Round 13 (Dizziness)
EM Clerkship
Zack Olson, MD ; Mike Estephan, MD ; Maddie Watts, MD
4.9 • 816 Ratings
🗓️ 1 September 2020
⏱️ 43 minutes
🧾️ Download transcript
Summary
CAUTION: THESE NOTES CONTAIN SPOILERS!!!
Case Introduction
You are working at your local hospital when the next chart gets put in your rack. You groan. The chief complaint is dizziness..
Initial Vitals
* Temp 98.6* HR 109* RR 20* BP 105/69* O2 100%
Critical Actions
* Diagnose Upper GI Bleed* Initiate IV Proton Pump Inhibitor* Obtain Type and Screen* Admit Patient to the Hospital* Identify Medications That Increase Risk of Ulcer (If Prompted)
Final Diagnosis
Upper GI Bleed due to Peptic Ulcer
Tips and Tricks
If you get stuck in a case and don’t know what to do next. Identify all abnormal findings that you have been provided
Additional Reading
* Why You Should Never Ask “What Do You Mean By Dizzy?” (PubMed)
Transcript
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| 0:00.0 | Hello, med students. This episode has been sponsored by Freed AI. Do you dread the thought of |
| 0:07.1 | endless charting once you become a doctor? Do you think that doctors should be spending more |
| 0:11.9 | time with our patients and less time mindlessly writing notes? Freed AI is the product for you. It is a |
| 0:20.4 | secure, hippocompliant scribe that anybody can use. |
| 0:24.7 | Focus your energy on what matters, providing good patient care. |
| 0:29.5 | Use coupon code EM50 to save 50% the first month you try it, |
| 0:34.1 | and you can cancel at any time if you decide it's not right for you. You can learn more |
| 0:38.9 | at www.gitfreed.a.i. Hello, residents. My name is Zach Olson. I'm joined today by Mike |
| 0:49.9 | Estefan and thank you for downloading this month's episode of the EM Clerkship podcast. |
| 0:56.8 | This is EM Clerkship's secret residency curriculum, advanced content designed to test the graduates |
| 1:02.0 | of EM Clerkship, and today is round number 13 of the game. |
| 1:07.7 | Michael needs to perform today's case in Real Abem's oral boards format. |
| 1:10.6 | He has 15 minutes to complete the case. He does not know what the case is ahead of time. If Mike hits all the critical actions that I've listed out beforehand, he wins if he doesn't or if he performs a dangerous action I win. These cases are created by me. They're not actual ABM cases and they are not real patients. Let's go. How are you doing Mike? Zach, I am doing great. How are you? Good. You got a new |
| 1:31.4 | microphone. Yes, I do. The ice. You got the ice. The blue ice. Wonderful. The blue ice. Sweet. |
| 1:39.2 | I sent you that meme. Did you have any idea what I was alluding to? No, absolutely. No clue. |
| 2:17.8 | The iced tea episode from Rick and Morty, no, nothing? Oh, wait, what season? The numericons. What season? I think that's season two. Oh, I've seen season two. That's a bummer. I don't remember it. That's like my after shift. Like when it's late, when it's like midnight and I'm home and I just want to like eat something real quick and go to bed, 20 minutes of Rick and Morty is about all you need to do to forget literally everything that happened from work. A little bit of iced tea flying through the universe. Anyways, all right, you ready to go? |
| 2:18.9 | Yeah, let's do it. |
| 2:25.1 | All right, take out a piece of paper and a pencil, place the paper sideways in front of you, and put the human body on the left side of it. |
| 2:26.8 | Let me know when you're ready. |
| 2:28.0 | I am all ready for you. |
| 2:33.3 | All right, Dr. Estefan, this will be a single patient encounter. |
| 2:37.9 | See what I did there. |
... |
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