Senior Residents' Reflections and Perspectives
EMGuidewire's Podcast
Join the EMGuidewire crew as Dr. Diurba and Dr. Folk reflect upon their residency experience and the initiation of the Intern Nuggets episodes while, of course, discussing some important tips and tricks they learned along the way.
info_outline
Intern Nuggets '24: A-fib and A-flutter
EMGuidewire's Podcast
Join the team from EMGuidewire from CMC Emergency Medicine Residency for another Intern Nuggets! In this episode, Drs. Crow and Lim discuss some tips on how they have approached the first half of their intern years as well as review management of Atrial Fibrillation and Atrial Flutter.
info_outline
Intern Nuggets '23 #1 - Agitation Management Tips
EMGuidewire's Podcast
Join the crew from Carolinas Medical Center Emergency Medicine (@CMCEM) and EMGuidewire (@EMGuidewire) as they introduce a new group of interns as they discuss some of the first lessons they have learned about Agitation Management in the ED.
info_outline
Intern Nuggets #4 2023: Myositis
EMGuidewire's Podcast
Join the EMGuidewire team from Carolinas Medical Center's Emergency Medicine Residency Program as Drs. Calienes Cerpa and Bissell gather together to discuss another great case filled with learning points. In this episode, they review myositis in a pediatric patient.
info_outline
Intern Nuggets #3 2023: Heart Blocks
EMGuidewire's Podcast
Join the EMGuideWire team from Carolinas Medical Center, Emergency Medicine Residency, as Drs. Calienes and Bissell discuss Heart Blocks.
info_outline
Quick Cases with Drs. Diurba and Folk - Septic Pulmonary Emboli
EMGuidewire's Podcast
Join the crew from Carolinas Medical Center's Emergency Medicine Residency and EMGuidewire as they discuss some interesting cases with Drs. Sofiya Diurba and Destiny Folk. This episode deals with a complex, critically ill adult who has septic pulmonary emboli.
info_outline
Quick Cases with Drs. Diurba and Folk - Critical Pediatric Case
EMGuidewire's Podcast
Join the crew of EMGuidewire and the Residents and Faculty at Carolinas Medical Center Emergency Medicine Residency as they learn along with Drs. Sofiya Diurba and Destiny Folk. In this episode, Drs. Folk and Diurba will discuss an educational Pediatric Case that involves some critical decisions!
info_outline
Intern Nuggets 2022 #2 Self Care and Migraine Cocktails
EMGuidewire's Podcast
Join the EMGuidewire team from Carolinas Medical Center's Emergency Medicine Residency Program as Drs. Bissell and Calienes Cerpa discuss some more important topics in their Intern Nuggets series. In this episode, they address some important Self Care issues that all interns (and likely everyone) need to consider. They also discuss the possible components in those very popular "migraine cocktails."
info_outline
Resident Wellness Proactive Counseling
EMGuidewire's Podcast
Join Drs. Diurba and Folk and the EMGuidewire team from @CMCEM as they begin an important conversation regarding Resident and Physician Wellness. If we exercise our bodies to remain physically healthy, shouldn't we exercise our emotional selves as well? Perhaps some proactive counseling sessions can be good for us all.
info_outline
Intern Nuggets 2022 #1 Palpitations
EMGuidewire's Podcast
Join the EMGuideWire's team as they celebrate the beginning of the new academic year by introducing us to two new interns who will be taking over the Intern Nuggets! Drs. Calienes and Dr. Bissell take over the task of discussing interesting cases that they have encountered during the start of their careers. This episode finds them wrestling with a challenging case of palpitations and anxious feelings.
info_outlineJoin the Drs. Ray and Barlock from the EMGuideWire team as the discuss the initial assessment and evaluation of some ocular complaints with specific attention to pathology of the Posterior Eye.
SHOWNOTES:
Key Points
Always get visual acuity for any eye complaint
Swinging flashlight test can help with your diagnosis
Dilate the eyes for optimal fundoscopic exam
Optic neuritis -> give IV steroids
Use U/S to look for papilledema along with optic nerve sheath diameter
Find the optic nerve when evaluating retinal detachment vs vitreous hemorrhage
CRAO= “stroke of the eye”
CRVO= “DVT of the eye”
Optic Neuritis
Onset: Acute
Pain: With EOMI, can be painless
Visual Acuity: Decreased
Laterality: Usually unilateral, can be bilateral
Classic presentation: Young female (15-45) with acute vision loss
Exam: + APD
Associations: MS, infection (lyme, herpes, syphilis), autoimmune, methanol, DM
Treatment: IV steroids
Papilledema
Onset: Subacute to chronic
Pain: Headache
Visual Acuity: Normal initially
Laterality: Bilateral
Classic presentation: Headache, N/V, transient vision loss
Exam: Optic disc swelling
Treatment: treat underlying cause
Retinal Detachment
Onset: Sudden
Pain: No
Visual Acuity: Impaired
Laterality: Unilateral
Classic presentation: Sudden, painless, with flashes, or a curtain over the visual field
Exam: +/- mild APD
Management: Ophtho consult, minimize activity, treat underlying cause, surgical options available
Central Retinal Artery Occlusion
Onset: Sudden
Pain: No
Visual Acuity: Impaired
Laterality: Unilateral
Classic presentation: Sudden, painless vision loss in vasculopathy
Exam: + APD
Associations: carotid vascular disease, pediatric blood disorders (SCD, leukemia)
Management: Ophtho consult, restore blood flow
Central Retinal Vein Occlusion
Onset: Acute
Pain: No
Visual Acuity: Impaired
Laterality: Unilateral
Classic presentation: Sudden blurry or distorted vision in hypercoagulable patient
Exam: + APD
Associations: OCPs, HTN, DM, vasculitis
Management: Ophtho consult