Podcast #243: Sphenopalatine Nerve Block

Podcast #243: Sphenopalatine Nerve Block

Author: Don Stader, M.D.

Educational Pearls

  • Cluster headaches are usually intense, unilateral, and involve the periorbital area.
  • CN V (Trigeminal) provides sensory and autonomic innervation the face and eyes, which play roles in headache pathology.
  • Cluster headaches can be treated with high flow oxygen, but a new treatment involves blocking the sphenopalatine ganglion (SPG) with lidocaine. Because sensory and autonomic branches of the trigeminal traverse the SPG, lidocaine will effectively treat a cluster headache.
  • To block the ganglion, intranasal lidocaine may be used, or a Q-tip soaked in 4% lidocaine can be applied to the most posterior aspect of the pharynx for 10-15 minutes.

References: https://www.aliem.com/2017/03/trick-sphenopalatine-ganglion-block-primary-headaches/

Jaksot(1147)

Brewcast Part VI: Synthetic Marijuana

Brewcast Part VI: Synthetic Marijuana

Author: Erik Verzemnieks, M.D. Topic: Erik speaks about how slightly altering the chemical composition of marijuana can create a drug with drastic effects on the human body. WARNING: Explicit Language

7 Heinä 201712min

Brewcast Part V: Researching Cannabis

Brewcast Part V: Researching Cannabis

Author: Sophie Yorkwilliams -B.A. (Psychology) -Dual Ph.D. Candidate, Clinical Psychology and Neuroscience. Expected graduation: 2020 Topic: Studying cannabis comes with its own set of challenges. Fin...

6 Heinä 201717min

Brewcast Part IV: A Physician's Perspective on Medical Marijuana

Brewcast Part IV: A Physician's Perspective on Medical Marijuana

Authors: Don Stader, M.D. & Peter Pryor, M.D. Topic: What caused Dr. Pryor to leave emergency medicine and enter the realm of medical marijuana?

5 Heinä 201723min

Brewcast Part III: Cannabinoid Hyperemesis Syndrome

Brewcast Part III: Cannabinoid Hyperemesis Syndrome

Author: Rachael Duncan, PharmD BCPS BCCCP Topic: Rachel explains the science behind one of the most common maladies thought to be induced by chronic cannabis use.

4 Heinä 201714min

Brewcast Part II: Pharmacology of Cannabis

Brewcast Part II: Pharmacology of Cannabis

Author: Brett Marlin, M.D. Topics: Brett explains the biochemical and physiological properties of cannabis.

3 Heinä 201718min

Brewcast Part I: The History of Cannabis in Medicine

Brewcast Part I: The History of Cannabis in Medicine

Author: Don Stader, M.D Topic: Don kicks things off with an overview of the history of marijuana and how it has made its way into medicine.

2 Heinä 201720min

Podcast #224: Troponin

Podcast #224: Troponin

Author: Sam Killian, M.D. Educational Pearls Not every troponin elevation is an MI. Trop elevates in about an hour in ACS and stays elevated for days. Non-MI conditions that cause elevated troponin: ...

1 Heinä 20174min

Podcast #223: Acyclovir Toxicity

Podcast #223: Acyclovir Toxicity

Author: Nick Hatch, M.D. Educational Pearls Acyclovir toxicity can uncommonly cause altered mental status, low blood glucose, hallucinations and myoclonic jerks. Toxicity often occurs in the setting ...

29 Kesä 20172min

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