Rotations 2.0

Rotations 2.0 Episode 61 Otitis Media

Send us Fan MailEpisode 61 Otitis MediaShoot me any comments or questions @Rotation2ptoh  on XIntro Music: KI Instrumental (Rock Celtic) by Lyrium-2025Outro Music: Innovation by Alex GrohlCourtesy of Pixabay under Creative Commons non-commercial use.Produced by: Todd Fredricks DO MSS Edited by: Todd Fredricks DO MSSAnswers for Episode 60 Mononucleosis Question 1 — Diagnostic strategy early in illnessA 19‑year‑old college student presents on day 3 of fever, severe sore throat, fatigue, and posterior cervical lymphadenopathy. A rapid heterophile (Monospot) test obtained today is negative. Her CBC shows 52% lymphocytes with 12% atypical lymphocytes. She does not take regular medications. Which of the following is the most appropriate next step?C. Order Epstein–Barr virus (EBV) viral capsid antigen (VCA) IgM/IgG serologyQuestion 2 — Therapeutics and special situationsA 17‑year‑old with confirmed infectious mononucleosis has progressive tonsillar hypertrophy, drooling, and muffled voice but maintains oxygen saturation at 97% on room air. Which of the following is the best next step?A. Administer a short course of systemic corticosteroidsQuestion 3 — Return‑to‑play and splenic complicationsA 20‑year‑old linebacker is diagnosed with infectious mononucleosis after 5 days of symptoms. He is afebrile today and wants to play in next week’s game. Which statement is most accurate for counseling?C. Most splenic ruptures occur within the first 21 days of symptom onset, and ~90% occur by day 31; therefore, no athletic activity should occur for the first 3 weeksPaper for Next Week:Caldwell, Jane M., Nathan A. Ledeboer, and Bobby L. Boyanton Jr. 2024. “Review: Known, Emerging, and Remerging Pharyngitis Pathogens.” The Journal of Infectious Diseases 230, Supplement 3: S173–S181.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 you cannot alter or edit the content in any manner without expressed permission of Todd Fredricks DO MSSRotations 2.0 is made possible by the generous understanding and accommodation of my beloved institution, Ohio University. The comments and ideas expressed on Rotations 2.0 are that of the content creators alone and may not reflect official policy or the opinion of the Ohio University, the State of Ohio, or the US Government or any other state, person or governmental agency.Listeners interested in specifics from the paper authors should contact them directly through their respective institutions.Any therapeutic ideas discussed should not be taken as any kind of medical advice or recommendations by the content creators and the content creators are not offering medical advice but discussing topics from an academic perspective. Listeners seeking advice about any medical care or decision-making should consult their own physician or medical provider and the content creators of Rotations 2.0 assume no liability for any listener's care or decision-making stemming from the topics discussed on Rotations 2.0.

Rotations 2.0 Point Episode 59.2 Protecting Medical Part II

Send us Fan MailEpisode 59.2 Protecting Medical Part IIShoot me any comments or questions @Rotations2ptoh  on XIntro/Outro: Night Detective by AmaksiCourtesy of Pixabay under Creative Commons for non-Commercial Educational use only.Produced by: Todd Fredricks DO MSS Edited by: Todd Fredricks DO MSSPapers referenced:Erickson, Jon V. “Operating in a Multidomain Environment: Combat Support Training Exercise 86‑24‑02.” Military Review (January–February 2025): 96–102.Crowley, Julie, and John S. G. Wells. “Assaulting Medical Neutrality: Reflections on Attacks on Healthcare and Clinicians in the Two World Wars and Implications for Contemporary Conflicts.” Nursing Inquiry 32 (2025): e70052. https://doi.org/10.1111/nin.70052.If you are interested in this topic I have assembled quite a resource set, please contact me at fredrick@ohio.edu and I can provide you with them.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 you cannot alter or edit the content in any manner without expressed permission of Todd Fredricks DO MSSRotations 2.0 is made possible by the generous understanding and accommodation of my beloved institution, Ohio University. The comments and ideas expressed on Rotations 2.0 are that of the content creators alone and may not reflect official policy or the opinion of the Ohio University, the State of Ohio, or the US Government or any other state, person or governmental agency.Any therapeutic ideas discussed should not be taken as any kind of medical advice or recommendations by the content creators and the content creators are not offering medical advice but discussing topics from an academic perspective. Listeners seeking advice about any medical care or decision-making should consult their own physician or medical provider and the content creators of Rotations 2.0 assume no liability for any listener's care or decision-making stemming from the topics discussed on Rotations 2.0.

