Round 7 (Headache)
EM Clerkship
Zack Olson, MD ; Mike Estephan, MD ; Maddie Watts, MD
4.9 • 816 Ratings
🗓️ 1 January 2020
⏱️ 32 minutes
🧾️ Download transcript
Summary
CAUTION: THESE NOTES CONTAIN SPOILERS!!!
Case Introduction
Just a routine day at your hospital, your next patient has a chief complaint of headache…
Initial Vitals
* Temp 98.8* HR 88* RR 16* BP 130/80* O2 99%
Critical Actions
* Identify Acute Angle Closure Glaucoma* Initiate Appropriate Treatment for Acute Angle Closure Glaucoma* Emergent Consult to Ophthalmology* Recheck Intra-Ocular Pressure After Initiating Treatment
Dangerous Actions
* Giving NSAIDS (The Patient Had This on Allergy List)* Performing a Lateral Canthotomy
Final Diagnosis
Acute Angle Closure Glaucoma
Tips and Tricks
Do not be surprised or scared when an examiner has a monotone voice and flat affect
Additional Reading
* Management of acute angle closure glaucoma (PubMed)* Basic approach to eye complaints (EM Clerkship)
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 |
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| 0:37.7 | You can learn more at www.gitfreed.a.i. |
| 0:44.9 | Hello, residents. My name is Zach Olson. I'm joined today by Mike Estefan, and thank you for |
| 0:50.4 | downloading this month's episode of the EM Clerkship podcast. |
| 1:01.1 | This is EM Clerkship's secret residency curriculum, advanced content designed to test graduates of EM clerkship. |
| 1:03.2 | And today, I can't believe it, Mike. |
| 1:08.6 | We are up to round number seven of the game, and we are tied three three. |
| 1:14.8 | Mike will need to perform today's case in real ABEM oral boards format. |
| 1:17.1 | He has 15 minutes to complete the full case. |
| 1:20.9 | Mike, I am literally, I have the timer set for 15 minutes. |
| 1:22.8 | And that's it today. |
| 1:26.0 | Like, this is going to be real timing, okay? |
| 1:27.3 | All right. |
| 2:01.6 | Like, you're going to cut me off mid-sentence? Pretty close. You know, it'll be like how they would do it on a test day. Okay. Cool. As always, Mike does not know what the case is ahead of time. If Mike hits all of the critical actions that I've listed up beforehand, he wins. And if he doesn't, or if he performs a dangerous action, I win. These cases were created by me. They're not actually abem cases that I had, and they are certainly not real patience. So let's get going here. Mike, take out a piece of paper and a pencil. Place the paper sideways in front of you. Put the human body on the left side of it. Let me know you're ready i'm ready let's do this all right dr s defan this will be a single patient encounter you'll have 15 minutes |
| 2:10.9 | to complete the case before we begin do you have any questions nope okay you see on your computer screen, confirm the candidate identify the information, and click |
| 2:21.8 | agree. |
| 2:23.3 | Okay. |
... |
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