The Hyperexcision Podcast

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  • MEDICINE

Welcome to the Hyperexcision podcast. This podcast is a time-efficient alternative to the written content on the website. It supplements the exam preparation material available on the hyperexcision.com website for medical students. You can follow along with the written material on the website while listening to this podcast. If you have any comments or suggestions, email hello@hyperexcision.com.

  1. 4 DAYS AGO

    Ep 14: A 2-day-old with abnormal hip movement

    Welcome to the Hyperexcision podcast. This podcast is a time-efficient alternative to the written content on the website. It supplements the exam preparation material available on the hyperexcision.com website for medical students. You can follow along with the written material on the website while listening to this podcast. If you have any comments or suggestions, email hello@hyperexcision.com. Every case has a script. Clinical approach is a collection of hypothetical case discussions with questions that test the key concepts for a particular disease presentation. A 2-day-old female infant born at 39 weeks via breech vaginal delivery is undergoing her routine newborn exam on day 2 of life. The baby is feeding well, active and has no apparent distress. On examination, she is a healthy term neonate. There is a positive Barlow test and a positive Ortolani test on the left. There is no leg length discrepancy. No other congenital anomalies are noted.

    19 min

  2. 8 APR

    Ep 13: A 12-year-old with right groin pain and a limp

    Welcome to the Hyperexcision podcast. This podcast is a time-efficient alternative to the written content on the website. It supplements the exam preparation material available on the hyperexcision.com website for medical students. You can follow along with the written material on the website while listening to this podcast. If you have any comments or suggestions, email hello@hyperexcision.com. Every case has a script. Clinical approach is a collection of hypothetical case discussions with questions that test the key concepts for a particular disease presentation. A 12-year-old boy was brought to the clinic with 1 1-month history of left groin pain and a limp. The pain began in his left groin and radiated to the left knee. It has been gradually increasing in intensity. It is worse with walking and relieved by rest. There is no history of trauma. He does not have pain in other joints or extremities. There is no history of recent infection, no history of fever, chills or malaise. He participates in physical education in school but is otherwise not involved in sports. He has no history of travel or camping trips and lives in an urban area. He takes no medication. There is no family history of joint problems. On physical examination, he is afebrile and appears obese. The left lower extremity is externally rotated, abducted and flexed, and he resists internal rotation. There is no leg length discrepancy. Neurologic and vascular examination is normal.

    14 min

  3. 1 APR

    Ep 12: A 32-year-old with right leg swelling and pain

    Welcome to the Hyperexcision podcast. This podcast is a time-efficient alternative to the written content on the website. It supplements the exam preparation material available on the hyperexcision.com website for medical students. You can follow along with the written material on the website while listening to this podcast. If you have any comments or suggestions, email hello@hyperexcision.com. Every case has a script. Clinical approach is a collection of hypothetical case discussions with questions that test the key concepts for a particular disease presentation. A 32-year-old P2+0 G33 at 32 weeks of gestation presents to the antenatal clinic with swelling and pain in her right leg for 3 days. On examination, her right leg is swollen, erythematous and has dilated superficial veins. On palpation, it is warm and tender. There is a 4 cm difference in leg circumference.

    11 min

  4. 25 MAR

    Ep 11: A 10-year-old with testicular swelling

    Welcome to the Hyperexcision podcast. This podcast is a time-efficient alternative to the written content on the website. It supplements the exam preparation material available on the hyperexcision.com website for medical students. You can follow along with the written material on the website while listening to this podcast. If you have any comments or suggestions, email hello@hyperexcision.com. Every case has a script. Clinical approach is a collection of hypothetical case discussions with questions that test the key concepts for a particular disease presentation. A 10-year-old male presents with a 2-month history of swelling of the left scrotum. The swelling has been increasing in size, but is not associated with pain, trauma, fever or urinary symptoms. On examination, the left hemiscrotum is enlarged, non-tender, smooth and fluctuant. It reduces in size when the patient lies down. The left testicle was palpated and felt to be normal and separated from the swelling. The swelling transilluminates in torchlight.

    8 min

  5. 18 MAR

    Ep 10: A 36-year-old with heavy menstrual bleeding and inability to conceive

    Welcome to the Hyperexcision podcast. This podcast is a time-efficient alternative to the written content on the website. It supplements the exam preparation material available on the hyperexcision.com website for medical students. You can follow along with the written material on the website while listening to this podcast. If you have any comments or suggestions, email hello@hyperexcision.com. Every case has a script. Clinical approach is a collection of hypothetical case discussions with questions that test the key concepts for a particular disease presentation. A 36-year-old woman, Para 0 + 1, presents with a 10-year history of inability to conceive despite regular unprotected coitus and a 2-year history of heavy menstrual bleeding. She reports prolonged periods lasting 8–10 days with passage of clots and associated dysmenorrhea. She denies post-coital bleeding but notes intermenstrual spotting occasionally. There is no history of chronic pelvic pain, weight loss, or systemic symptoms. On abdominal examination, there is a firm, irregular pelvic-abdominal mass corresponding to an 18-week gravid uterus. The mass is non-tender, nodular, and moves with the cervix. No ascites is detected. These are her laboratory results: Haemoglobin 8.9 g/dL, Serum Ferritin /dL, MCV 74 fL, 9 ng/mL, β-hCG Negative, FSH7 IU/L, LH 6 IU/L, TSH 2.1 µIU/L, and Prolactin14 ng/mL.

