Alle afleveringen van The Curbsiders Internal Medicine Podcast – pagina 4 van 10

#427 Kittleson Rules Cardiac Amyloidosis

19 februari 2024 · 1 uur 5 min

Afspelen

The clinical picture of an underrecognized disease Lees meer

Amyloidosis demystified. Learn the clinical clues that suggest possible amyloidosis and how to order the correct tests to diagnose this disease. We are joined by Dr. Michelle Kittleson who shows us the ropes of treating fibril accumulation, @MKittlesonMD (Cedars Sinai).

Claim CME for this episode at curbsiders.vcuhealth.org!

Show Segments

Introduction

Case Presentation: Mr. Smith

Differential Diagnosis of Heart Failure with Preserved Ejection Fraction

Understanding Amyloidosis

Clinical Clues and Red Flags for Amyloidosis

Physical Examination Findings

Workup for Amyloidosis

Treatment Options

AL Amyloidosis and Hematologist's Role

ATTR Amyloidosis and Cardiologist's Role

Other Therapies for TTR Amyloidosis

Therapy on the Horizon

Cost and Access to Tafamidis

Alternative Therapies and Supplements

Monitoring and Side Effects of Tafamidis

Symptomatic Management and Anticoagulation

Take Home Points

Credits

Written and Produced by; Deborah Gorth, MD, PhD

Infographic and Cover Art: Meryl Gorth, RD, MPH and Deborah Gorth, MD, PhD

Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP

Reviewer: Sai S. Achi MD MBA

Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

Technical Production: PodPaste

Guest: Michelle Kittleson, MD, PhD

Transcript Disclaimer
We've included a a free AI-generated transcript which has not been corrected by a human for accuracy or completeness. Please consider this a starting point for further research and consultation. We disclaim any liability for damages or losses resulting from this content.

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#426 Breast Cancer for the PCP With Dr Sandhya Pruthi

12 februari 2024 · 54 min

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Join us as Sandhya Pruthi, MD talks us through basics of breast cancer, specifically how to share a new diagnosis with a patient, the spectrum of disease from favorable to more aggressive, and the basics of what to expect with initial treatment. Feel more confident sharing a new diagnosis of breast cancer and supporting your patients through this journey. Lees meer

Claim CME for this episode at curbsiders.vcuhealth.org!

Show Segments

00:00 Introduction
02:18 Getting to Know Dr Sandhya Pruthi
09:49 Picks of the Week
12:35 Case 1: Diagnosis and Treatment of ductal carcinoma in situ (DCIS)
21:24 Risk Stratification and Active Surveillance for DCIS
23:43 Genetic Testing Recommendations
28:08 Case 2: Evaluation and Diagnosis of a Breast Lump
39:14 Invasive Ductal Carcinoma
47:49 Initial Management of invasive ductal carcinoma (IDC)
48:19 Preoperative Discussion and MRI
49:19 Lumpectomy and Sentinel Lymph Node Biopsy
50:16 Radiation and Hormonal Adjuvant Therapy
51:46 Considerations for Chemotherapy
55:51 Signs of Late Recurrence or Metastasis
58:20 Screening Guidelines and Age
01:02:25 Importance of Breast Self-Awareness

Credits

Written and produced, Show Notes: Molly Heublein MD

Infographic and Cover Art: Edison Jyang

Hosts: Molly Heublein MD, Era Kryzhanovskaya MD

Reviewer: Leah Witt, MD

Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

Technical Production: PodPaste

Guest: Sandhya Pruthi MD

Transcript Disclaimer
We've included a a free AI-generated transcript which has not been corrected by a human for accuracy or completeness. Please consider this a starting point for further research and consultation. We disclaim any liability for damages or losses resulting from this content.

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#425 Perioperative Management of Antithrombotics with Dr. Poorvi Hardman

5 februari 2024 · 57 min

Afspelen

Get rid of those clots around anticoagulation and antiplatelet management Lees meer

Join us for a review of the perioperative risk assessment of bleeding and clotting and how to manage each patient’s own antithrombotics. We are joined by Dr. Poorvi Hardman from Ohio State University.

Claim CME for this episode at curbsiders.vcuhealth.org!

Show Segments

Intro

Rapid Fire Questions/Picks of the Week

Case 1

Risk stratification of thromboembolism and bleeding

Review of types of surgeries and risk associated with surgical intervention

Utilizing scoring systems to aid decision making

Bridging

Considerations for VKAs, DOACs

Pitfalls to bridging

Case 2

Aspirin Management

P2Y12 Management

Consultants

Outro

Credits

Written, produced and show notes by: Jaimie Patel MD

Infographic and Cover Art by: Caroline Coleman MD

Hosts: Monee Amin MD; Meredith Trubitt MD

Reviewer: Fatima Syed MD

Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

Technical Production: PodPaste

Guest: Poorvi Hardman MD

Transcript Disclaimer
We've included a a free AI-generated transcript which has not been corrected by a human for accuracy or completeness. Please consider this a starting point for further research and consultation. We disclaim any liability for damages or losses resulting from this content.

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R.S.V. Immunization with The Cribsiders

31 januari 2024 · 50 min

Afspelen

The Curbsiders and Cribsiders are back with a very special Med-Peds collaboration on RSV immunizations! Dr. Buddy Creech, Pediatric Infectious Disease at Vanderbilt, walks us through these breakthrough “vaccines" for both adults and kids. He teaches us about their mechanisms of action, eligibility criteria, and why it’s been so challenging to find doses this season. Get ready for your next shot of fun! Lees meer

#424 Hotcakes: Transfusion in Acute MI, COVID-19 Rebound after Paxlovid, Every-other-day Iron Revisited, Oral Phenylephrine Doesn’t Work, and Stop Correcting Serum Calcium

29 januari 2024 · 52 min

Afspelen

Join us as we review recent practice-changing articles on transfusion thresholds in acute MI, COVID-19 rebound after treatment with ritonavir-boosted nirmatrelvir (PaxlovidTM), the prevalence of iron deficiency, as well as the debut of our new “corrections and omissions” section, in which we cover important knowledge updates on oral iron dosing and correcting serum calcium. And, find out why oral phenylephrine does not work and what you should prescribe instead for upper respiratory symptoms. Fill your brain hole with a delicious stack of hotcakes! Featuring Paul Williams (@PaulNWilliamz), Rahul Ganatra (@rbganatra), and Matt Watto (@doctorwatto). Lees meer

Claim CME for this episode at curbsiders.vcuhealth.org!

Credits

Written, Produced, and Hosted by: Rahul Ganatra MD, MPH; Paul Williams, MD, FACP, Matthew Watto MD, FACP

Cover Art: Matthew Watto MD, FACP

Reviewer: Rahul Ganatra MD, MPH

Technical Production: Pod Paste

Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

Show Segments

00:00 Introduction and Calcium Puns

03:11 Iron Deficiency and Iron Supplementation

12:20 Corrected Calcium

18:09 Virologic Rebound after nirmatrelvir/ritonavir (Paxlovid™)

32:09 Phenylephrine and its Ineffectiveness

37:00 Restrictive vs. Liberal Transfusion Strategy in MI (MINT trial)

49:20 Outro

Transcript Disclaimer
We've included a a free AI-generated transcript which has not been corrected by a human for accuracy or completeness. Please consider this a starting point for further research and consultation. We disclaim any liability for damages or losses resulting from this content.

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#423 Dental Pain, Caries, Gingivitis, and Oral Care Tips & Tactics for Primary Care With Dr Lisa Simon

22 januari 2024 · 1 uur 11 min

Afspelen

Join Lisa Simon, MD, DMD (@lisathedoc) as we discuss dental care for the PCP- from examination techniques, treatment options, emergencies in dental care, and general dental advice. Help your patients manage caries, gingivitis, dry mouth, and temporomandibular joint (TMJ) dysfunction. Be aware of dental side effects of medications, how to manage anticoagulants during dental procedures, and when to recommend antibiotic prophylaxis. Lees meer

Claim CME for this episode at curbsiders.vcu health.org!

Show Segments

00:00 Introduction and Overview
09:13 Diagnosing Dental Pain and Examination Techniques
18:44 Treatment Options for Dental Pain
29:34 Complications and Emergencies in Dental Care
32:36 Post-operative Care and General Dental Advice
40:35 Dry Mouth and Treatment Options
44:05 Gingivitis
49:39 Temporomandibular Joint (TMJ) Dysfunction
55:43 Medications and Dental Side Effects
56:12 Anticoagulants and Dental Procedures
01:00:55 Endocarditis Prophylaxis
01:03:15 Joint Replacements and Antibiotic Prophylaxis
01:04:10 Oral Health in Patients with Opioid Use Disorder

Credits

Written and produced, Show Notes, Infographic and Cover Art by Dr Kate Grant

Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP

Reviewer: Molly Heublein MD

Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

Technical Production: PodPaste

Guest: Lisa Simon MD, DMD

Transcript Disclaimer
We've included a a free AI-generated transcript which has not been corrected by a human for accuracy or completeness. Please consider this a starting point for further research and consultation. We disclaim any liability for damages or losses resulting from this content.