Rotations 2.0 Episode 60 Mononucleosis

Send us Fan MailShoot me any comments or questions @Rotation2ptoh  on XIntro Music: KI Instrumental (Rock Celtic) by Lyrium-2025Outro Music: Cloud Atlas by Alex GrohlCourtesy of Pixabay under Creative Commons non-commercial use.Produced by: Todd Fredricks DO MSS Edited by: Todd Fredricks DO MSSAnswers for Episode 58 AbcessesQuestion 1 – Diagnosis of Early Lyme DiseaseA 42‑year‑old woman from Pennsylvania presents with 5 days of fever, fatigue, headaches, and diffuse myalgias. She denies noticing a tick bite. Physical examination reveals no rash. Initial two‑tier Lyme serology (ELISA + Western blot) is negative. Which of the following is the most accurate interpretation of this test result?C. Serologic testing is often insensitive in early Lyme disease, and a negative early test does not exclude infectionQuestion 2 – Persistent Symptoms After TreatmentA 33‑year‑old man was treated for early Lyme disease 9 months ago with a standard course of doxycycline. He now reports debilitating fatigue, impaired concentration, unrefreshing sleep, and intermittent musculoskeletal pain that have persisted for 6 months and interfere with daily life. Which of the following features best supports the diagnosis of Post‑Treatment Lyme Disease Syndrome (PTLD)?B. Prolonged symptoms affecting functional ability ≥6 months after standard treatmentQuestion 3 – Antibiotic‑Refractory Lyme ArthritisA 55‑year‑old woman presents with persistent right‑knee swelling 3 months after completing two courses of oral doxycycline for Lyme arthritis. Synovial fluid analysis shows an inflammatory profile but no bacterial growth. Which mechanism best explains her persistent joint inflammation?C. Persistence of Borrelia peptidoglycan antigenic debris that promotes ongoing inflammationPaper for Next Week:El Feghaly, R. E., Nedved, A., Katz, S. E., & Frost, H. M. (2023). New insights into the treatment of acute otitis media. Expert Review of Anti-infective Therapy, 21(5), 523–534. 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 you cannot alter or edit the content in any manner without expressed permission of Todd Fredricks DO MSS. Rotations 2.0 is made possible by the generous understanding and accommodation of my beloved institution, Ohio University. The comments and ideas expressed on Rotations 2.0 are that of the content creators alone and may not reflect official policy or the opinion of the Ohio University, the State of Ohio, or the US Government or any other state, person or governmental agency.Listeners interested in specifics from the paper authors should contact them directly through their respective institutions.Any therapeutic ideas discussed should not be taken as any kind of medical advice or recommendations by the content creators and the content creators are not offering medical advice but discussing topics from an academic perspective. Listeners seeking advice about any medical care or decision-making should consult their own physician or medical provider and the content creators of Rotations 2.0 assume no liability for any listener's care or decision-making stemming from the topics discussed on Rotations 2.0.

Rotations 2.0 Point Episode 59.1 Protecting Medicine Part I

Send us Fan MailEpisode 59.1  Intro to Protecting Providers Part 1Shoot me any comments or questions @Rotations2ptoh  on X 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 MSSReferences Full episode references available upon request just email me at fredrick@ohio.edu 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 you cannot alter or edit the content in any manner without expressed permission of Todd Fredricks DO MSSThe comments and ideas expressed on Rotations 2.0 are that of the content creators alone and may not reflect official policy or the opinion of the Ohio University, the State of Ohio, or the US Government or any other state, person or governmental agency.Any therapeutic ideas discussed should not be taken as any kind of medical advice or recommendations by the content creators and the content creators are not offering medical advice but discussing topics from an academic perspective. Listeners seeking advice about any medical care or decision-making should consult their own physician or medical provider and the content creators of Rotations 2.0 assume no liability for any listener's care or decision-making stemming from the topics discussed on Rotations 2.0.

Rotations 2.0 Episode 59 Lyme Disease

Send us Fan MailEpisode 59 Lyme DiseaseShoot me any comments or questions @Rotation2ptoh  on XIntro Music: KI Instrumental (Rock Celtic) by Lyrium-2025Outro Music: Touch by Alex GrohlCourtesy of Pixabay under Creative Commons non-commercial use.Produced by: Todd Fredricks DO MSS Edited by: Todd Fredricks DO MSSAnswers for Episode 58 AbcessesA 26‑year‑old woman reports recurrent painful deep nodules in both axillae that have persisted for 4 months despite topical care. Which feature from the Lancet review most directly supports a clinical diagnosis of hidradenitis suppurativa in this patient?C. Persistence of one or more active lesions for at least 3 months.According to the review, which comorbidity is most commonly associated with hidradenitis suppurativa and is reported in up to half of affected patients, warranting routine screening?C. Metabolic syndromeWhich of the following systemic therapies approved for moderate‑to‑severe hidradenitis suppurativa acts primarily by inhibiting tumor necrosis factor (TNF)?D. AdalimumabPaper for Next Week:Sylvester, J. E., Buchanan, B. K., & Silva, T. W. (2023). Infectious mononucleosis: Rapid evidence review. American Family Physician, 107(1), 71–78. 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 you cannot alter or edit the content in any manner without expressed permission of Todd Fredricks DO MSS.Rotations 2.0 is made possible by the generous understanding and accommodation of my beloved institution, Ohio University. The comments and ideas expressed on Rotations 2.0 are that of the content creators alone and may not reflect official policy or the opinion of the Ohio University, the State of Ohio, or the US Government or any other state, person or governmental agency.Listeners interested in specifics from the paper authors should contact them directly through their respective institutions.Any therapeutic ideas discussed should not be taken as any kind of medical advice or recommendations by the content creators and the content creators are not offering medical advice but discussing topics from an academic perspective. Listeners seeking advice about any medical care or decision-making should consult their own physician or medical provider and the content creators of Rotations 2.0 assume no liability for any listener's care or decision-making stemming from the topics discussed on Rotations 2.0.