Rotations 2.0

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Episode 45 Neck Pain 

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Intro Music: KI Instrumental (Rock Celtic) by Lyrium-2025

Outro Music: Through the Ashes by Alex Grohl

Courtesy of Pixabay under Creative Commons non-commercial use.

Produced by: Todd Fredricks DO MSS 

Edited by: Todd Fredricks DO MSS

Answers for Episode 44 Low Back Pain 

Question 1

A 45-year-old patient presents with chronic midline low back pain that worsens with sitting and forward flexion. MRI...

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Episode 44.1  Medical Malpractice with Johnathan Robe esq. Part 2

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Intro/Outro: Night Detective by Amaksi

Courtesy of Pixabay under Creative Commons for non-Commercial Educational use only.

Produced by: Todd Fredricks DO MSS 

Edited by: Todd Fredricks DO MSS

Rotations  2.0 is copyrighted. But you can use any content from the podcast for non-commercial purposes under Creative Commons….BUT, BUT, BUT, you must cite Rotations 2.0 and Todd Fredricks DO MSS as the source of the ma...

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Episode 44 Low Back Pain  

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Intro Music: KI Instrumental (Rock Celtic) by Lyrium-2025

Outro Music: Vision of Tomorrow by Alex Grohl

Courtesy of Pixabay under Creative Commons non-commercial use.

Produced by: Todd Fredricks DO MSS 

Edited by: Todd Fredricks DO MSS

Answers for Episode 43 Rheumatoid Arthritis 

Question 1: Pathogenesis and Risk Factors

A 45-year-old woman with a family history of rheumatoid arthritis (RA) presents with fati...

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Episode 43.1  Johnathan Robe esq. Part 1

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Intro/Outro: Night Detective by Amaksi

Courtesy of Pixabay under Creative Commons for non-Commercial Educational use only.

Produced by: Todd Fredricks DO MSS 

Edited by: Todd Fredricks DO MSS

Rotations  2.0 is copyrighted. But you can use any content from the podcast for non-commercial purposes under Creative Commons….BUT, BUT, BUT, you must cite Rotations 2.0 and Todd Fredricks DO MSS as the source of the material AND AND AN...

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Episode 43 Rheumatoid Arthritis

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Intro Music: KI Instrumental (Rock Celtic) by Lyrium-2025

Outro Music: Upbeat Yacht Club Fashion House Lounge by Alex Grohl

Courtesy of Pixabay under Creative Commons non-commercial use.

Produced by: Todd Fredricks DO MSS 

Edited by: Todd Fredricks DO MSS

Answers for Episode 42 Osteoarthritis 

Question 1: Epidemiology and Risk Factors

A 52-year-old woman presents with early-onset knee pain. She has a BMI of...

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Episode 42.1  Intro to Medical Malpractice

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Intro/Outro: Night Detective by Amaksi

Courtesy of Pixabay under Creative Commons for non-Commercial Educational use only.

Produced by: Todd Fredricks DO MSS 

Edited by: Todd Fredricks DO MSS

 Rotations  2.0 is copyrighted. But you can use any content from the podcast for non-commercial purposes under Creative Commons….BUT, BUT, BUT, you must cite Rotations 2.0 and Todd Fredricks DO MSS as the source of the material AND AND AND...

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Episode 42 Osteoarthritis

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Intro Music: KI Instrumental (Rock Celtic) by Lyrium-2025

Outro Music: Hard Rock to Drive to Survive Adrenaline Sport by Alex Grohl

Courtesy of Pixabay under Creative Commons non-commercial use.

 Produced by: Todd Fredricks DO MSS 

Edited by: Todd Fredricks DO MSS

Answers for Episode 41 Hemorrhoids

Question 1:

A 45-year-old patient with grade III internal hemorrhoids is concerned about postoperative pain and urinary ret...

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Episode 41 Hemorrhoids

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Intro Music: KI Instrumental (Rock Celtic) by Lyrium-2025

Outro Music: Mellow Future Bass (Bounce on it) by Alex Grohl

Courtesy of Pixabay under Creative Commons non-commercial use.

