We’re sitting on a train oblivious to the fact that it’s moving at 80 miles per hour, but anyone sitting outside the train watches it whiz right by! This is the value of learning to see the world through the eyes of others. -Andy Grove
Now onto this week’s podcast
A 45-year-old man, with a long history of alcohol abuse, presents to the ED complaining of fever and cough for three days. Which of the following organisms is the most common cause of pneumonia in this population?
A. Group A Streptococcus
B. Klebsiella pneumoniae
C. Legionella pneumophilia
D. Streptococcus pneumoniae
A 45-year-old man with a history of alcohol abuse presents with numbness and weakness of the left hand. He states he slept on a bench last night and awoke this morning with the symptoms. Physical examination reveals decreased sensation over the first, second, and third digits and a wrist drop. What management is indicated?
A. CT of the cervical spine
B. MRI of the brain
C. Noncontrast CT scan of the head
D. Wrist splint and follow up with neurology
Which of the following is true regarding infective endocarditis?
A. Janeway lesions are tender erythematous macules
B. Surgery is indicated for fungal endocarditis
C. The mitral valve is most commonly involved in intravenous drug abusers
D. The presence of fever is one of the major Duke criteria for the diagnosis of endocarditis
A 75-year-old man with dementia presents to the ED with severe vomiting and diarrhea. He is admitted to the hospital for renal failure and dehydration. An infectious workup is initiated because he has a leukocytosis. The following day, he develops pancytopenia, renal failure, and acute respiratory distress syndrome. He is transferred to the intensive care unit where he has a cardiac arrest and expires. When the family arrives, they report the patient was in his usual state of health until three days ago, when he suffered a gout flare and began to take excessive amounts of a new medication to control the pain. Ingestion of what medication could account for this patient’s presentation and clinical course?
A 55-year-old man presents with right-sided chest pain and a rash for 4 days as seen above. What management should be initiated?
B. Pain control
C. Topical antibiotics
D. Topical corticosteroids
What ultrasound finding is consistent with a pneumothorax?
A. A lines
B. Absence of lung sliding
C. B lines
D. Presence of lung sliding
Hope you enjoyed this week’s episode. Let us know how to make this better by sending feedback to Roshcast@roshreview.com.
Here is last week’s emergency medicine board review podcast where Jeff and review fight bites, VP shunts, cyanotic heart lesions, hemolytic uremic syndrome, and much more
Until next time,
Jeff and Nachi
The post Podcast Ep 9: Pneumonia, Endocarditis, Colchicine Toxicity, Herpes Zoster, & More appeared first on RoshReview.com.