronic Obstructive Pulmonary Disease (COPD)

June 29, 2012

Tara Nowakhtar discusses COPD. Podcast includes pathophysiology, clinical presentation and management.

COPD Podcast

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Stroke and Transient Ischemic Attack (TIA)

May 7, 2012

Brandon Masi Parker discusses stroke and TIA. The podcast focuses on management of patients presenting with signs of stroke and TIA as well as epidemiology, pathophysiology and current updates on evidence based approaches to stroke and TIA patients.

Stroke and TIA podcast

Stroke and TIA Powerpoint

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Treatment for acute LBP in active military personnel; a journal review

April 24, 2012

Brandon Masi Parker provides a journal review for the article A randomized, controlled trial of osteopathic manipulative treatment for acute low back pain in active duty military personnel, by

des Anges Cruser, Couglad Maurer, Kendi Hensel, Sarah K Brown, Kathryn White, Scott T Stoll in the Journal of Manual & Manipulative Therapy, Volume 20, Number 1, 2012 , pp. 5-15(11).

This article is a crucial randomized and controlled study analyzing the effectiveness of Osteopathic Manipulative Treatment (OMT) for acute low back pain (LBP) in active military personnel. The article analyzes pain, functionality and a few other parameters. I make the assertion that this unique subset of population may provide a model for other LBP patients that have physically demanding lifestyles with limited possibility for rest.

OMT for acute LBP in military personnel; journal review podcast

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Prostate Disease

April 15, 2012

Randal Davis discusses prostate disease pathology, clinical presentation and management. There is also a discussion on Osteopathic approach to patients with prostate disease.

Prostate Disease podcast

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Back Pain Etiologies and Pathophysiology interview with Dr. Fossum

March 28, 2012

We interview Dr. Christian Fossum DO of Norway on several topics relating to back pain. We cover etiologies, pathophysiolgies, osteopathic treatments as well as an intervational take on Osteopathy.

Back pain interview with Dr Fossum

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Clinical Approach to Muscle Function interview with Dr. Danto

March 28, 2012

We interview Dr. Jay Danto DO while at the American Academy of Osteopathy Convocation on several topics relating to muscle function. We touch on muscle firing pattern, approach to a patient with musculoskeletal pain, acupuncture and more.

Interview with Dr. Danto on Muscle Function

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Anemia

March 15, 2012

Nick Camposeo provides us with a quick overview of the important anemias. Anemia is a huge topic and very important in clinical practice and at all levels of board studying. This podcast includes pathophysiology, etiology, clinical presentation and management of microcytic, normocytic and macrocytic anemias.

Anemia Podcast

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Diabetes Mellitus

March 2, 2012

Meighan O’Connor leads a discussion on Diabtes Mellitus, covering pathophysiology, clinical presentation and patient management.

Diabetes Podcast

Diabetes mellitus Powerpoint

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Cranial’s Effect on Cerebral Tissue Oxygenation; Journal Review

March 1, 2012

Rob Kawa leads a journal review discussion on the “Effect of Cranial Osteopathic Manipulative Medicine on Cerebral Tissue Oxygenation”

Cranial’s Effect on Cerebral Tissue Oxygenation Journal Review Podcast

Cranial Article Journal Review Powerpoint

Xiangrong Shi, PhD; Seth Rehrer, OMS IV; Parna Prajapati, MBBS, MPH; Scott T. Stoll, DO, PhD; Russell G. Gamber, DO, MPH; and H. Fred Downey, PhD. (2011). Effect of Cranial Osteopathic Manipulative Medicine on Cerebral Tissue Oxygenation. Journal of the American Osteopathic Association 111(12), 660-666.

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Irritable Bowel Syndrome (IBS)

February 26, 2012

Tara Nowakhtar discusses Irritable bowel syndrome. This podcast includes pathogenesis, clinical presentation, and management including Osteopathic approach.

Irritable Bowel Syndrome Podcast

IBS Powerpoint

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Prolotherapy

February 21, 2012

Brandon Parker interview Dr. Sandhouse DO on prolotherapy (proliferative injection therapy, regenerative injection therapy, sclerotherapy). We discuss indications, contraindications, mechanism and evidence. We compare Prolo to PRP and trigger points. There is a bonus section on Orthokine, the treatment used by Kobe Bryant and Alex Rodriguez.

Prolotherapy Interview Podcast

In the interview we discuss a case where prolotherapy is used on a young male with an ACL tear. Below are the MRI images from before and after a prolotherapy regimen.

Read the rest of this entry »

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Peripheral Vascular Disease

February 16, 2012

Rob Kawa leads a discussion on peripheral vascular disease. We discuss the pathophysiology of the disease, clinical presentation and treatment of the disease. There is also a great discussion on the definitions of arteriosclerosis, atherosclerosis and arteriolosclerosis.

Peripheral Vascular Disease Podcast

Peripheral Vascular Disease Powerpoint

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Coronary Artery Disease

February 11, 2012

Randy Davis leads a discussion on Coronary Artery Disease. All aspects of the disease process are discussed including spectrum of the disease, pathophysiology, clinical presentations and management.

Coronary Artery Disease Podcast