November 5, 2019
Acute bronchitis Infection of the large bronchi Most often caused by a virus RSV Rhinovirus Influenza 5-10% are bacterial Usually follows a URI Clinical Presentation Shortness of breath Cough can last for more than three weeks Wheezing Fever Labs, Studies and Physical Exam Findings Prolonged expiration Wheezing or rhonchi X-ray showing hyperinflation of the lungs […]
October 22, 2019
Pneumonia Community Acquired Pneumonia From oxford dictionary – Lung inflammation caused by bacterial or viral infection, in which the air sacs fill with pus and may become solid. Inflammation may affect both lungs ( double pneumonia ), one lung ( single pneumonia ), or only certain lobes ( lobar pneumonia ). Causes include Streptococcus pneumoniae […]
October 1, 2019
PA WEEK! and pulmonary HTN, PE and more
September 17, 2019
Pneumothorax with a touch of decreasing your stress level
September 3, 2019
Restrictive Pulmonary Disease Idiopathic pulmonary fibrosis The development of scar tissue within the lungs Clinical presentation Dyspnea Dry cough Chest discomfort Labs, Studies and Physical Exam Findings Fine crackles at the bases may be present FEV1 is reduced FVC is reduced Lung volumes are reduced Chest x-ray may not be helpful CT Wedge biopsy Treatment […]
August 13, 2019
Knowing your key terms might not be enough??
July 30, 2019
Obstructive Lung Diseases Spirometry The most used pulmonary function test. It measures volume and speed of exhalation and inspiration. Total lung capacity (TLC) The volume of the lungs at maximal inflation Tidal volume The volume of air moved into and out of the lungs during normal resting respirations Vital Capacity The volume of air exhaled […]
July 16, 2019
Acanthosis Nigricans Typically occurs in African Americans Causes May be inherited May appear in a healthy individual May be directly related to an underlying health issue which is usually an endocrine disorder Insulin resistant disorders are most common DM type 2 PCOS Hypo or hyperthyroidism Cushing’s disease Acromegaly Clinical Presentation Brown or black poorly defined […]
July 2, 2019
Kaposi’s Sarcoma A systemic disease caused by herpes virus 8 Most often have lesions on the skin surface. Typically a very slow developing illness, but in conjunction with the AIDS virus it progresses very quickly. These lesions became linked directly with AIDS during the 1980’s. Clinical Presentation Skin lesions Flat or raised Purple Widespread or […]
June 18, 2019
Little red spots and gross blisters
June 4, 2019
demystifying TEN and SJS
May 21, 2019
PANCE/PANRE review of Derm including burns and ulcers
May 7, 2019
Derm viruses - chicken pox, herpes, warts and more
March 5, 2019
the six childhood exanthema
February 19, 2019
Erysipelas, Impetigo, Cellulitis
February 5, 2019
Derm Part 5 Moving right along
January 8, 2019
Acne Vulgaris Obstruction and inflammation of hair follicles and sebaceous glands The most common skin disease affecting 80% of the US population Sebum is an oily secretion from the sebaceous glands How it happens Follicles get clogged with sebum and keratinocytes Follicles are colonized by Propionibacterium acnes which is a normal human anaerobe Inflammation occurs […]
December 11, 2018
Papulosquamous disorders Conditions which present with both papule and scales Lichen simplex chronicus (not on 2019 blueprint) A skin disorder characterized by repetitive itching and scratching. This may be secondary to eczema, psoriasis, bug bites, psych disorders etc. Clinical Presentation & Physical Exam findings Itching Lichenified (leathery) skin with well defined borders Labs, Studies and […]
November 13, 2018
Dermatology: The beginning vocab and what not
October 30, 2018
Dyslipidemia Low-density lipoprotein (LDL) (lousy) Increased LDL correlates with an increased risk of heart disease. High-density lipoprotein (HDL) (happy) Increased HDL correlates with a decreased risk of heart disease. Triglycerides An increase in triglycerides is correlated to a an increased risk of heart disease. Causes and correlations Straight out of the Merck Manual “The most […]
October 16, 2018
Covering Diabetes Type 2
October 2, 2018
Diabetes type 1 and an important thing you can stop worrying about.
