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EM Clerkship

Round 8 (MW) Groin Pain

EM Clerkship

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

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

4.9816 Ratings

🗓️ 1 April 2023

⏱️ 33 minutes

🧾️ Download transcript

Summary


You are working at Clerkship General on an overnight shift when the next chart is handed to you. It’s a 35 year old male with a chief complaint of groin pain.



Initial Vitals:



BP: 150/90



HR: 107



RR: 20



O2: 99% (Room Air)



Temp: 98.0F



Critical Actions:




* Diagnose Ischemic/Low Flow Priapism



* Perform Penile Nerve Block



* Aspirate Blood and Irrigate with Saline



* Inject Intracavernous Phenylepherine



* Diagnose and Treat Ventricular Tachycardia

Transcript

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0:00.0

Hello, students. 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.

0:12.3

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

0:19.9

We will talk more about Pearson

0:21.7

Ravits later in the episode. Maddie, I hope you're ready for today's case. The topic of

0:28.1

today's case was actually inspired by one of our listeners, Juliana Garaphalo, and I really

0:34.4

hope I'm pronouncing that correctly. She's a current PA student who gave this awesome case idea, and I am so excited.

0:43.2

How are you feeling?

0:45.4

I'm a little nervous.

0:46.9

I think the listeners have it in for me.

0:49.1

So I don't know.

0:51.0

We'll see.

0:52.6

Yeah.

0:53.6

It's actually pretty funny.

0:55.0

I first read Juliana's email and the overall, the final diagnosis, I was like, that's a great case.

1:02.0

And I, to be honest, I kind of skimmed the rest of the email.

1:05.0

And then I was like, how could I make this even more evil and came up with kind of the rest of the case. And today when I was going

1:12.6

through to get her name to give her credit, I looked through and she actually had the exact same

1:18.7

idea that I had. So great minds think alike. I'm very excited. So you're both scheming against me.

1:26.5

We are both scheming.

1:28.0

Yes, yes, this is going to be good.

1:31.1

We really just want to say we really appreciate all the ideas that all of you have been sending us.

1:36.7

And we want these ideas to keep coming because good things are coming out of these ideas.

...

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