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EM Clerkship

Round 17 (MW) Headache

EM Clerkship

Zack Olson, MD ; Mike Estephan, MD ; Maddie Watts, MD

Education, Science, Life Sciences, Courses, Health & Fitness, Medicine

5795 Ratings

🗓️ 1 February 2024

⏱️ 30 minutes

🧾️ Download transcript

Summary

You are working at Clerkship General when the next chart is put in your rack. It’s a 41-year-old female with a chief complaint of headache. Initial Vitals: HR: 56 BP: 172/93 Temp: 98.8F RR: 18 O2: 97% Critical Actions:

Transcript

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0:00.0

Hello, residents. My name is Mike Estefan. I'm joined today by Maddie Watts, and thank you for downloading this month's episode of the EM Clerkship podcast.

0:10.8

This episode is sponsored by Pearson Rabbit's Insurance, my personal independent disability insurance broker.

0:17.3

We will talk more about Pearson Rabbit later in the episode. Maddie Watts, how are you doing

0:23.1

today? I'm good, Mike. How about you? I am good. I'm energized. I am working a shift right after this,

0:31.1

and I am ready to go. Me too. This is a good warm up. All right, let's do it. Today is round number 17 of the game. Maddie will need to perform today's

0:43.6

case in real ABEM oral board format. She has 15 minutes to complete the full case and she does

0:50.1

not know what this case is ahead of time. If Maddie hits all of the critical actions that I

0:55.4

have listed out beforehand, she wins. If she doesn't, or if she performs a dangerous action,

1:01.3

I win. These cases were created by me. They are not derived from actual ABM cases that I had

1:07.8

on my exam, and they certainly are not real patients.

1:16.1

Maddie, please take out a piece of paper and a pencil, place the paper sideways in front of you,

1:20.1

outline a human body on the left side of it, and let me know when you are ready.

1:22.5

I am ready.

1:27.4

All right, Dr. Watts, this will be a single patient encounter. You have 15 minutes to complete the entire case from start to finish.

1:32.1

Before we begin, any questions?

1:35.3

I don't think so.

1:36.8

All righty. Let me get my timer up.

1:41.4

And the timer has begun.

1:43.3

Dr. Watts, you are working at Clerkship General when the next chart is put in your rack.

1:48.7

It's a 41-year-old female with chief complaint of headache.

1:53.5

All right.

1:54.4

So I walk into the room and what do I see?

...

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