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#422 LIVE! Inpatient Management of Sickle Cell Crisis, Acute Pain, RBC Transfusions & Acute Chest Syndrome

15 januari 2024 · 54 min

Afspelen

Learn practical tips for the inpatient management of patients with sickle cell disease and vaso-occlusive crisis from guest, Dr. Yoo Mee Shin (Emory). We cover acute pain management including adjuvant therapies, IV fluids, oxygen therapy, the management of acute chest syndrome, and when to perform simple vs exchange transfusions. Key takeaways include the importance of early triage and analgesia, addressing misconceptions about opioid use disorder in patients with sickle cell disease, and recognizing complications of vaso-occlusive crises. Lees meer

Claim CME for this episode at curbsiders.vcuhealth.org!

Show Segments

00:00 Intro

01:27 Getting to know our guest

07:48 Case Presentation and Initial Management of Sickle Cell Disease (SCD)

13:46 Misconceptions about opioid use disorder and sickle cell

17:02 Management of Acute Pain in Sickle Cell Disease

25:46 Adjuvant therapy for pain

29:04 Transition to outpatient care

32:46 General admission orders for sickle cell

38:44 Management of Acute Chest Syndrome

42:01 Simple vs exchange transfusion

47:08 Transfusion in preoperative and pregnant patients

48:03 Transitions and follow-up care

49:35 Key takeaways and Outro

Credits

Written and Produced by: Matthew Watto MD, FACP

Cover Art & Infographic: Matthew Watto MD, FACP

Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP

Reviewer: Emi Okamoto MD

Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

Technical Production: PodPaste

Guest: Yoo Mee Shin MD

Transcript Disclaimer
We've included a a free AI-generated transcript which has not been corrected by a human for accuracy or completeness. Please consider this a starting point for further research and consultation. We disclaim any liability for damages or losses resulting from this content.

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#421 Antiphospholipid Syndrome with Dr. Arielle Langer

8 januari 2024 · 1 uur 16 min

Afspelen

Conquer your fear of antiphospholipid syndrome! Dr. Arielle Langer leads us through what clinical features raise suspicion for antiphospholipid syndrome, how to interpret laboratory testing, and the nuances of antiphospholipid syndrome management. Lees meer

Claim CME for this episode at curbsiders.vcuhealth.org!

Show Segments

Intro

Case from Kashlak

What is antiphospholipid syndrome?

Clinical features that raise suspicion for antiphospholipid syndrome

Laboratory testing and diagnosis of antiphospholipid syndrome

Management of antiphospholipid syndrome: initial treatment

Management of antiphospholipid syndrome: managing recurrent thrombosis

Return to Case: Pregnancy in patients with a history of thrombotic APLS

Obstetric APLS

Final questions

Outro

Credits

Producer, Writer, Show Notes, Infographics, and Cover Art: Malini Gandhi

Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP

Reviewer: Fatima Syed MD

Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

Technical Production: PodPaste

Guest: Arielle Langer MD

Transcript Disclaimer
We've included a a free AI-generated transcript which has not been corrected by a human for accuracy or completeness. Please consider this a starting point for further research and consultation. We disclaim any liability for damages or losses resulting from this content.

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REBOOT: #334 IBS, Functional Dyspepsia, and Cyclic Vomiting: Disorders of Gut Brain Interaction (DGBI)

1 januari 2024 · 1 uur 38 min

Afspelen

Discover DGBI! Learn its pathophysiology, evaluation and individualized treatments so you can leave the fear of managing DGBI behind. We’re joined again by the great Dr. Xiao Jing (Iris) Wang, (@IrisWangMD, Mayo Clinic) Lees meer

Claim CME for this episode at curbsiders.vcuhealth.org!

Show Segments

Intro, disclaimer, guest bio

Guest one-liner, Picks of the Week*

Case from Kashlak; Definitions (6:20)

Definition of Disorders of the Gut-Brain Interaction (7:30-11:00)

Functional Dyspepsia: diagnostic criteria, definitions (15:30-24:30), and treatments (24:30-36:00)

Irritable bowel disease: diagnostics (41:00), testing algorithm, and treatments (55:00)

Cyclic Vomiting Syndrome and Cannabis Hyperemesis Syndrome: definitions, diagnosis, and management (1:11)

Take home points

Outro

Credits

Producer: Elena Gibson MD

Writer:Andréa Perdigão, Elena Gibson

Show Notes and Infographics: Andréa Perdigão

Cover Art: Kate Grant

Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP

Associate Editor: Leah Witt

Showrunner: Matthew Watto MD, FACP

Editor: Clair Morgan of nodderly.com

Guest: Dr. Xiao Jing (Iris) Wang MD

#420 Recap Extravaganza: 2023 Highlights and Top Stories

25 december 2023 · 1 uur 17 min

Afspelen

Join us as we recap various topics discussed throughout the year, including hormonal and non-hormonal therapy for menopause symptoms, hemochromatosis, evaluation and management of hematuria, updates in diabetes management (insulin, GLP1 agonists, SGLT2 inhibitors, hypoglycemia), xylazine overdose and withdrawal, primary aldosteronism, resistant hypertension, delirium, and its implications, the ACORN trial on AKI risk with pip-tazo vs. cefepime, the REPRIEVE trial on statin therapy in patients with HIV, inpatient heart failure management, the implications of kratom use, and the effectiveness of RSV vaccines. Plus, Paul Williams (@PaulNWilliamz), Rahul Ganatra (@rbganatra), Nora Taranto (@norataranto), and Matt Watto (@doctorwatto) share their picks of the year and take a moment to reflect on their gratitude for the fans and the opportunity to work on Curbsiders. Lees meer

Our team needed a break so we did not make CME for this episode.

Show Segments

Time Stamps are for Patreon (Ad-Free) Version

00:00 Introduction and Overview

09:42 Hormonal and Non-Hormonal Therapy for Menopause Symptoms

14:20 Understanding Hemochromatosis

19:24 Evaluation and Management of Hematuria

25:00 Updates in Diabetes Management

29:35 Xylazine Overdose and Withdrawal

35:35 Primary Aldosteronism

39:36 Resistant Hypertension

44:12 Delirium and its Implications

46:29 The Acorn trial and AKI risk

49:47 HIV trial: Reprieve

51:11 Updates in hospital medicine

56:00 Kratom and its implications

59:11 RSV vaccines and their effectiveness

01:05:38 Reflections and Gratitude

Credits

Written, Produced, and Hosted by: Nora Taranto MD, Rahul Ganatra MD, MPH; Matthew Watto MD, FACP; Paul Williams MD, FACP

Cover Art: Matthew Watto MD, FACP

Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

Technical Production: PodPaste

Transcript Disclaimer
We've included a a free AI-generated transcript which has not been corrected by a human for accuracy or completeness. Please consider this a starti…

REBOOT #281 Hypercalcemia: Calci-fun! with Dr. Carl Pallais

18 december 2023 · 1 uur 26 min

Afspelen

Absorb all (but not too much) of the Calcium for your brain hole as Dr. Carl Pallais (Brigham and Women’s Hospital) walks us through his approach to Hypercalcemia. We learn about how tightly our body regulates calcium and what to do when that regulation goes awry. Not to mention that PTH is the name to remember (and phosphorus, if you need a quick stand-in while that PTH is pending). Lees meer

Claim CE credit at curbsiders.vcuhealth.org. It's free for all healthcare professionals!

Absorb all (but not too much) of the Calcium for your brain hole as Dr. Carl Pallais (Brigham and Women’s Hospital) walks us through his approach to Hypercalcemia. We learn about how tightly our body regulates calcium and what to do when that regulation goes awry. Not to mention that PTH is the name to remember (and phosphorus, if you need a quick stand-in while that PTH is pending).

Show Segments

Intro, disclaimer, guest bio

Dr. Pallais One-Liner

Case from Kashlak

Definitions: What’s a Normal Calcium Level, and how to adjust for Albumin

Causes of hypercalcemia

How Lithium works!

Testing for Hypercalcemia: Get that PTH, and that phos

Symptoms of Hypercalcemia, and Questions on History

Indications for Surgery for Parathyroidectomy

Management of Hypercalcemia and Hypercalcemic Emergency

Outro

Credits

Producer, Writer, Infographic, Cover Art: Nora Taranto MD

Hosts: Matthew Watto MD, FACP; Nora Taranto MD

Reviewer: Yan Emily Yuan MD, MSc

Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com

Guest: Carl Pallais MD, MPH

Glass helps clinicians to draft differential diagnoses and draft clinical plans using physician-validated context. You can also use Glass to capture knowledge of all the schemas, scripts, cases, and pearls that you en…

REBOOT #250 Nephrotic Syndrome vs. Glomerulonephritis with Kidney Boy, Dr. Joel Topf

11 december 2023 · 1 uur 17 min

Afspelen

We’re taking a short break, but we’ll be back in two week with a brand-new episode. Can’t wait? Join our Kashlak family at patreon.com/curbsiders for access to twice-monthly bonus episodes… there are already 17 of them available to feed your brain hole! Yummy!
Time Stamps* Lees meer

Kashlak’s esteemed Chief of Nephrology, Dr Joel Topf @kidney_boy walks us through the evaluation and differentiation of nephrotic syndrome and glomerulonephritis. Embrace the kidney again as we sort the different diagnostics, managements, and prognosis for these two pathologies.

