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The Pulmonary Physical Examination

how to perform the pulmonary physical examination

Bunnany Chhun Pekar, PhD, CRNA, AGACNP Question of the day:  What is the most commonly practiced part of the pulmonary physical examination? The goal of this discussion is to review the components of a thorough pulmonary physical examination. We will also discuss if the performance of a physical examination is necessary. Advances in technology can … Read more

How to Read an EKG

How to Read an EKG

Taking the Mystery out of the Squiggly Lines Scott Biggs, PA-C Today we are going to dive in to one of the topics that seems to intimidate people more than just about anything else in medicine – how to read an EKG. This skill is often causes fear and confusion. I assure you that it isn’t … Read more

Acute Congestive Heart Failure

Acute Congestive Heart Failure

Camilo Mohar, DO Over 1 million hospitalizations occur each year as a result of acute congestive heart failure (CHF). With the ever increasing age of the US population, the prevalence of CHF is becoming more and more common. For this reason, it is important to understand the physiology and adequate management of congestive heart failure … Read more

Management of low back pain amidst an opioid crisis

Management of low back pain amidst an opioid crisis

One of the most common chief complaints in primary care, urgent care, and emergency room settings is that of low back pain. It is, in fact, according to a presentation by Roger Chou, MD, per Providers Clinical Support System, the 5th most common reason for office visits in the United States. That equates to about 5% of primary care office visits. The prevalence of this chief complaint is rising, which is resulting in more prescriptions of opioids for treatment of this pain. Opioids are, in fact, the most commonly prescribed medication for low back pain. However, given that we are in the midst of an opioid crisis, the last thing we, as providers, want to do is to contribute to this problem, if at all possible. So, what exactly can we do to treat our patients effectively, while minimizing harm to the patient, and potentially to others? 

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Non-traumatic Foreign Bodies of the HEENT and Esophagus

Non-traumatic Foreign Bodies of the HEENT and Esophagus

People often present to an emergency room, or urgent care setting with a foreign body lodged in an orifice. When the patient presents they will have a sense of urgency, and feel that it needs to “come out now”. This may or may not be the case. In order of most to least common, non-traumatic foreign bodies can become lodged in the throat, ears, nose, vagina, rectum and urethra.  Patients may be adult or pediatric. Kids will often stick beads or buttons in their ears or nose, and will swallow just about anything. Adults may have an insect in their ear, esophageal food impaction, or engage in foreign body insertions during sexual practices. In this blog we will talk about HEENT/Esophageal foreign bodies.

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