Produced by: Todd Fredricks DO MSS 

Edited by: Todd Fredricks DO MSS

Answers for Episode 40 Diarrhea 

Paper for Next Week: 

Alice Courties, Inès Kouki, Nadine Soliman, Sylvain Mathieu, Jérémie Sellam, Osteoar...

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Episode 40 Diarrhea

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Intro Music: KI Instrumental (Rock Celtic) by Lyrium-2025

Outro Music: Endless Universe (Dreamy Summer) by Alex Grohl

Courtesy of Pixabay under Creative Commons non-commercial use.

Produced by: Todd Fredricks DO MSS 

Edited by: Todd Fredricks DO MSS

“The Ghost Map” by Steven Berlin Johnson, Riverhead 2006

Some good You Tube presentations on this.

“Superiority” by Arthur C. Clarke  https://nob.cs.ucdavis...

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Episode 39 Constipation

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Intro Music: KI Instrumental (Rock Celtic) by Lyrium-2025

Outro Music: A Comedy Funny (Dream Lullaby) by Alex Grohl

Courtesy of Pixabay under Creative Commons non-commercial use.

Produced by: Todd Fredricks DO MSS 

Edited by: Todd Fredricks DO MSS

Answers for Episode 38 Diverticulitis 

Question 1: Pathophysiology and Risk Factors

A 65-year-old male presents with left lower quadrant abdominal pain and fever. CT confirms acu...

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Episode 38 Diverticulitis

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Intro Music: KI Instrumental (Rock Celtic) by Lyrium-2025

Outro Music: Breaking Free by Alex Grohl

Courtesy of Pixabay under Creative Commons non-commercial use.

Produced by: Todd Fredricks DO MSS 

Edited by: Todd Fredricks DO MSS

Answers for Episode 37 Cholelithiasis

Question 1: Pathophysiology and Risk Factors

A 45-year-old woman presents with intermittent right upper quadrant pain after meals. She has a BMI of 32 an...

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Episode 37 Gallstones

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Intro Music: KI Instrumental (Rock Celtic) by Lyrium-2025

Outro Music: Abstract Future Bass Pursuit by Qubesounds

Courtesy of Pixabay under Creative Commons non-commercial use.

 Produced by: Todd Fredricks DO MSS 

Edited by: Todd Fredricks DO MSS

 Answers for Episode 36 Hepatitis

 Question 1: Hepatitis A Prognosis and Management

A 68-year-old man presents with fatigue, jaundice, and elevated liver enzymes. He is diagnosed with acute...

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Episode 36 Hepatitis

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Intro Music: KI Instrumental (Rock Celtic) by Lyrium-2025

Outro Music: Yearning by dferun

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Produced by: Todd Fredricks DO MSS 

Edited by: Todd Fredricks DO MSS

Answers for Episode 35 Inflammatory Bowel Disease

Question 1: Diagnosis and Biomarkers

A 35-year-old patient presents with chronic gastrointestinal symptoms. Endoscopic and histologic findings are inconclusive for either ulcerative colitis or...

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Episode 35 Inflammatory Bowel Disease

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Intro Music: KI Instrumental (Rock Celtic) by Lyrium-2025

Outro Music: Comedy Quirky Funny Background Music by Background Music for Videos

Courtesy of Pixabay under Creative Commons non-commercial use.

Produced by: Todd Fredricks DO MSS 

Edited by: Todd Fredricks DO MSS

Answers for Episode 34 Irritable Bowel Syndrome

Question 1: Pathophysiology

A 34-year-old woman presents with chronic abdominal pain and alternating bowel ha...

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Episode 34 Irritable Bowel Syndrome

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Intro Music: KI Instrumental (Rock Celtic) by Lyrium-2025

Outro Music: Slow Trap by Anton Vlasov

Courtesy of Pixabay under Creative Commons non-commercial use.

Produced by: Todd Fredricks DO MSS 

Edited by: Todd Fredricks DO MSS

Answers for Episode 33 Peptic Ulcer Disease

Question 1: H. pylori Eradication Therapy

A 45-year-old male patient is diagnosed with a peptic ulcer and tests positive fo...

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Episode 33 Peptic Ulcer Disease

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Intro Music: KI Instrumental (Rock Celtic) by Lyrium-2025

Outro Music: Best Dramatic Music by Onoychenko

Courtesy of Pixabay under Creative Commons non-commercial use.