Time Stamps*

*Note: Time Stamps refer to ad free version

Intro, disclaimer, guest bio - 00:00

Picks of the Week - 3:10

Case from Kashlak - 6:30

Nephrotic syndrome definition- 12:30

Proteinuria evaluation - 15:04

Additional lab testing - 27:08; 40:09

Types of Nephrotic syndrome - 30:15

Mechanism of nephrotic syndrome edema - 33:08

Management of nephrotic syndrome - 44:07

Second Kashlak Case- Glomerulonephritis - 55:05

Treatment of glomerulonephritis - 65:05

Outro and post-credits scene - 73:20

Credits

Producer, writer, infographic, cover art: Elena Gibson MD

Hosts: Elena Gibson MD, Stuart Brigham MD; Matthew Watto MD, FACP; Paul Williams MD, FACP

Editor: Emi Okamoto MD (written); Clair Morgan of nodderly.com (audio)

Guest: Joel Topf MD

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#419 Rapid Response Series: Sepsis with Dr. Mohleen Kang A shock to the system

4 december 2023 · 1 uur 19 min

Afspelen

A shock to the system Lees meer

Join us for an infectious conversation about sepsis as we learn about the recognition and initial management of sepsis on the wards. We are joined by Dr. Mohleen Kang (@KangMohleen, Emory University).

Claim free CME for this episode at curbsiders.vcuhealth.org!

Show Segments

Intro

Rapid fire questions/Picks of the Week

Case

Managing rapid response logistics

Sepsis Scoring Systems

Diagnostic Work-up for Sepsis

Access

Antibiotic Management

Fluids

Pressors

Supportive Measures for Sepsis

Outro

Credits

Producers, Writers, and Hosts: Meredith Trubitt, MD and Monee Amin, MD

Show Notes: Meredith Trubitt, MD

Infographic and Cover Art: Sean Evans or Caroline Coleman

Reviewer: Leah Witt, MD

Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

Technical Production: PodPaste

Guest: Mohleen Kang, MD, MSc

Transcript Disclaimer
We've included a a free AI-generated transcript which has not been corrected by a human for accuracy or completeness. Please consider this a starting point for further research and consultation. We disclaim any liability for damages or losses resulting from this content.

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#418 DIGEST (Tofurkey Edition): Semaglutide for HFpEF, TCAs for IBS, Aspirin vs Clopidogrel after PCI, Pitavastatin for HIV, Starchy Vegetables & Weight Gain, Heavy Metals in Cannabis

27 november 2023 · 1 uur 3 min

Afspelen

Join us as we review recent articles and news featured in The DIGEST #45 and #46, including semaglutide in HFpEF and obesity (STEP HFpEF), TCAs for irritable bowel syndrome (ATLANTIS), clopidogrel versus aspirin as long-term secondary prevention after PCI (HOST-EXAM), statins in HIV (REPRIEVE), weight changes and diet, and heavy metal exposure in cannabis users. Fill your brain hole with a delicious stack of hotcakes! Featuring Drs. Paul Williams (@PaulNWilliamz), Nora Taranto (@norataranto), and Matt Watto (@doctorwatto). Lees meer

Claim free CME for this episode at curbsiders.vcuhealth.org!

Credits

Written and Hosted by: Nora Taranto MD; Paul Williams, MD, FACP, Matthew Watto MD, FACP

Cover Art: Matthew Watto MD, FACP

Reviewers: Nora Taranto MD; Paul Williams, MD, FACP; Matthew Watto MD, FACP; Sai Achi, MD MBA

Technical Production: Pod Paste

Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

Show Segments

Intro, disclaimer

STEP HFpEF: semaglutide for HFpEF in obesity

TCAs for IBS

HOST-EXAM and post-PCI clopidogrel versus aspirin after DAPT

REPRIEVE and pitavastatin in HIV

Starchy vegetables and weight changes

Cannabis and heavy metal content

Outro

Transcript Disclaimer
We've included a a free AI-generated transcript which has not been corrected by a human for accuracy or completeness. Please consider this a starting point for further research and consultation. We disclaim any liability for damages or losses resulting from this content.

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#417 USPSTF Update: PrEP for HIV Prevention with Dr. John Wong MD

22 november 2023 · 42 min

Afspelen

Become a pro on pre-exposure prophylaxis! Lees meer

Review the updated 2023 United States Preventive Task Force (USPSTF) guidelines on PrEP for HIV Prevention with Dr. John Wong.

Show Segments

Intro

What is PrEP?

USPSTF PrEP for HIV Prophylaxis recommendations

Defining Increased Risk for HIV

Counseling pearls

Types of PrEP, considerations about choice of PrEP

Talking about Safer Sex practices, HIV and STI screening on PrEP

Recap; outro

Credits

Producer, Writer, Show Notes, Infographic/Cover Art: Beth Garbitelli MD

Hosts: Paul Williams MD, FACP, Beth Garbitelli MD

Reviewer:Leah Witt MD

Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

Technical Production: PodPaste

Guest: John Wong MD

Transcript Disclaimer
We've included a a free AI-generated transcript which has not been corrected by a human for accuracy or completeness. Please consider this a starting point for further research and consultation. We disclaim any liability for damages or losses resulting from this content.

#416: Antifungals, Candida, Mucorales, Aspergillus, Pneumocystis: The Fungus Among Us with Dr. Ilan Schwartz MD

20 november 2023 · 1 uur 13 min

Afspelen

“I collect spores, molds and fungus” - Dr. Egon Spengler Lees meer

Dr. Ilan Schwartz MD PhD (@GermHunterMD) teaches us that we should always at least consider fungi in the differential diagnosis of unexplained sepsis, especially in patients with impaired immune systems or complex medical or surgical histories, and walks us through an approach to antifungals. Be sure to check out the Mycoses Study Group Education & Research Consortium (@MSG_ERC), an organization of clinicians who are dedicated to advancing diagnostics and treatment of fungal disease (where Dr. Schwartz serves on the board of directors!) Claim CME for this episode at curbsiders.vcuhealth.org!

Show Segments

Intro

Rapid fire questions, get to know our guest

Intentionally vague case; When should we be worried about fungal infection?

Overnight emergencies: Candidiasis and mucormycosis

Starting empiric anti-fungals

Testing basics: direct versus indirect

Fungemia, fungal endocarditis

Resistant candida; candida auris

Pneumocystis jiroveci pneumonia

Outro

Credits

Producer, Writer, Show Notes, Infographic/Cover Art: Beth Garbitelli MD

Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP, Beth Garbitelli MD

Reviewer: Emi Okamoto MD

Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

Technical Production: PodPaste

Guest: Ilan Schwartz MD, PhD

Transcript Disclaimer
We've included a a free AI-generated transcript which has not been corrected by a human for accuracy or completeness. Please consider this a starting point for further research and consultation. We disclaim any liability for damages or losses resulting from this content.

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#415 Bipolar Disorder With Dr. Kevin Johns

13 november 2023 · 1 uur 18 min

Afspelen

Diagnosing and treating bipolar disorder is not always black-and-white. Dr. Kevin Johns teaches us how to not get tripped up on this tricky diagnosis. (The Ohio State University Wexner Medical Center) Lees meer

Claim free CME for this episode at curbsiders.vcuhealth.org!

Show Segments

Intro

Case

Screening for mania

History for diagnosing bipolar disorder

Definition

Mimickers

Treatment

Outro

Credits

Written and Produced by: Deborah Gorth MD, PhD

Infographic and Cover Art: Deborah Gorth MD, PhD and Meryl Gorth MPH, RD

Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP; Deborah Gorth MD, PhD

Reviewer: Molly Heublein MD

Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

Technical Production: PodPaste

Guest: Kevin Johns MD

Transcript Disclaimer
We've included a a free AI-generated transcript which has not been corrected by a human for accuracy or completeness. Please consider this a starting point for further research and consultation. We disclaim any liability for damages or losses resulting from this content.

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REBOOT #300 Celiac Disease with Dr. Amy Oxentenko

6 november 2023 · 1 uur 14 min

Afspelen

We’re taking a short break, but we’ll be back next week with a brand-new episode. Can’t wait? Join our Kashlak family at patreon.com/curbsiders for access to twice-monthly bonus episodes… there are already 15 of them available to feed your brain hole! Yummy! Lees meer

Tighten up your glute-n facts!