May 16, 2018
Addison’s Disease Addison’s = Primary adrenocortical insufficiency More frequently in women than in men. Causes Autoimmune problem is 80% of the cause. TB Genetic disorders Removal of adrenals Adrenal infarct Etc. Clinical findings Sparse axillary and pubic hair Hyperpigmentation of skin especially of creases or pressure areas (waistband/bra line) Hypotension, generally systolic under 110 […]
May 1, 2018
The Hypothalamic, Pituitary Adrenal Axis In response to low serum cortisol or stress the hypothalamus secretes corticotropin releasing factor (CRF). In response to CRF the pituitary releases adrenocorticotropic hormone (ACTH). In response to ACTH the adrenal glands secrete cortisol In response to elevated cortisol levels the hypothalamus decreases production of CRF Cortisol Produced by the […]
April 17, 2018
Parathyroid There are four parathyroid glands located adjacent Produces parathyroid hormone (PTH) PTH increases calcium concentration in the bloodstream in response to low serum calcium Hyperparathyroidism Affects women 3:1 over men Primary Typically this is caused by an adenoma Maybe hyperplasia or carcinoma. Secondary Chronic renal failure Poor production of vitamin D which will decrease […]
April 3, 2018
Thyroiditis Inflammation of the thyroid Hashimoto’s thyroiditis Also known as chronic lymphocytic thyroiditis Subacute thyroiditis Also known as granulomatous thyroiditis, de Quervain’s thyroiditis and giant cell thyroiditis Thought to be caused by a virus. Postpartum thyroiditis Believed to be autoimmune Occurs in 7.2% of women post delivery Riedel thyroiditis Invasive fibrous, woody, ligneous are […]
March 20, 2018
Disorders of the Thyroid Hormones TSH = thyroid stimulating hormone Created and secreted by the anterior pituitary T4 = thyroxine T3 = triiodothyronine Primary caused by disease in the thyroid Secondary Caused by diseases in the hypothalamus or pituitary Hyperthyroidism Elevated levels of free T4 and T3 Amiodarone may cause thyrotoxicosis Causes Graves disease The […]
March 6, 2018
Aortic Aneurysm, Peripheral Artery Disease, Giant Cell Arteritis
February 20, 2018
Today we discuss Veins and some crazy spartan ways to get your work done.
February 6, 2018
Atherosclerosis Components of atherosclerosis Lipid deposition Fibrosis Calcifications Plaque in the intima of medium and large blood vessels Atherosclerosis is the number one cause of cardiac-related death and disability. Risk Factors HTN Dyslipidemia Smoking Diabetes Advancing age Family history Males to Female = 4:1 Clinical Presentation No symptoms at all Symptoms of ischemia by location […]
January 23, 2018
The rest of heart murmurs
April 18, 2017
The dreaded topic of heart block and the #1 thing I recommend for the week of your exam.
April 4, 2017
PVCs, Tach, Torsades and more.
March 21, 2017
Atrial fibrillation Fibrillation Muscular twitching involving individual muscle fibers acting WITHOUT coordination The most common chronic arrhythmia Onset is PSVT before becoming chronic First event will spontaneously convert 60% of the time within the first 24 hrs Risk Factors Can occur without any risk factors Chronic HTN Coronary artery disease Valve disorders Hyperthyroid Clinical presentation […]
March 7, 2017
Today we cover an introduction to arrhythmias and getting job in surgery
February 28, 2017
Covering MI and more....
February 21, 2017
Discussing ischemia and attitude for the PANRE and the PANCE.
February 8, 2017
Learn how to finally figure out the Duke criteria.