    27 min

  6. 11 MAR

    Ep 9: A 32-year-old with knee pain and inability to bear weight following road traffic accident

    Welcome to the Hyperexcision podcast. This podcast is a time-efficient alternative to the written content on the website. It supplements the exam preparation material available on the hyperexcision.com website for medical students. You can follow along with the written material on the website while listening to this podcast. If you have any comments or suggestions, email hello@hyperexcision.com. Every case has a script. Clinical approach is a collection of hypothetical case discussions with questions that test the key concepts for a particular disease presentation. A 32-year-old man is brought to the emergency department after a motorbike accident. He reports severe pain in the left knee and inability to bear weight. On inspection, there is gross swelling and deformity of the knee joint. The leg appears shortened and displaced laterally. He is in severe distress. Distal pulses in the dorsalis pedis and posterior tibial arteries are absent. The foot is pale and cool to the touch. Sensation over the dorsum of the foot is reduced, and he is unable to dorsiflex the ankle.

    8 min

  7. 4 MAR

    Ep 8: A 22-year-old with asthma

    Welcome to the Hyperexcision podcast. This podcast is a time-efficient alternative to the written content on the website. It supplements the exam preparation material available on the hyperexcision.com website for medical students. You can follow along with the written material on the website while listening to this podcast. If you have any comments or suggestions, email hello@hyperexcision.com. Every case has a script. Clinical approach is a collection of hypothetical case discussions with questions that test the key concepts for a particular disease presentation.

    1hr 17min

  8. 25 FEB

    Ep 7: A 46-year-old with right upper quadrant abdominal pain

    Welcome to the Hyperexcision podcast. This podcast is a time-efficient alternative to the written content on the website. It supplements the exam preparation material available on the hyperexcision.com website for medical students. You can follow along with the written material on the website while listening to this podcast. If you have any comments or suggestions, email hello@hyperexcision.com. Every case has a script. Clinical approach is a collection of hypothetical case discussions with questions that test the key concepts for a particular disease presentation. A 46-year-old woman presents to the emergency department with a 1-day history of constant right upper quadrant abdominal pain. The pain began after eating fried pork. She describes the severity of the pain as a 7 out of 10. She reports that the pain also seems to radiate to her back near her right scapula. She feels nauseated and has vomited twice. She has had similar pain about once a month for the past month but of less severity. The pain comes on and worsens after eating food but previously it has resolved within an hour. She also reports of fever. She does not have yellow discolouration of her eyes, has not lost weight, and does not have diarrhea, constipation, bleeding, or dark-colored stools. There is no history of abdominal distension or a mass in her abdomen. She is Para 6 + 0. She has no significant medical or surgical history, is not on any medication, and has no allergies. She does not smoke, nor does she drink alcohol. Her diet is usually high in fat. Her review of symptoms is unremarkable. She appears ill on physical exam. Her temperature is 37.7 C, heart rate is 110 beats per minute, and blood pressure is 120/80 mmHg. Her BMI is 33. There is no jaundice. She has marked tenderness to palpation in the epigastric region and right upper quadrant. When the right upper quadrant is palpated while she is taking a deep breath, she abruptly stops inspiration due to the pain. No masses are palpable. There is no rigidity, rebound tenderness, or guarding. The rest of her physical examination is unremarkable. Her ultrasound shows stones in the gallbladder, gallbladder wall thickness of 6mm, and pericholecystic fluid. The diameter of the Common Bile Duct is 1.8 mm and there are no stones visualized within it. The liver parenchyma appears normal. Sonographic Murphy’s sign is positive.  These are the results of her laboratory investigations: WBC count 14 x 10 ^3 u/L (4.1 – 10.9 x 10^3 u/L), Total Bilirubin 1.0 mg/dL (0.1 – 1.2 mg/dL), Alkaline phosphatase 70 units/L (33-131 u/L), Amylase 60 units/L (30 – 100 u/L), Lipase 30 units/L (7 – 60 u/L)

    34 min
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Welcome to the Hyperexcision podcast. This podcast is a time-efficient alternative to the written content on the website. It supplements the exam preparation material available on the hyperexcision.com website for medical students. You can follow along with the written material on the website while listening to this podcast. If you have any comments or suggestions, email hello@hyperexcision.com.

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