Take control of celiac disease (CD) with gastroenterologist, Dr. Amy Oxentenko (Chair of Medicine at Mayo Clinic AZ, @AmyOxentenkoMD). Learn how to recognize both classic and non-classical features of CD and understand diagnostic testing, management and proper follow-up for patients.

Claim free CME for this episode at curbsiders.vcuhealth.org!

Show Segments

Intro, disclaimer, guest bio

Guest one-liner, Picks of the Week

Case from Kashlak; Definitions

Workup for a typical celiac patient

Nonclassical features of CD

When to do a small bowel biopsy

Management of CD

Considerations for atypical celiac patient and differentials

Non-celiac gluten sensitivity

Outro

Credits

Production and Script: Matthew Watto MD, FACP

Production, Show Notes and Infographics: Edison Jyang

Cover Art: Kate Grant MBChB, MRCGP, DipGUMed

Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP; Beth Garbitelli

Reviewer: Emi Okamoto MD

Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com

Guest: Amy Oxentenko MD, FACG

Birch Living

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Panacea Financial

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Grammarly

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#414 Spooky Cakes: VKA vs DOACs in Frail Adults, RSV Vaccine, Cuff Size Matters, Bloating & Belching, AKI & Pip-Tazo

30 oktober 2023 · 58 min

Afspelen

Join us as we review recent practice-changing articles on VKAs vs DOACs in frail adults with atrial fibrillation, RSV vaccine for adults over 60, how much does blood pressure cuff size matter, cotton fever in people who inject drugs, new bloating and belching guidelines, and does pip-tazo cause more AKI than cefepime. Fill your brain hole with a delicious stack of hotcakes! Featuring Paul Williams (@PaulNWilliamz), Rahul Ganatra (@rbganatra), and Matt Watto (@doctorwatto). Lees meer

Claim CME for this episode at curbsiders.vcuhealth.org!

Credits

Written and Hosted by: Rahul Ganatra MD, MPH; Paul Williams, MD, FACP, Matthew Watto MD, FACP

Cover Art: Matthew Watto MD, FACP

Reviewer: Sai Achi, MD

Technical Production: Pod Paste

Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

Show Segments

Intro, disclaimer

VKAs vs DOACs in frail adults with atrial fibrillation,

RSV vaccine for adults over 60,

how much does blood pressure cuff size matter?

cotton fever in people who inject drugs,

new bloating and belching guidelines,

does pip-tazo cause more AKI than cefepime?

Outro

Transcript Disclaimer
We've included a a free AI-generated transcript which has not been corrected by a human for accuracy or completeness. Please consider this a starting point for further research and consultation. We disclaim any liability for damages or losses resulting from this content.

Sponsor: Pathway

Download the Pathway app for free today.

Sponsor: Locumstory

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#413: Common Ear Complaints, Ear Exam 101, Cerumen Remedies, and more! Get an EARful with Dr. Angela Peng!

23 oktober 2023 · 1 uur 17 min

Afspelen

Common Ear Complaints, Tips and (Keratin) Pearls in Primary Care Lees meer

Get an earful from ENT expert Dr. Angela Peng about how to approach common ear concerns, basic ear exam skills, safely clearing earwax and more!

Claim free CME for this episode at curbsiders.vcuhealth.org!

Show Segments

Intro with great pun!

Rapid fire questions/Picks of the Week

Case #1: Inner ear complaint

Ear Exam 101

Eustachian Tube Dysfunction

Cholesteatoma

Case #2: Outer ear complaint

Malignant otitis externa

Open tympanic membrane treatments

Cerumen impaction

Itchy Ears

Outro

Credits

Producer, Writer, Show Notes, Cover Art and Infographics: Isabel Valdez, PA-C

Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP

Reviewer: Leah Witt, MD

Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

Technical Production: PodPaste

Guest: Angela Peng, MD

Transcript Disclaimer
We've included a a free AI-generated transcript which has not been corrected by a human for accuracy or completeness. Please consider this a starting point for further research and consultation. We disclaim any liability for damages or losses resulting from this content.

Sponsor: Pathway

Download the Pathway app for free today.

#24 Treating OUD in the Fentanyl Era: ASAM Treatment Week with Dr. Melissa Weimer

17 oktober 2023 · 55 min

Afspelen

Keep saving lives by prescribing methadone and buprenorphine. Learn how initiations of each have changed in the era of high-potency synthetic opioids (HPSOs) like fentanyl and how to continue to provide person-centered care to people with opioid use disorder. We’re joined by Dr Melissa Weimer, @DrMelissaWeimer (Yale University). This episode is in honor of National Addiction Treatment Week (treataddictionsavelives.org). Lees meer

Claim CME for this episode at curbsiders.vcuhealth.org!
By listening to this episode and completing CME, this can be used to count towards the new DEA 8-hr requirement on substance use disorders education.

Credits

Producers: Shawn Cohen MD, Kenneth Morford MD

Writer: Carolyn Chan MD MHS

Show Notes: Shawn Cohen MD

Infographic and Cover Art: Kenneth Morford MD

Hosts: Carolyn Chan MD. MHS Shawn Cohen MD, Natalie Stahl MD, Kenneth Morford MD

Reviewer: Kento Sonoda MD

Showrunner: Carolyn Chan, MD, MHS

Technical Production: PodPaste

Guest: Melissa Weimer DO MCR

Show Segments

Intro, disclaimer, guest bio 00:00

Guest one-liner 05:02

National Addiction Treatment Week 06:00

Case from Kashlak; Definitions 08:30

Starting methadone 11:01

Common methadone pitfalls 15:00

Buprenorphine precipitated opioid withdrawal 23:50

High-dose buprenorphine 32:20

Treating buprenorphine precipitated withdrawal 36:50

Low-dose buprenorphine 41:50

Maintenance dose of buprenorphine 48:15

ER buprenorphine 49:00

Take home points 53:31

#412 Low Carb, Keto, Fasting: Lifestyle Interventions for Weight Management

16 oktober 2023 · 1 uur 19 min

Afspelen

Semaglutide can’t fix everything… Lees meer

Recommend lifestyle interventions for weight management with Dr. Will Yancy, Director of the Duke Lifestyle and Weight Management Center and Interim Chief of Division of General Internal Medicine at Duke (@DrWillYancy). Learn about the ketogenic diet, lower carbohydrate diets, and exercise, and their impacts on your patients.

Claim free CME for this episode at curbsiders.vcuhealth.org!

Credits

Producer and writer: Fatima Syed, MD, MSc, FACP

Show Notes, Infographic, and Cover Art: Fatima Syed, MD, MSc, FACP

Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP

Reviewer: Emi Okamoto, MD

Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

Technical Production: PodPaste

Guest: Will Yancy, MD

Sponsor: Babbel

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Sponsor: Locumstory

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Sponsor: Pathway

Download the Pathway app today, 100% free for Curbsiders listeners

Full Transcript available HERE

#411 Adrenal Insufficiency with Dr. Atil Kargi

9 oktober 2023 · 1 uur 29 min

Afspelen

Show description:
Feel confident diagnosing adrenal insufficiency. Learn how to accurately interpret a stimulation test, differentiate primary from secondary adrenal insufficiency, and teach patients about preventing an adrenal crisis with Dr. Atil Kargi (UNC School of Medicine) Lees meer

Claim free CME for this episode at curbsiders.vcuhealth.org!

Show Segments

Intro

Case 1

Case 2

Topic

Outro

Credits

Written and Produced by: Elena Gibson, MD

Infographic and Cover Art: Edison Jyang

Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP

Reviewer: Sai S Achi, MD MBA

Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

Technical Production: PodPaste

Guest: Atil Kargi, MD

Sponsor: Pathway

Download the Pathway app today, 100% free for Curbsiders listeners
https://link.pathway.md/o53W/curb

Sponsor: NetSuite

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Sponsor: Grammarly

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Full transcript available HERE

#410 Diabetic Foot Infections

2 oktober 2023 · 1 uur 22 min

Afspelen

A Guide to Seeing Them and Stopping Them in Their Tracks
Be a step ahead of diabetic foot infections! Learn who really needs that MRI, when to call your vascular colleagues, and when you really need that pseudomonas and anaerobic coverage. We are joined by Dr. Andrew Webster, infectious disease physician and antimicrobial stewardship director at the Atlanta VA. Emory Division of Infectious Diseases Lees meer

Claim free CME for this episode at curbsiders.vcuhealth.org!