January 25, 2017
CHF and hypotension
December 13, 2016
Everything you need to know about treating hypertension to pass the PANCE or the PANRE
November 16, 2016
Congenital Heart defects for the PANCE and PANRE
November 3, 2016
Hypertension and cardiomyopathy
October 18, 2016
In this session we finish obgyn for the PANRE and the PANCE
October 4, 2016
Ovarian Cysts Common findings and are often part of a normal menstrual cycle including follicular and corpus luteum cysts. The most common types of benign cysts found are serous and mucinous adenomas and teratomas or dermoid cysts. Postmenopausal cysts are presumed to be malignant until proven otherwise. Clinical Presentation Pain Abnormal menstrual changes Incidental finding […]
September 20, 2016
Your questions answered. 1) What do you think of live, 3-5 day review courses? 2) Do I need to order all new books for my PANRE if I have my old ones from my PANCE? 3) Where do I start? 4) What are your thoughts on the NCCPA / AAPA issues? 5) Do you offer discounts on your materials? 6) I'm in Dermatology. How am I ever going to pass the PANRE?
September 7, 2016
Today we cover endometriosis, fibroids, prolapse and more...
August 23, 2016
Cervical Dysplasia and Carcinoma Neoplasia is an abnormal growth of cells Dysplasia is an abnormal development typically with an excess of immature cells Cervical dysplasia and carcinoma have been linked to human papillomavirus (HPV) Risk factors Sexual activity increases risk for exposure to HPV The younger the age of first intercourse the greater the risk […]
August 9, 2016
Menstrual cycle Follicular phase Day one of the cycle begins with menses Estrogen increases causing the uterine lining to thicken Follicular stimulating hormone (FSH) increases, stimulating the follicles On day two or three of the cycle one follicle in the ovary becomes dominant About day 14 a surge in luteinizing hormone (LH) causes the dominant […]
July 26, 2016
Preterm Labor Labor is the the presence of uterine contractions which are strong and frequent enough to expel the products of conception from the uterus. Preterm labor is labor which occurs between 20 and 37 weeks. This is the leading cause of neonatal mortality in the United States. Risk factors Multiple gestation (approximately 10% of […]
July 12, 2016
A review of third trimester bleeding & ID in pregnancy for the PANCE and PANRE
June 28, 2016
Rh Incompatibility Mother is Rh (-) and baby is Rh (+). Mother has potential to create anti Rh (+) antibodies. RBC’s do not cross the placenta, but IgG antibodies do. There must be a traumatic event when the fetus’s blood comes in contact with the mother’s blood to trigger antibody production. Uterine trauma Amniocentesis Delivery […]
June 14, 2016
Gestational Trophoblastic Disease
May 31, 2016
In this episode we cover abortions and ectopics and some new study tips
May 17, 2016
Routine Prenatal Care Terminology Estimated date of confinement (EDC) Last menstrual period (LMP) Miscarriage/abortion (Ab) Gravida (G) = pregnancy Parity (P) = deliveries   Advanced Maternal Age (AMA) = >35 years old Shorthand A patient’s simplified OB history can be written using the common abbreviations Gravida (number of pregnancies) = G Parity (number of births) […]
May 10, 2016
Intro to season 2
June 16, 2015
I'm giving way a $562 PANCE review package this week. Be sure to get you entry in before June 26th for the random drawing. Listen for details or go to
June 2, 2015
Finishing up infectious disease.Influenza, Epstein-Barr, Varicella, AIDs
April 14, 2015
Childhood exanthems demystified
March 31, 2015
Today we cover spirochetes and a little on question dissection
March 16, 2015
We cover over 50 review questions this week, come take a listen
March 3, 2015
We continue ID with mycobacteria and parasites for the PANCE or the PANRE
February 17, 2015
The rest of bacterial infections including cholera, diphtheria, tetanus and more ....
February 4, 2015
Today we cover Strep, Botulism and Chamydia
January 20, 2015
Fungal infections, woooooooHooooooo!