Produced by: Todd Fredricks DO MSS 

Edited by: Todd Fredricks DO MSS

Answers for Episode 32 GERD

Question 1: Diagnostic Strategy

A 45-year-old male presents with persistent heartburn and regurgitation despite an 8-week trial of single-dose PPI therapy. He...

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Episode 32 GERD

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 Intro Music: KI Instrumental (Rock Celtic) by Lyrium-2025

Outro Music: Comedy Cartoon Funny Background Music by Hitslab

Courtesy of Pixabay under Creative Commons non-commercial use.

Produced by: Todd Fredricks DO MSS 

Edited by: Todd Fredricks DO MSS

Answers for Episode 31 Vitamin D

Question 1: Vitamin D Metabolism

A 45-year-old woman with chronic liver disease is found to have low serum 25-hydroxyvitamin D [25(OH)D...

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Episode 31 Vitamin D

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Intro Music: KI Instrumental (Rock Celtic) by Lyrium-2025

Outro Music: Epic Dramatic Cinematic Mover Underscore by Aleksei Bezruchko

Courtesy of Pixabay under Creative Commons non-commercial use.

Produced by: Todd Fredricks DO MSS 

Edited by: Todd Fredricks DO MSS

 Answers for Episode 30 Testosterone Deficiency

Question 1: Diagnosis and Management

A 58-year-old male presents with fatigue, decreased libido, and erectile dysfunction. His total tes...

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Episode 30 Testosterone Deficiency

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Intro Music: KI Instrumental (Rock Celtic) by Lyrium-2025

Outro Music: Flying Through the Valley an Epical Trailer

Courtesy of Pixabay under Creative Commons non-commercial use.

Produced by: Todd Fredricks DO MSS 

Edited by: Todd Fredricks DO MSS

Answers for Episode 29 Gestational Diabetes

Question 1: 

 A 32-year-old Hispanic woman, G3P2, presents for her 28-week prenatal visit. Her 1-hour 50-g glucose challenge test is elev...

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Episode 29 Gestational Diabetes

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Intro Music: KI Instrumental (Rock Celtic) by Lyrium-2025

Outro Music: Modern Classical Inspirational Cinematic Motivational Music

Courtesy of Pixabay under Creative Commons non-commercial use.

Produced by: Todd Fredricks DO MSS 

Edited by: Todd Fredricks DO MSS

Answers for Episode 28 Polycystic Ovarian syndrome

Question 1: Diagnosis and Pathophysiology

A 24-year-old woman presents with irregular menstrual cycles and concerns about excessive facial hair. Physical examination re...

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Episode 28 Polycystic Ovarian Syndrome

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Intro Music: KI Instrumental (Rock Celtic) by Lyrium-2025

Outro Music: Science Documentary by Lexin Music 

Courtesy of Pixabay under Creative Commons non-commercial use.

Produced by: Todd Fredricks DO 

Edited by: Todd Fredricks DO

Answers for Episode 27 Metabolic Syndrome

Question 1: Pathophysiology

A 52-year-old male with central obesity, elevated triglycerides, and hypertension is diagnosed with metabolic syndrome. Which of the following bes...

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Episode 23.1  Amber Healy DO Diabetologist

A fantastic conversation with one of my favorite colleagues. A lot to learn from Dr. Healy’s wisdom about a massive problem for American Medicine. I hope you enjoy the discussion as much as I did.

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Intro/Outro: Night Detective by Amaksi

Courtesy of Pixabay under Creative Commons for non-Commercial Educational use only.

Produced by: Todd Fredricks DO MSS 

Edited by: Todd Fredricks DO MSS 

Rotat...

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Episode 27 Metabolic Syndrome

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Intro Music: KI Instrumental (Rock Celtic) by Lyrium-2025

Outro Music: Ki Instrumental Celtic Rock 357740 by Lyrium-2025

Courtesy of Pixabay under Creative Commons non-commercial use.

 Produced by: Todd Fredricks DO 

Edited by: Todd Fredricks DO

Answers for Episode 26 Obesity

Question 1: Clinical Decision-Making in Obesity Pharmacotherapy

A 45-year-old woman with a BMI of 34 kg/m² and type 2 diabetes has attempted multiple lifestyle inte...