Show Segments

Intro

Picks of the Week

Case

Definitions

Risk Stratifications

Diagnostic Work-up

Vascular evaluations

Treatment

Outro

Credits

Writer, producer and show Notes: Reaford Blackburn, Jr., MD

Cover Art and Infographic: Monee Amin, MD

Hosts: Monee Amin, MD and Meredith Trubitt, MD

Reviewer: Sai Achi, MD

Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

Technical Production: PodPaste

Guest: Dr. Andrew Webster

Sponsor: Green Chef
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Sponsor: Pathway
Download the Pathway app today, 100% free for Curbsiders listeners at pathway.md

Sponsor: Birch Living
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Sponsor: Locumstory
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Full transcript available HERE

#409 Hormonal and Nonhormonal Therapy for Vasomotor Symptoms of Menopause

25 september 2023 · 1 uur 19 min

Afspelen

Master hormonal and nonhormonal therapies for menopausal symptoms including vasomotor symptoms (VMS). We’re joined by Dr. Monica Christmas, @drmonicaxmas (UChicago Medicine). Lees meer

Claim free CME for this episode at curbsiders.vcuhealth.org!

Show Segments

Intro

Nonpharmacologic management of vasomotor symptoms (VMS)

Non-hormonal therapy for menopause

Taking a history for menopausal symptoms, VMS

Hormone therapy (HT) risk assessment, counseling

Prescribing Hormone therapy

Troubleshooting hormone therapy

Premature menopause and primary ovarian insufficiency

Discontinuation of hormone therapy

Outro

Credits

Written and Produced by: Matthew Watto MD, FACP

Show Notes: Matthew Watto MD, FACP

Cover Art and Infographic: Matthew Watto MD, FACP

Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP

Reviewer: Molly Heublein MD

Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

Technical Production: PodPaste

Guest: Monica Christmas MD

Sponsor: Locumstory

Get a comprehensive view of locums and decide if it’s right for you at locumstory.com.

Full transcript available HERE.

#408 COPD in Older Adults with Leah Witt, MD & Amber Lanae Martirosov, PharmD

18 september 2023 · 1 uur 16 min

Afspelen

Definitions, 4Ms & Inhaler Pro Tips Lees meer

Level up COPD management in older adults. Start with learning the latest in COPD diagnosis and classification, then stay for the mind-blowing inhaler misuse & cost discussion. We’re joined by a dynamic (and interprofessional) duo: Dr. Leah Witt (@leahjwitt) and Dr. Amber Lanae Martirosov, PharmD (@AmberMartirosov).

Claim free CME for this episode at curbsiders.vcuhealth.org!

Intro

Rapid Fire Questions

Case Part 1

COPD Definition

COPD alphabet soup: ABE

Case Part 2

Geriatric 4Ms & COPD

Inhaler Use & Cost

Outro

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Full transcript available HERE

#407 DIGEST: Bempedoic acid and cardiac risk, Alpha-Gal Syndrome, Orforglipron, Zuranolone, DOACs for VTE of Malignancy, mAbs for Dementia, New Med for Smoking Cessation, Kiwis and Constipation

11 september 2023 · 1 uur 6 min

Afspelen

Join us as we review recent articles and news featured in The DIGEST #43 and #44, including bempedoic acid to lower cardiovascular risk, Alpha-Gal Syndrome, tick bites and meat allergy, orforglipron an oral GLP1 agonist for weight loss, zuranolone for postpartum depression, DOACs for VTE of malignancy, monoclonal antibodies (mAbs) for Dementia, cytisinicline for smoking cessation, and two kiwis a day for constipation. Fill your brain hole with a delicious stack of hotcakes! Featuring Drs. Paul Williams (@PaulNWilliamz), Nora Taranto (@norataranto), and Matt Watto (@doctorwatto). Lees meer

Claim free CME for this episode at curbsiders.vcuhealth.org!

Credits

Written and Hosted by: Nora Taranto MD; Paul Williams, MD, FACP, Matthew Watto MD, FACP

Cover Art: Matthew Watto MD, FACP

Reviewers: Nora Taranto MD; Paul Williams, MD, FACP, Matthew Watto MD, FACP

Technical Production: Pod Paste

Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

Sponsor: Netsuite

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Sponsor: Locumstory

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Sponsor: Grammarly

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Sponsor: Pathway

Download the Pathway app today by visiting pathway.md

Show Segments

Intro, disclaimer

Bempedoic Acid for CV risk reduction

DOACs to prevent recurrent VTE of malignancy

Cytisinicline for smoking cessation

Alpha-Gal Syndrome, tick bites, and meat allergy

Zuranolone for postpartum depression

Orforglipron, an oral GLP1 agonist, for weight management

mAbs for Alzheimer’s dementia

Kiwis to prevent constipation

Outro

REBOOT #293 The Best of Liver Tests with Dr. Elliot Tapper

4 september 2023 · 1 uur 6 min

Afspelen

We’re taking a short summer break, but we’ll be back in September with brand-new episodes. Can’t wait? Join our Kashlak family at patreon.com/curbsiders for access to twice-monthly bonus episodes… there are already 9 of them available to feed your brain hole! Yummy! Lees meer

Take a walk through Liver Land with Dr. Elliot Tapper (@ebtapper on Twitter) as we stroll through the best of liver tests. Once differentiating a hepatocellular versus cholestatic injury picture, Dr. Tapper shares some targeted labs to help with etiology, as well as what to do with those pesky isolated lab abnormalities. On top of that, we review common causes of severe acute liver disease and issues in pregnancy. Join us, and you’ll be writing more accurate notes as Dr. Tapper schools us on what “liver function tests” really mean!

Free CME for this episode at curbsiders.vcuhealth.org

Credits

Written and Produced by: Elena Gibson MD

Cover Art and Infographic: Kate Grant MD; Elena Gibson MD

Hosts: Stuart Brigham MD; Matthew Watto MD, FACP; Paul Williams MD, FACP

Editor: Emi Okamoto MD (written materials); Clair Morgan of nodderly.com

Guest: Elliot Tapper MD

Sponsor: Panacea
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Sponsor: Birch
Birch is giving 20% off ALL mattresses and 2 free eco-rest pillows at BirchLiving.com/curb when you use code BIRCHPARTNER20!

CME Partner: VCU Health CEThe Curbsiders are partnering with VCU Health Continuing Education to offer FREE continuing education credits for physicians and other healthcare professionals. Visit curbsiders.vcuhealth.org.

Show Segments

Intro, disclaimer, guest bio

Guest one-liner

Definitions of liver enzymes, liver function tests

Patterns of acute liver injury

Drug-induced liver injury

Isolated alkaline phosphatase elevation

Isolated…

REBOOT #321 Hypertension FAQ: Common Outpatient Cases with Dr. Jordy Cohen

28 augustus 2023 · 1 uur 20 min

Afspelen

We’re taking a short summer break, but we’ll be back in September with brand-new episodes. Can’t wait? Join our Kashlak family at patreon.com/curbsiders for access to twice-monthly bonus episodes… there are already 9 of them available to feed your brain hole! Yummy! Lees meer

Master common hypertension scenarios in the clinic! Our guest Dr. Jordy Cohen (@jordy_bc) will lead us through the FAQs of outpatient hypertension management, including making a diagnosis of hypertension, managing blood pressure in patients with chronic kidney disease, working up refractory hypertension, and more.

Free CME for this episode at curbsiders.vcuhealth.org

Credits

Writer: Matthew Watto, MD, FACP

Producers: Matthew Watto, MD, FACP and Malini Gandhi

Show Notes, Infographic, and Cover Art: Malini Gandhi

Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP

Reviewer: Emi Okamoto MD

Executive Producer: Beth Garbitelli

Showrunner: Matthew Watto MD, FACP

Editor: Clair Morgan of nodderly.com

Guest: Jordy Cohen MD

CME Partner: VCU Health CE

The Curbsiders are partnering with VCU Health Continuing Education to offer FREE continuing education credits for physicians and other healthcare professionals. Visit curbsiders.vcuhealth.org and search for this episode to claim credit. See info sheet for further directions. Note: A free VCU Health CloudCME account is required in order to seek credit.

Show Segments

Intro, disclaimer, guest bio

Guest one-liner, Picks of the Week*

Case from Kashlak: New diagnosis of hypertension

How to make a diagnosis of hypertension

When to start anti-hypertensive medication

Initial blood pressure regimen

Case from Kashlak: White coat hypertension

Case from Kashlak: Hypertension in chronic kidney disease

ACEis and ARBs in chronic kidney disease

Diuretics in chronic kidney disease

Case from Kashlak: Refractory hypertension

History and initial workup for refractory hype…

REBOOT #324: Obesity Medicine FAQ with Dr. Fatima Cody Stanford

21 augustus 2023 · 53 min

Afspelen

We’re taking a short summer break, but we’ll be back in September with brand-new episodes. Can’t wait? Join our Kashlak family at patreon.com/curbsiders for access to twice-monthly bonus episodes… there are already 9 of them available to feed your brain hole! Yummy! Lees meer

Obesity treatment has been around since the 1950s but we’ve been underutilizing it for far too long! Not only that, we’ve been thinking about obesity the wrong way for decades. Join us with Dr. Fatima Cody Stanford (@AskDrFatima) of Massachusetts General Hospital as we reframe our approach to this disease and learn tips on prescribing older, but still very effective, medications used to treat obesity.