January 6, 2015
Child Abuse Things you should know The physical, sexual or emotional maltreatment or neglect of a child or children Classification: Neglect Physical Abuse Psychological or Emotional Abuse Sexual Abuse: Several studies have shown that in North America Studies that as many as  25% of women and 12% of men have experienced sexual abuse as a […]
December 16, 2014
Substance Dependence Things you should know Use of one or more substances leads to a clinically significant impairment or distress Signs and Symptoms See Diagnosis below Diagnosis Physical assessment Laboratory test Toxicology screening – using either blood or urine sample Psychological assessment using Diagnostic and Statistical Manual of Mental Disorders (DSM-5) One may have […]
December 2, 2014
Personality Disorders!!!
November 18, 2014
Schizophrenia  Things you should know Patient exhibits abnormal behavior and is unable to differentiate real from imaginary. Chronic and debilitating Disruption of the usual balance of emotions and thinking M>F Signs and Symptoms Positive symptoms – Extra feelings or behaviors which are usually not present Delusions and paranoia Hallucinations Irrational, bizarre or odd statements […]
November 4, 2014
Sorry, but it’s not gonna happen this week.  🙁   The kids, my wife and I all have had bronchitis / sinus infection / pnuemonia who knows for about 2 weeks now.  No end in site and I can’t speak long enough without coughing to do the show.   I’ll have one up as soon […]
October 21, 2014
In today's session we continue with Pysch covering ADHD and mood disorders. We also always do some quick review questions and study tips.
October 7, 2014
Today we cover eating disorders and autism.
September 23, 2014
Today we begin psychology for the PANCE with anxiety disorders.
September 9, 2014
Here is my 3 part series on what to do the week before your PANCE or PANRE.
September 2, 2014
This week we go over some PANCE review questions and discuss the release of my new review book on September 9th.
August 26, 2014
In the todays' session we finish neurology with a discussion of seizures.
August 12, 2014
Finishing up neurology for the PANCE / PANRE. We cover MS, Myasthenia Gravis, Guillain Barre and of course our study tip and questions
July 29, 2014
Concussion & Dementia vs Delerium
July 15, 2014
This week we continue with neurology covering stroke, TIA and CP.
July 1, 2014
Parkinson's, cerebral hemorrhage, aneurysms and more! Study tips and prep questions
June 17, 2014
In today's episode we discuss the best way to look for a physician assistant job or any job for that matter.
June 3, 2014
We continue with neurology, covering infectious issues and movement disorders. Todays' podcast also includes study tips and review questions.
May 20, 2014
Today we cover headaches. Despite what I perviously thought it really isn't very hard.
May 6, 2014
We cover RSD, Bells' palsy, Guillain-Barre, and diabetic neuropathy. We also discuss the recent survey of the audience and some changes it will lead to.
April 22, 2014
This episode covers rheumatoid arthritis, lupus, scleroderma, reactive arthritis and sjogren's syndrome for your PANCE.
April 8, 2014
Fibromyalgia , Gout/pseudogout , Juvenile rheumatoid arthritis, Polyarteritis nodosa , Polymyositis, Polymyalgia rheumatica
March 25, 2014
A review of some orthopedic issues including tumors, osteomyolitis, cysts and more.
March 11, 2014
In this podcast we discuss issues involving the hip, knee, foot and ankle. As always we stick to the most important things for your PANRE or PANCE
February 25, 2014
In today's podcast we are covering disorders of the back and spine. As always we are sure to review the key term and ideas for your PANRE
February 12, 2014
Problems of the upper extremity. Musculoskeletal makes up 10% of the PANCE or PANRE. We start covering it today.
January 28, 2014
In today's podcast we cover leukemia, lymphoma and multiple myeloma. We cover just we you need to know for you PANCE or your PANRE
January 14, 2014
Today's session covers bleeding disorders including hemophilia, clotting disorders and platelet issues.
December 31, 2013
In today's session we discuss macrocytic and normocytic anemias
December 18, 2013
In today's session we cover basic vocabulary for anemia. We also cover iron deficiency anemia, thalassemia and sideroblastic anemias
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