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Episode 26 Obesity

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Intro Music: KI Instrumental (Rock Celtic) by Lyrium-2025

Outro Music: Tree of Life by Alex Grohl

Courtesy of Pixabay under Creative Commons non-commercial use.

Produced by: Todd Fredricks DO 

Edited by: Todd Fredricks DO

Answers for Episode 25 Hyperthyroidism

Question 1: Diagnosis and Pathophysiology

A 35-year-old woman presents with weight loss, palpitations, and heat intolerance. On examination, she has a diffusely enlarged thyroid wi...

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Episode 25 Hyperthyroidism

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Intro Music: KI Instrumental (Rock Celtic) by Lyrium-2025

Outro Music: Blockbuster Trailer

Courtesy of Pixabay under non-commercial creative commons use

Produced by: Todd Fredricks DO MSS

Edited by: Todd Fredricks DO MSS

Answers for Episode 24 Hypothyroidism

Question 1: Cardiovascular Comorbidities

A 58-year-old woman with a 10-year history of subclinical hypothyroidism presents for routine follow-up. Her TSH is persistently 6.8 mIU/L. She reports n...

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Episode 24 Hypothyroidism

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Intro Music: KI Instrumental (Rock Celtic) by Lyrium-2025

Outro Music: KI Instrumental Classic-Waltz by Lyrium-2025 Siggi Würtz 

Courtesy of Pixabay under non-commercial creative commons 

Produced by: Todd Fredricks DO MSS 

Edited by: Todd Fredricks DO MSS

Answers for Episode 23 Type 1 DM

Question 1: Clinical Application of Technology in Older Adults

A 75-year-old man with long-standing Type 1 diabetes is experiencing frequent episodes of se...

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Episode 12.1  Thoughts on Vaping

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 Intro/Outro: Night Detective by Amaksi

Courtesy of Pixabay under Creative Commons for non-Commercial Educational use only.

Produced by: Todd Fredricks DO MSS 

Edited by: Todd Fredricks DO MSS

Papers referenced:

 Avian V.White, David W. Wambui, Lok R. Pokhrel, Risk assessment of inhaled diacetyl from electronic cigarette use among teens and adults, Science of the Total Environment 772 (2021)

 E Andrew L. Pipe and Hassan...

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Episode 23 Type 1 Diabetes Mellitus 

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Intro: Rock Christmas/ Christmas Music by tramp963

Outro: KI Instrumental (Rock Celtic) by Lyrium-2025

Courtesy of Pixabay for non-commercial educational use

Produced by: Todd Fredricks DO MSS

Edited by: Todd Fredricks DO MSS

Questions and Answers from Episode 22

Question 1: 

A 45-year-old patient presents with polyuria, polydipsia, and unexplained weight loss. Laboratory tests reveal a fasting plasma glucose of 130 mg/dL and an...

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Episode 22.1  Elizabeth Beverly PhD, Diabetes Researcher

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Intro/Outro: Night Detective by Amaksi

Courtesy of Pixabay under Creative Commons for non-Commercial Educational use only.

Produced by: Todd Fredricks DO MSS 

Edited by: Todd Fredricks DO MSS

Rotations is produced using (and we always accept donations from any gear folks):

Rode Podcaster Pro

Rode NT1-A mics

Polsen Studio Headphones

Kopul XLR cables

San...

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Episode 22 Type 2 Diabetes Mellitus 

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Intro: Rock Christmas/ Christmas Music by tramp963

Outro: KI Instrumental (Rock Malmsteen-Style) by Lyrium-2025

Courtesy of Pixabay for non-commercial educational use

Produced by: Todd Fredricks DO MSS

Edited by: Todd Fredricks DO MSS

Questions and Answers from Episode 21

1.     A 62-year-old man presents with fever, productive cough, and pleuritic chest pain. Chest X-ray reveals a moderate right-sided pleural effusion. Thoracentesis is performed, and pleural fluid...

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Episode 21 Pleural Space Infections 

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Intro: Rock Christmas/ Christmas Music by tramp963

Outro: Survival by ikoliks

Courtesy of Pixabay for non-commercial educational use

Produced by: Todd Fredricks DO MSS

Edited by: Todd Fredricks DO MSS

Questions and Answers from Episode 20

Question 1: Cardiovascular Risk and OSA

 A 58-year-old man with a BMI of 36 kg/m² presents with excessive daytime sleepiness, loud snoring, and witnessed apneas duri...