Free CME for this episode at curbsiders.vcuhealth.org

Credits

Producer, Writer, Show Notes, Infographics, Cover Art: Isabel Valdez, PA-C

Show Notes, Infographics: Maddison McLellan

Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP

Reviewer: Monee Amin, MD

Executive Producer: Beth Garbitelli

Showrunner: Matthew Watto MD, FACP

Editor: Clair Morgan of nodderly.com

Guest: Fatima Cody Stanford, MD

Sponsor: Locumstory

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Sponsor: Babbel
.Get 55% off your Babbel subscription at Babbel.com/curb. Rules and restrictions apply.

CME Partner: VCU Health CEThe Curbsiders are partnering with VCU Health Continuing Education to offer FREE continuing education credits for physicians and other healthcare professionals. Visit curbsiders.vcuhealth.org and search for this episode to claim credit.The Curbsiders are partnering with VCU Health Continuing Education to offer FREE continuing education credits for physicians and other healthcare professionals. Visit curbsiders.vcuhealth.org.

Show Segments

Intro, disclaimer, guest bio

Guest one-liner by Dr. Fatima Cody Stanford

Case from Kashlak

Guidelines for treatment

Getting the history and discussing weight goals

Th…

REBOOT #316 Lower Extremity Edema with The Curbsiders

14 augustus 2023 · 1 uur 2 min

Afspelen

Your swell guide to the swollen leg Lees meer

We’re taking a short summer break, but we’ll be back in September with brand-new episodes. Can’t wait? Join our Kashlak family at patreon.com/curbsiders for access to twice-monthly bonus episodes… there are already 9 of them available to feed your brain hole! Yummy!

We have seen our esteemed guests, and they are us! Paul Williams (@PaulNWilliamz) leads the discussion with Matt Watto (@DoctorWatto) and Beth “Garbs” Garbitelli (@bethgarbitelli) on the evaluation and management of common causes of edema.

Credits

Written and produced by: Paul Williams, MD, FACP

Infographic and Cover Art: Matthew Watto, MD, FACP

Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP; Beth Garbitelli

Reviewer: Emi Okamoto, MD

Executive Producer: Beth Garbitelli

Showrunner: Matthew Watto, MD, FACP

Editor: Clair Morgan of nodderly.com

Show Segments

Intro, disclaimer

Picks of the Week*

The case of Lynn Fedema

Pathophysiology of edema

Differential diagnosis of chronic edema

Chronic edema work-up

Management of chronic edema

Calvin Fedema and acute edema

Evaluation of acute edema

Outro

Sponsor: Pathway

Pathway is an innovative tool to improve your clinical decision-making process and enhance patient care. Download the app at pathway.md

REBOOT: #372 Endocrine Emergencies featuring Dr. Sara Markley Webster

7 augustus 2023 · 1 uur 24 min

Afspelen

We’re taking a short summer break, but we’ll be back in September with brand-new episodes. Can’t wait? Join our Kashlak family at patreon.com/curbsiders for access to twice-monthly bonus episodes… there are already 9 of them available to feed your brain hole! Yummy! Lees meer

In this episode, we discuss an overview of inpatient management of can’t miss endo emergencies. Our esteemed guest, Dr. Sara Markley Webster (Emory University, @smarkleywebster) walks us through identification, workup and management of adrenal crisis, myxedema coma, and thyroid storm.

Free CME for this episode at curbsiders.vcuhealth.org

Credits

● Written, Produced, and Hosted by: Monee Amin, MD and Meredith Trubitt, MD
● Show Notes, Infographic and Cover Art: Caroline Coleman, MD
● Reviewer: Emi Okamoto, MD
● Showrunner: Matthew Watto MD, FACP; Paul Williams MD, FACP
● Technical Production: PodPaste
● Guest: Sara Markley Webster, MD

Sponsor: Grammarly

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Sponsor: Locumstory

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Sponsor: Birch Living

Birch is giving 20% off ALL mattresses and 2 free eco-rest pillows at Birchliving.com/curb when you use code BIRCHPARTNER20!

CME Partner: VCU Health CE

The Curbsiders are partnering with VCU Health Continuing Education to offer FREE continuing education credits for physicians and other healthcare professionals. Visit curbsiders.vcuhealth.org.

Show Segments

● Intro, disclaimer, guest bio
● Guest one-liner, Picks of the Week*
● Case 1 from Kashlak
● Adrenal crisis identification, workup and management
● Case 2 from Kashlak
● Myxedema identification, workup and management
● Case 3 from Kashlak
● Thyroid storm identification, workup and management
● Outro

Full transcript available HERE

#406 Kneedful Things: Knee Pain 201 with Dr. Ted Parks

31 juli 2023 · 1 uur 7 min

Afspelen

Ready for more knee pain? You’ve already memorized episode #98, so join us as Ted Parks to returns to teach us even more about common causes of knee pain (anterior knee pain, patellofemoral pain, knee bursitis, pain after knee replacement) and what to do about them! Lees meer

Claim free CME for this episode at curbsiders.vcuhealth.org!

Credits

Producer: Paul Williams, MD, FACP

Writer: Paul Williams, MD, FACP

Show Notes: Paul Williams, MD, FACP

Infographic and Cover Art: Paul Williams, MD, FACP

Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP

Reviewer: Fatima Syed MD, MSc

Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

Technical Production: PodPaste

Guest: Edward (Ted) Parks, MD

Sponsor: Pathway
Download the free Pathway app today by visiting https://www.pathway.md/

Full transcript available HERE

#405 Obesity Medicine, GLP1 agonists, Weight Loss Management Tools and Tips

24 juli 2023 · 58 min

Afspelen

Hone your obesity medicine skills in primary care! We discuss overcoming barriers, patient counseling, obesity pathophysiology, motivational interviewing, tools and tips from a weight loss program, and how to discuss medications for weight loss including phentermine/topiramate, bupropion/naltrexone, orlistat, oral superabsorbent hydrogel, and GLP1 agonists. We’re joined by obesity medicine expert, Dr. Kimberly Anne Gudzune of @HopkinsMedicine, recorded @SocietyGIM #SGIM23 in Denver, Colorado Lees meer

Claim free CME for this episode at curbsiders.vcuhealth.org!

Show Segments

Intro

Barriers to treating medicine in primary care

Patient counseling and obesity pathophysiology

Motivational Interviewing

Telemedicine for obesity

Tools and tips for a weight loss program

Medications for Obesity

GLP1 agonist prescribing tips

Outro

Credits

Written and Produced by: Matthew Watto MD, FACP

Show Notes: Matthew Watto MD, FACP

Cover Art and Infographic: Matthew Watto MD, FACP

Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP

Reviewer: Leah Witt MD

Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

In-studio Technical Production: Chris Chiu MD, FACP, FAAP

Technical Production: PodPaste

Guest: Kimberly Anne Gudzune MD, MPH

#404 Hematuria with Dr. Derek Fine

17 juli 2023 · 53 min

Afspelen

When there’s blood in the water… Lees meer

Work-up hematuria with confidence. Learn what you should be worrying about, what tests are worth considering, and how to figure out if this is a job for a urologist or nephrologist.

Claim free CME for this episode at https://curbsiders.vcuhealth.org!

Credits
Producer and writer: Paul Williams, MD, FACP
Show Notes, Infographic, and Cover Art: Paul Williams, MD, FACP
Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP
Reviewer: Emi Okamoto, MD
Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
Technical Production: PodPaste
Guest: Derek Fine, MD

#403 Hotcakes: Ketamine, Kratom, Nonhormone therapy for menopause, Metformin for long COVID, and New Breast Cancer Screening Recs

10 juli 2023 · 55 min

Afspelen

Join us as we review recent practice-changing articles on ketamine vs ECT for refractory depression, nonhormone treatment (fezolinetant) for menopause, metformin for long COVID, new breast cancer screening draft recommendations, and a primer on kratom. Lees meer

Fill your brain hole with a delicious stack of hotcakes! Featuring Paul Williams (@PaulNWilliamz), Rahul Ganatra (@rbganatra), and Matt Watto (@doctorwatto).

Go to https://thecurbsiders.com for more info
Become a Kashlak Memorial Hospital member and support us by joining our Patreon
Claim free CME for this episode at curbsiders.vcuhealth.org!

Addiction Medicine #12 - Listener Q & A on Substance Use Disorders

6 juli 2023 · 1 uur 4 min

Afspelen

Put on your Primary Care Cat-Hat Lees meer

We are thrilled to be back to kick off season 2! Carolyn Chan, MD (@CarolynAChan) soon to be at the University of Cincinnati, Shawn Cohen MD (@ShawnCohen_MD) at Yale University, Kenneth Morford MD at Yale University, and Natalie Stahl MD (@NanouTheNomad) at Greater Lawrence Family Health Center are back and on this episode, they answer burning questions submitted by listeners. We cover topics such as targeted naltrexone, increasing buprenorphine doses, treating kratom dependence, and so much more!

Claim free CME for this episode at curbsiders.vcuhealth.org!

