Deep Dive R30 MW
EM Clerkship
Zack Olson, MD ; Mike Estephan, MD ; Maddie Watts, MD
5 • 795 Ratings
🗓️ 25 April 2025
⏱️ 13 minutes
🧾️ Download transcript
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Transcript
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| 0:00.0 | Hello, students. My name is Mike Estefan, and I thank you for downloading this month's |
| 0:06.5 | episode of the EM Clerkship Podcast. This month's episode is going to be covering botulism, but before we |
| 0:14.1 | begin, just a quick word from our sponsors over at Pearson Rabbit's Insurance. Pearson Rabbit's is my |
| 0:20.4 | own personal disability insurance broker. |
| 0:23.5 | Own occupation disability insurance is incredibly important to obtain as a physician, |
| 0:29.5 | to protect the financial investment that you made with your education. |
| 0:34.1 | I would personally recommend signing up for a policy sometime during residency, as the rates are |
| 0:40.5 | generally lower and you tend to be the most healthy the younger you are. |
| 0:44.9 | There is often, not always, but often, a medical underwriting process to obtaining disability |
| 0:50.8 | insurance, so you definitely don't want to wait for health problems to |
| 0:54.3 | start to creep up on you. Check out Pearson Rabbits at www.personravitz.com and schedule a free |
| 1:02.6 | consultation appointment today. If you do, don't forget to mention EM Clerkship, and now, |
| 1:08.1 | back to the episode. Today's episode is going to be covering botulism. |
| 1:13.3 | We're going to start by discussing what botulism actually is and the different subtypes of botulism. |
| 1:20.1 | Next, we're going to move on to discuss the relevant history and physical exam findings, followed by |
| 1:25.4 | diagnosis and treatment. |
| 1:34.4 | So botulism is a neurological disease caused by production or exposure to the botulinum neurotoxin, which is produced by the bacteria, Clostridium botulinum. |
| 1:40.0 | This compound inhibits acetylcholine release at the neuromuscular junction, and it results in a characteristic descending paralysis. |
| 1:48.7 | There are a few different subtypes of botulism, which we'll go through right now. |
| 1:53.7 | Number one, food-borne botulism. |
| 1:56.2 | This is caused by exposure to preformed neurotoxin found in foods, and it's usually home-canned |
| 2:03.3 | foods that weren't canned properly. |
... |
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