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Episode 20 OSA

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Intro: Rock Christmas/ Christmas Music by tramp963

Outro: Whip Afro Dance Hall Music by Prazkhanal

Courtesy of Pixabay for non-commercial educational use 

Produced by: Todd Fredricks DO MSS

Edited by: Todd Fredricks DO MSS

Questions and Answers from Episode 19 

Question 1: Diagnosis and Testing

A 28-year-old woman presents with a 2-year history of nasal congestion, sneezing, and watery eyes that worsen in the spring and...

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Episode 19 Allergic Rhinitis

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Intro: Rock Christmas/ Christmas Music by tramp963

Outro: Tokyo Café by TVARI

Courtesy of Pixabay for non-commercial educational use

Produced by: Todd Fredricks DO MSS

Edited by: Todd Fredricks DO MSS

Questions and Answers from Episode 18  

Question 1

A 35-year-old male patient presents with newly diagnosed pulmonary tuberculosis (TB) confirmed to be drug-susceptible (DS-TB). The patient has non-cavitary disease and a low bacillary bur...

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Episode 18.1  Thoughts on TB

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Intro/Outro: Night Detective by Amaksi

 Courtesy of Pixabay under Creative Commons for non-Commercial Educational use only.

Produced by: Todd Fredricks DO MSS 

Edited by: Todd Fredricks DO MSS

Rotations is produced (bot not sponsored) using (and we always accept donations from any gear folks):

Rode Podcasters (Pro and Duo)

MacBook Pro

Rode NT1-A mics

Polsen Studio Headphones

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Episode 18 Tuberculosis

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Intro: Rock Christmas/ Christmas Music by tramp963

Outro: Piano Inspiring by Paul Yudin

Courtesy of Pixabay for non-commercial educational use

Produced by: Todd Fredricks DO MSS

Edited by: Todd Fredricks DO MSS

Questions and Answers from Episode 17 

Question 1: Antiviral Treatment for Elderly Patient

A 65-year-old man with chronic obstructive pulmonary disease (COPD) presents with a 2-day history of fever, cough, and myalgia. He ha...

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Episode 17 Influenza

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 Intro: Rock Christmas/ Christmas Music by tramp963

Outro: Main Title Blockbuster by Mint Music

 Courtesy of Pixabay for non-commercial educational use

Produced by: Todd Fredricks DO MSS

Edited by: Todd Fredricks DO MSS

Questions and Answers from Episode 16 

Question 1: Diagnosis of Bacterial Acute Rhinosinusitis

A 25-year-old male presents with a 7-day history of nasal congestion, rhinorrhea, and facial pressure. Initially, his symptoms improved after...

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Episode 16 Common Cold

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Intro: Rock Christmas/ Christmas Music by tramp963

Outro: Rainbow by Mood Mode

Courtesy of Pixabay for non-commercial educational use

Produced by: Todd Fredricks DO MSS

Edited by: Todd Fredricks DO MSS

“Who Moved my Cheese,” Spencer Johnson, 1998

https://en.wikipedia.org/wiki/Who_Moved_My_Cheese%3F

Questions and Answers from Episode 15 

Question 1: 

 A 32-year-old healthy female presents to your...

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Episode 15 Treating Respiratory Infections

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 Intro: Rock Christmas/ Christmas Music by tramp963

Outro: You and Me by HitsLab

Courtesy of Pixabay for non-commercial educational use

Produced by: Todd Fredricks DO MSS

Edited by: Todd Fredricks DO MSS

Questions and Answers from Episode 14 Bronchitis

Question 1: Diagnosis Scenario 

Question: A 35-year-old healthy patient presents with a two-week history of cough, mild fever (100.2°F), and normal lung auscultation. What is t...