By listening to this episode and completing CME, this can be used to count towards the new DEA 8-hr requirement on substance use disorders education.

Credits

Producer, Show Notes: Kenneth Morford, MD

Infographic and Cover Art: Carolyn Chan, MD, MHS

Hosts: Carolyn Chan MD, MHS, Shawn Cohen MD, Kenneth Morford MD, Natalie Stahl MD, MPH

Reviewer: Payel Jhoom Roy, MD

Showrunner: Carolyn Chan, MD, MHS

Technical Production: PodPaste

#402 Don’t Get Caught with a CAUTI

3 juli 2023 · 1 uur

Afspelen

Dominate naughty CAUTIs. Learn how to define them, which studies to order, and how to treat and prevent these pesky infections. We’re joined by Dr. Laila Woc-Colburn, @DocWoc71 (Emory University). Lees meer

Claim free CME for this episode at curbsiders.vcuhealth.org!

Credits

Please consolidate if performing multiple jobs (e.g. Written and Produced by: Cyrus Askin MD; cover art and infographic by Kate Grant)

Producer and Writer:: Noble Maleque MD

Show Notes: Caroline Coleman MD & Noble Maleque MD

Cover Art and Infographic: Caroline Coleoman MD & Sean Evans MD

Hosts: Monee Amin MD & Meredith Trubitt MD

Reviewer: Sai S Achi, MD MBA

Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

Technical Production: PodPaste

Guest: Laila Woc-Colburn MD

#401 Updates in Addiction Medicine - SGIM 2023

26 juni 2023 · 1 uur 2 min

Afspelen

We are far too classy for a “Rocky Mountain High” joke. Lees meer

Live from SGIM 2023 in Aurora, Colorado! We talk to a panel of Addiction Medicine specialists who recap their outstanding talk on all of the exciting developments in treating addiction. We review major policy changes, trends in drug overdose, outpatient screening for alcohol use, and all of the ways we might be using psychedelics to treat addiction. We are joined by Stefan Kertesz, MD @StefanKertesz (University of Alabama at Birmingham), Ximena Levander, MD, MCR, FACP @XimenaLevander (OHSU), Kenneth L. Morford MD, FASAM (Yale), and Katherine Mullins, MD, AAHIV @_kmullins_ (NYU Langone).

Claim free CME for this episode at curbsiders.vcuhealth.org!

Credits

Producer: Carolyn Chan, MD and Paul Williams, MD, FACP

Writer: Carolyn Chan, MD and Paul Williams, MD, FACP

Show Notes, Infographic, and Cover Art: Paul Williams, MD, FACP

Hosts: Carolyn Chan, MD; Matthew Watto MD, FACP; Paul Williams MD, FACP

Reviewer: Leah Witt, MD

Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

Technical Production: PodPaste

Guests: Stefan Kertesz, MD, MSc; Ximena A. Levander, MD, MCR, FACP; Kenneth L. Morford, MD, FASAM; Katherine Mullins, MD, AAHIV

#400 Antiplatelets, Anticoagulation for Coronary Artery Disease and Afib

19 juni 2023 · 59 min

Afspelen

Master the prescription of antiplatelets and anticoagulation for coronary artery disease and afib (atrial fibrillation). We discuss why, when, and how long to prescribe aspirin, clopidogrel, ticagrelor, prasugrel, and/or anticoagulation for primary, secondary, and “primary and a half” prevention including the definition and discussion of mono, dual, and triple therapy for patients with coronary disease who need anticoagulation for atrial fibrillation. We’re joined by preventive cardiologist, Dr. Donald Lloyd-Jones MD, ScM (@dmljmd from NMCardioVasc)! This episode was recorded in person at ACP’s (@ACPIMPhysicians) Internal Medicine Meeting 2023 #im2023 in San Diego. Lees meer

Claim free CME for this episode at curbsiders.vcuhealth.org!

Show Segments

Intro

Getting to know our guest

Definition mono, dual, triple therapy, DAPT

Post-PCI for NSTEMI with existing afib

Stable CAD with new Afib

CABG with New Afib

Prior stent with New Afib

Antiplatelet therapy after Acute Coronary Syndrome

Primary Prevention

Primary “and a half” Prevention

Life’s Essential 8

Outro

Sponsor: Pattern https://www.patternlife.com/

Sponsor: Panacea Financial https://panaceafinancial.com/

Credits

Written and Produced by: Matthew Watto MD, FACP

Show Notes: Matthew Watto MD, FACP

Cover Art & Infographic: Matthew Watto MD, FACP

Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP

Reviewer: Fatima Syed MD, MSc

Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

Technical Production: PodPaste

Guest: Donal Lloyd-Jones MD, ScM

#399 Wisely Ordering Autoantibodies - ACP IM2023

12 juni 2023 · 57 min

Afspelen

The ANA, anti-CCP, RF, and beyond! Lees meer

We all have ‘rheum’ to grow when it comes to making sense of autoantibodies and common markers. We talk through the nuances with rheumatologist Dr. Matthew B. Carroll (biography here!). Our interview covers physical exam tips for inflammatory arthritis, basic interpretation of rheumatologic testing, and what to do with the dreaded ‘vaguely positive’ speckled ANA!

Claim free CME for this episode at curbsiders.vcuhealth.org!

Show Segments

Intro

Case 1

History clues

Physical exam pearls; what does synovitis look like?

Interpreting mixed labs

Rheumatoid Factor tips

Role for imaging

Importance of early diagnosis

New testing modalities

Case 2

Oh no– a vaguely positive ANA!

ANA testing basics

Outro

Credits

Showrunners, Hosts, Producers and Writers: Matthew Watto MD, FACP; Paul Williams MD, FACP

Show Notes, Infographic, Cover Art: Beth Garbitelli MD

Reviewer: Emi Okamoto MD

Technical Production: PodPaste

Guest: Matthew B. Carroll MD

Sponsor: Brooklinen
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Sponsor: Grammarly
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Sponsor: Glass Health
You can get one month of Glass Pro free by signing up at glass.health and using the code: CURBSIDERS.

# 398:Live! From SHM: Inpatient Cirrhosis Management

5 juni 2023 · 52 min

Afspelen

Learn to bust through inpatient cirrhosis management! The basics of ascites, HRS, portal vein thrombosis and hepatic encephalopathy management are all here. We’re joined by Dr. Suchita Sata (@suchitasata) (Duke University). Lees meer

Claim free CME for this episode at curbsiders.vcuhealth.org!

Show Segments

Intro

Austin Picks of the week

Case

Ascites

Portal Vein Thrombosis

AKI/HRS

SBP

Diuretic Management

Albumin

Case

HRS treatment

GIB Management

Hepatic Encephalopathy Management

Palliative Care

Outro

Credits

Producer, Writer: Monee Amin MD, Meredith Trubitt MD

Show Notes, Cover Art: Monee Amin MD

Infographic: Caroline Coleman MD

Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP

Reviewer: Sai S Achi MD

Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

Technical Production: PodPaste

Guest: Suchita Sata MD

Sponsor: Indeed

Start hiring now with a $75 sponsored job credit to upgrade your job post at Indeed.com/internalmedicine.

Sponsor: Birch Living

Birch is giving 20% off all mattresses and 2 free eco-rest pillows at birchliving.com/curb

Sponsor: Green Chef

Go to GreenChef.com/curb60 and use code curb60 to get 60% off plus free shipping.

Sponsor: Glass Health

You can get one month of Glass Pro free by signing up at glass.health and using the code CURBSIDERS

Full Transcript available HERE

#397: Insulin, Type 2 Diabetes, Fanny Packs, and Hypoglycemia with Dr. Jeff Colburn

29 mei 2023 · 1 uur 12 min

Afspelen

Don’t be scared of insulin or hypoglycemia anymore! Our Kashlak Friend of the Pod Dr. Jeff Colburn gives us all the essentials you’ll need in your fanny pack for navigating the ups and downs of insulin in type 2 diabetes. Lees meer

Claim free CME for this episode at curbsiders.vcuhealth.org!

