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EM Clerkship

Urinary Tract Infections

EM Clerkship

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

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

5795 Ratings

🗓️ 21 July 2019

⏱️ 18 minutes

🧾️ Download transcript

Summary

How to Read a Urinalysis Signs of Inflammation Leukocyte Esterace WBCs Multiple conditions cause inflammation on a urinalysis. Anything that causes nearby inflammation (appendicitis, pelvic infections, diverticulitis) or slows urine output (dehydration, renal disease) can commonly elevate these markers. Signs of bacterial presence (not present in ~25% of proven urinary tract infections!!!) Nitrites Bacteria Asymptomatic […]

Transcript

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0:00.0

Hello, med students. My name is Zach Olson, and thank you for downloading this week's episode of the EM Clerkship Podcast.

0:09.7

We are still cruising through our summer of abdominal inxed. We are covering that huge list of core concepts, the differential diagnosis for abdominal pain.

0:19.0

And so far we've covered the most high-yield GI causes,

0:22.6

and we've started working through our GU causes, the pelvises. Last week, we talked about

0:28.5

the queen mother of all GU critical diagnoses, ectopic pregnancy. All women of childbearing age

0:36.5

with abdominal pain or vaginal bleeding need

0:38.8

a pregnancy test. This week, though, I'm going to take it in a completely opposite direction.

0:45.9

And to be honest, this topic isn't even on the CDM curriculum, even though it probably should be.

0:51.1

This is a lecture you might not hear in residency. And I think it's probably one of the

0:56.2

most high-yield discussions I can never have with you, if I'm honest. And so let me preface this

1:01.0

by saying one of the single best lectures I've ever heard, ever, regarding emergency medicine,

1:07.2

at least, which kind of turned me on to this topic and you should absolutely

1:11.7

listen to it was the EM cases podcast UTI episode. It was episode 94 because it was just so

1:20.1

counter to what I was taught at Ohio State in medical school. It was so counter to what I was

1:25.4

seeing done in residency at UT. It was so opposite

1:29.0

of just how I was practicing. And so it was on the show, it was Justin Morgan Stern. I think

1:36.4

that's how you say it. He was on that episode. And so he has a blog called First 10 EM that covered

1:42.4

UTI as well. And there was kind of a lot of overlap.

1:45.8

And so these are my kind of my primary sources today, just kind of FYI.

1:50.8

It was some of the best content I feel like has ever been put out there.

1:55.0

And it was regarding this, like, quote, boring topic, urinary tract infection.

1:59.0

So let's go this week.

...

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