Examining the gallbladder on ultrasound is not a particularly difficult skill.  However, the rest of the biliary exam on point of care ultrasound (POCUS) can be both challenging and time consuming.  Sometimes, the common bile duct (CBD) is not able to be positively identified.  This has led to questioning the importance of this particular component of the exam.  We will review some of the recent evidence in this post.

We have Patrick Bafuma back interviewing Dr. Nico Cortes-Penfeld from the University of Nebraska Medical Center.  He specializes in orthopedic infectious diseases.  Nico and Patrick are covering septic arthritis in this conversation.  We include some key pearls in the post but make sure to listen to the podcast for additional information.

EM ID is back again with Patrick Bafuma interviewing Dr. Nico Cortes-Penfeld from the University of Nebraska Medical Center.  He specializes in orthopedic infectious diseases.  Patrick interview Nico for two discussions, with the first being clindamycin.  Join back for the next discussion on septic arthritis.

It is time for another EB Medicine special.  The febrile young infant can be one of the scarier patients for a variety of reasons.  They are so young they are unable to communicate, they have very real and serious pathogens that can have deadly consequences, and the family as well as other individuals taking care of the patient can be nervous or scared creating increased stress.  In this post, we cover EB Medicine's recent article on this topic to better improve your practice.

If you have not figured it out yet, point of care ultrasound (POCUS) is not going away anytime soon.  It is a powerful tool in the hands of clinicians across the world.  With its growing utilization, there are still many that are hesitant to implement it into their daily practice.  In this podcast, we talk about how to encourage others to start using POCUS.

Katherine (Katie) Thompson from IPV Educators is discussing more pediatric abuse pearls.  Our focus this time is on the very sensitive subject regarding examination in pediatric sexual abuse.  Katie walks us through how we can interview and perform a preliminary exam before a complete exam by a forensic examiner.

Katherine (Katie) Thompson from IPV Educators is back to discuss some more pearls in regards to abuse and neglect.  This time, we talk about dogma regarding the history and physical exam components specifically for pediatric abuse and neglect.  We pay particular attention to the incorrect dogma that can impact our management.

Anaphylaxis is a life-threatening condition that requires early recognition and appropriate treatment for the best outcomes.    In pediatric cases, this can be more challenging for a variety of reasons including the barriers to obtaining a history and physical, knowing the appropriate dosing of medications, and the general stress of managing sick pediatric patients.  We discuss how to manage such patients in this EB Medicine special.

Patrick Bafuma handed over the reigns for this month's EM ID series to Dr. Gita Pensa with Brown University.  She  interviewed Dr. Colleen Kelly who is a gastroenterologist and also teaches at Brown.  In this podcast they talk about two very common GI complaints where antibiotics play a role: upper GI bleeding and C. diff infections.

We talk about point of care ultrasound (POCUS) frequently, but a common favorite topic is the use of ocular ultrasound.  This application can provide a vast amount of information quickly and easily.  As an added bonus, our main paper discussed in this post used PAs.  The week this is being originally posted is National PA Week.