Show Segments

Intro

Rapid fire questions/Picks of the Week

Case #1: Starting insulin

Types of basal insulin: glargine, detemir, NPH, 70/30 NPH/regular

Glucose monitoring while on insulin

Glucose targets when taking insulin

Overbasalization

Adding additional agents to basal insulin

Case #2: Deescalating insulin

Insulin use in the geriatric population

Hypoglycemia Rule of 15

Glucagon how-to

Outro

Credits

Producer, Writer, Show Notes, Infographic and Cover Art: Isabel Valdez, PA-C

Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP

Reviewer: Leah Witt, MD

Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

Technical Production: PodPaste

Guest: Jeff Colburn, MD

Sponsor: Pattern

Request your quotes online at patternlife.com/curbsiders

Sponsor: Birch

Birch is giving 20% off ALL mattresses and two free eco-rest pillows at birchliving.com/curb

Full Transcript available HERE

#396 Recap, Top Pearls from #SGIM23

22 mei 2023 · 1 uur 18 min

Afspelen

Don’t miss this rapid-fire recap of our top pearls from #SGIM23 in Aurora, Colorado, including obesity medicine, GLP1 agonists, trauma-informed care, an update on hormone therapy for vasomotor symptoms of menopause, treating low sexual desire in women, dementia diagnosis and treatment, chronic pain and buprenorphine, complex persistent opioid dependence, chlorthalidone vs hydrochlorothiazide, the timing of blood pressure medication, how to prescribe CPAP or auto-PAP, and more! Paul and Watto are joined by Drs. Justin Berk (@justinberk), Chris Chiu (@cjchiu), Carolyn Chan (@CarolynAChanMD, Curbsiders Addiction Medicine), and Era Kryzhanovskaya (@EraKryzhMD, Curbsiders TEACH). Lees meer

No CME for this episode due to rapid turnaround, but claim CME for most episodes at curbsiders.vcuhealth.org!

Show Segments

Intro

Recap, Top Pearls Part 1

Recap, Top Pearls Part 2

Outro

Credits

Written, Produced, and Hosted by: Justin Berk MD, MBA, MPH; Chris Chiu MD, FACP, FAAP; Carolyn Chan MD; Era Kryzhanovskaya MD; Matthew Watto MD, FACP; Paul Williams MD, FACP

Show Notes: Matthew Watto MD, FACP

Cover Art: Matthew Watto MD, FACP

Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

Technical Production: PodPaste

Sponsor: Pattern

Request your disability insurance quotes with Pattern at patternlife.com/curbsiders.

#395 Dysphagia with Dr. Diana Snyder

15 mei 2023 · 55 min

Afspelen

There might be a lot to swallow, but you will master an initial approach to dysphagia in this episode. Review the types of dysphagia, common etiologies, initial evaluations and treatment plans. We are joined by Dr. Diana Snyder @DianaSnyderMD (Mayo Clinic) Lees meer

Claim free CME for this episode at curbsiders.vcuhealth.org!

Show Segments

Intro & Picks of the Week

Case

Dysphagia definitions

Oropharyngeal vs esophageal dysphagia

Associated symptoms and alarm signs

Outro

Credits

Producer, Writer & Show Notes: Elena Gibson MD

Show Notes: Elena Gibson MD

Cover Art & Infographic: Kate Grant MD

Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP

Reviewer: Fatima Syed MD

Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

Technical Production: PodPaste

Guest: Diana Snyder MD

Sponsor: Locumstory

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Sponsor: Brooklinen

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Sponsor: Panacea Financial

Visit panaceafinancial.com to open your free account today.

Full transcript available HERE

#394 Recap, Top Pearls from ACP #IM2023

8 mei 2023 · 1 uur 40 min

Afspelen

Don’t miss this rapid fire recap of our top pearls from ACP #IM2023 in San Diego including hypertension, hypogonadism, frailty, afib, sleep medicine, in-flight emergencies, nephroprotective meds, order of antibiotics for pneumonia in the hospital, genitourinary syndrome of menopause, pickle juice for leg cramps, bristol stool scale and hepatic encephalopathy, coronary calcium, tirzepatide, cystatin c, functional dyspepsia, hair and nails, and more! Paul and Watto are joined by Drs. Justin Berk (@justinberk) and Chris Chiu (@cjchiu) of The Cribsiders Podcast. Lees meer

No CME for this episode due to rapid turnaround, but claim CME for most episodes at curbsiders.vcuhealth.org!

Show Segments

Intro

Recap, Top Pearls Part 1

Recap, Top Pearls Part 2

Outro

Credits

Written, Produced, and Hosted by: Justin Berk MD, MBA, MPH; Chris Chiu MD, FACP, FAAP; Matthew Watto MD, FACP; Paul Williams MD, FACP

Show Notes: Matthew Watto MD, FACP

Cover Art: Matthew Watto MD, FACP

Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

Technical Production: PodPaste

Sponsor: Grammarly

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Sponsor: Indeed

Start hiring now with a $75 sponsored job credit to upgrade your job post at Indeed.com/INTERNALMEDICINE. Offer good for a limited time.

Full transcript available HERE

#393 Live from SHM: Clinical Updates in Hospital Medicine

1 mei 2023 · 56 min

Afspelen

Join us for this Hotcakes style episode as we talk through impactful literature for the hospitalist with Dr. Heather Nye (UCSF) and Dr. Rahul Ganatra (@rbganatra, Harvard University) who presented the Clinical Updates in Hospital Medicine at SHM #Converge23. Lees meer

Claim free CME for this episode at curbsiders.vcuhealth.org!

Show Segments

Intro, disclaimer

Rapid fire questions/Picks of the Week

EMPULSE

ADVOR

STRONG-HF

CRISTAL

Perioperative Gabapentin

Waterfall

Midline catheters vs PICC lines

What’s in a Name?

Outro

Credits

Producer, Writer, Show Notes: Monee Amin MD; Rahul Ganatra, MD; Meredith Trubitt MD;

Cover Art: Monee Amin MD

Hosts: Monee Amin MD; Meredith Trubitt MD

Reviewer: Fatima Syed MD

Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

Technical Production: PodPaste

Guest: Dr. Rahul Ganatra and Dr. Heather Nye

Sponsor: Birch Living

Birch is giving 20% off all mattresses and 2 free eco-rest pillows at birchliving.com/curb.

Sponsor: Indeed

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Full transcript available HERE

#392 Live! Opioid and Xylazine Withdrawal in the Hospital

26 april 2023 · 45 min

Afspelen

Dominate opioid and xylazine (aka tranq) withdrawal in the hospital with expert insights from Dr. Joseph D’Orazio (@dorazepam) recorded LIVE! at Pennsylvania Hospital Grand Rounds in Philadephia, PA. Xylazine, an alpha-2 adrenergic agonist, has emerged as a frequent contaminant in the opioid supply with a distinct withdrawal syndrome. You’ll learn to manage this common withdrawal syndrome while also addressing acute pain complaints and opioid withdrawal. Lees meer

Sorry, no CME for this episode, but check out CME for past episodes at curbsiders.vcuhealth.org.

Show Segments

Intro

Xylazine basics

Management of xylazine withdrawal

Opioid withdrawal and acute pain

Outpatient considerations for xylazine

Audience questions

Outro

Credits

Writer and Producer: Matthew Watto MD, FACP

Infographic and Cover Art: Matthew Watto MD, FACP

Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP

Reviewer: Emi Okamoto MD

Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

Technical Production: PodPaste

Guest: Joseph D’Orazio MD

Full transcript available HERE

#391 Hypercoagulable Work-Up with Dr. Jean Connors

24 april 2023 · 1 uur 17 min

Afspelen

Master the nuances of the hypercoagulable work-up! Our expert discussant, Dr. Jean Connors, leads us through when to send testing for thrombophilia and how to interpret the results. Lees meer

Claim free CME for this episode at curbsiders.vcuhealth.org!

Show Segments

Intro

Case from Kashlak: DVT after a trip to Singapore

History-taking in a patient with a venous thromboembolism (VTE)

Risk factors for VTE

Who to test for thrombophilia, and how this testing influences management

Thrombophilia panel: what to order

When to send thrombophilia testing

Case from Kashlak: potential obstetric antiphospholipid syndrome

Antiphospholipid syndrome: diagnosis

Antiphospholipid syndrome: management

Outro

Credits

Producers and Writers: Malini Gandhi and Nora Taranto MD

Show Notes, Infographics, and Cover Art: Malini Gandhi

Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP

Reviewer: Leah Witt MD

Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

Technical Production: PodPaste

Guest: Dr. Jean Connors MD

Sponsor: Locumstory

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Sponsor: Panacea Financial

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Full transcript available HERE

#390 Resistant Hypertension

17 april 2023 · 1 uur 18 min

Afspelen

Hypertension FAQ Round #2 Dr. Jordy Cohen Strikes Back Lees meer

Tackle resistant hypertension. Learn when it is pseudo resistant hypertension, and how to treat this pesky condition when it is true resistant hypertension. Dr. Jordy Cohen (@jordy_bc) leads us through her approach to keeping the BP where it should be (University of Pennsylvania).

Claim free CME for this episode at curbsiders.vcuhealth.org!

Show Segments

Intro

Case

Hypertension definition

Mechanisms of hypertension

Vascular stiffness and aging

Antihypertensive agents

Anxiety and hypertension

Escalating blood pressure management

Resistant hypertension

Ruling out pseudo resistant hypertension

Substance induced pseudo resistant hypertension

Pick of the Week

Outro

Credits

Written and Produced by: Deborah Gorth MD, PhD

Infographic and Cover Art: Deborah Gorth MD, PhD and Meryl Gorth

Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP

Reviewer: Sai S Achi MD, MBA

Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

Technical Production: PodPaste

Guest: Jordy Cohen MD, MSCE

Sponsor: Indeed

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Full transcript available HERE