Podcast #262: Pertussis

Podcast #262: Pertussis

Author: Julian Orenstein, M.D.

Educational Pearls

  • Colorado has a high population of unvaccinated children, and is at increased risk for pertussis outbreaks.
  • The causative organism is Bordetella pertussis. It causes causes respiratory epithelial necrosis leading to congestion of the bronchioles, leading to cough.
  • The cough is unique - it is usually a series of expiratory coughs followed by one deep inspiration
  • The clinical presentation is divided into 3 phases:
    • Catarrhal: cough and congestion with low-grade fever and coryza.
    • Whooping: characteristic cough.
    • Resolution: recovery with persistent cough.
  • Infants may not get this presentation, but may get apnea and nonspecific cough.
  • Tongue depressor can be used to elicit cough for diagnosis.

References: Tozzi AE, Pastore Celentano L, Ciofi degli Atti ML, Salmaso S. Diagnosis and management of pertussis. CMAJ : Canadian Medical Association Journal. 2005;172(4):509-515. doi:10.1503/cmaj.1040766.

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Podcast #227: CPR-Induced Consciousness

Podcast #227: CPR-Induced Consciousness

Author: Nick Hatch, M.D. Educational Pearls CPR-induced consciousness is a phenomenon that occurs when someone who was previously unconscious and is undergoing CPR regains consciousness and makes pur...

20 Heinä 20173min

Podcast #226: Biphasic Anaphylaxis

Podcast #226: Biphasic Anaphylaxis

Author: Sam Killian, M.D. Educational Pearls Anaphylaxis is common in the ED. These patients are treated and then usually watched for 4-6 hours. Biphasic happens in patients that have a complete reso...

18 Heinä 20173min

Podcast #225: Rhogam

Podcast #225: Rhogam

Author: Dylan Luyten, M.D. Educational Pearls Rhogam is commonly used when an Rh negative woman has an Rh positive fetus. It is commonly used in the ER in the setting of a miscarriage. Rh(+) fetal bl...

16 Heinä 20174min

Deep Dive #4: Pediatric Type I DKA

Deep Dive #4: Pediatric Type I DKA

Author: Justin Harper Justin Harper, a paramedic married to a pediatric nurse, discovered his own son had type I diabetes 2 years ago. Despite their medical experience, this diagnosis came as surprise...

14 Heinä 201747min

Brewcast Part VIII: Cannabis in Colorado

Brewcast Part VIII: Cannabis in Colorado

Author: Dr. Larry Wolk, Executive Director and Chief Medical Officer for the Colorado Department of Public Health and Environment. Topic: Dr. Larry Wolk educates us on how cannabis has affected Colora...

9 Heinä 201717min

Brewcast Part VII: A Patient's Perspective on Medical Marijuana

Brewcast Part VII: A Patient's Perspective on Medical Marijuana

Authors: Don Stader, M.D. & Lauren Gibbs Topic: Lauren breaks the stoner stereotype and explains how marijuana has positively impacted her life.

8 Heinä 201720min

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

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