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Episode 14 Acute Bronchitis

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 Intro: Rock Christmas/ Christmas Music by tramp963

Outro: You Can by Grand Project

Courtesy of Pixabay for non-commericial educational use

Produced by: Todd Fredricks DO MSS

Edited by: Todd Fredricks DO MSS

Questions and Answers from Episode 13 Pneumonia

 Question 1:

 A 70-year-old man presents to your clinic with a 3-day history of cough productive of yellow sputum, fever, and shortness of breath. On exam...

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Episode 13 Pneumonia

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Intro: Rock Christmas/ Christmas Music by tramp963

Outro: Winner Main by Gand Project

Courtesy of Pixabay for non-commercial educational use

 Produced by: Todd Fredricks DO MSS

Edited by: Todd Fredricks DO MSS

Questions and Answers from Episode 12 COPD

Question 1

A 62-year-old male with a 40-pack-year smoking history presents to the primary care clinic complaining of progressive shortness of breath during exercise and a ch...

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Episode 12 COPD

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Intro: Rock Christmas/ Christmas Music by tramp963

Outro: The Ocean by Grand Project

Courtesy of Pixabay for non-commercial educational use

Produced by: Todd Fredricks DO MSS

Edited by: Todd Fredricks DO MSS

Questions and Answers from Episode 11 Asthma

Question 1: Diagnosis of Asthma in Patients on Controller Treatment 

Question: A 35-year-old woman presents to your clinic with a history of recurrent wheezing and shortness of...

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Episode 11 Asthma

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Intro: Rock Christmas/ Christmas Music by tramp963

Outro: Armageddon by Grabnd Project

Courtesy of Pixabay for non-commericial educational use

Produced by: Todd Fredricks DO MSS

Edited by: Todd Fredricks DO MSS

Questions and Answers from Episode 10 Isolated Distal Deep Vein Thrombosis

Question 1: Management for a Patient with IDDVT Post-Flight

A 45-year-old woman presents with left calf pain and swelling after a recent long-haul f...

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Intro: Rock Christmas/ Christmas Music by tramp963

Outro: India Bollywood Hindi Song Background Jusic by ikoliks

Courtesy of Pixabay for non-commercial educational use

Produced by: Todd Fredricks DO MSS

Edited by: Todd Fredricks DO MSS

Questions and Answers from Episode 9 Pulmonary Embolism

Question 1: Diagnosis in Non-Pregnant Patients with Elevated D-dimer

 A 45-year-old woman presents to the emergency department with acute onset of chest pain and shortness of br...

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 Intro: Rock Christmas/ Christmas Music by tramp963

Outro: Alone by BoDleasons

Courtesy of Pixabay for non-commericial educational use

Produced by: Todd Fredricks DO MSS

Edited by: Todd Fredricks DO MSS

Questions and Answers from Episode 8 Stroke

1. Question: A patient presents with transient ischemic attack (TIA) symptoms that are triggered by physical activity or changes in blood pressure. Which type of stroke is most likely? 

2 Ques...

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Intro: Rock Christmas/ Christmas Music by tramp963

Outro: Eco Technology by Lexin Music

Courtesy of Pixabay for non-commericial educational use

Produced by: Todd Fredricks DO MSS

Edited by: Todd Fredricks DO MSS

Questions and Answers from Episode 7

Question 1: Reperfusion Strategy in STEMI

 A 65-year-old man presents to a rural hospital with a 2-hour history of severe chest pain. His ECG shows ST-segment elevation in the anterior le...

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Intro: Rock Christmas/ Christmas Music by tramp963

Outro: Fast Chase Music Comedy Action by Omar Faruque

Courtesy of Pixabay for non-commericial educational use

 Produced by: Todd Fredricks DO MSS

Edited by: Todd Fredricks DO MSS

Questions and Answers from Episode 6

 Question 1

A 62-year-old male with a 40-pack-year smoking history presents with complaints of leg pain during walking that resolves with rest. He is diagnosed with peripheral artery dis...

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Episode 6 PAD

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Intro: Rock Christmas/ Christmas Music by tramp963

Outro: Waterfall by RomanSenykMusic

Courtesy of Pixabay for non-commericial educational use

Produced by: Todd Fredricks DO MSS

Edited by: Todd Fredricks DO MSS

Questions and Answers from Episodes 4 and 5

Week 4

Question 1: Prevalence of AF in HF

Which of the following statements is true regarding the prevalence of atrial fibrillation (AF) in h...