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The Curbsiders Internal Medicine Podcast
Author: The Curbsiders Internal Medicine Podcast
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Description
Supercharge your learning and enhance your practice with this Internal Medicine Podcast featuring board certified Internists as they interview the experts to bring you clinical pearls, practice-changing knowledge, and bad puns. Doctors Matthew Watto, Paul Williams, and friends (a national network of students, residents, and clinician-educators) deliver a little knowledge food for your brain hole. Yummy! No boring lectures here, just high-value content and a healthy dose of humor. Fantastic for Internal Medicine, Family Medicine, Primary Care, and Hospital Medicine.
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We're taking a short winter break, but we’ll be back with new shows in time for Christmas and New Years! Can’t wait for more new episodes? Sign up for our Patreon with 15% off an annual membership at patreon.com/curbsiders (https://www.patreon.com/c/curbsiders) and get instant access to 40 plus bonus episodes!
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)
Visit our website for detailed show notes for this episode.
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Join us as we review recent practice-changing articles on a new triple pill for hypertension, how arm position affects blood pressure, early TAVR for asymptomatic patients with severe AS, liberal versus restrictive transfusion strategy in patients with acute brain injury, and a quick overview of the 2024 ACC/AHA perioperative medicine guidelines. Fill your brain hole with a delicious stack of tofurkey cakes! Featuring Paul Williams (@PaulNWilliamz), Rahul Ganatra (@rbganatra), Jen DeSalvo (@drjendesalvo), and Matt Watto (@doctorwatto).
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Credits
Written and Hosted by: Rahul Ganatra MD, MPH; Jen DeSalvo MD; 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
Intro, disclaimer
A new triple pill for hypertension
How arm position affects blood pressure
Early TAVR for asymptomatic patients with severe AS
Liberal versus restrictive transfusion strategy in patients with acute brain injury
A quick overview of the 2024 ACC/AHA perioperative medicine guidelines
Outro
Sponsor: Freed
You can try Freed for free right now by going to freed.ai. And listeners of Curbsiders can use code CURB50 for $50 off their first month.
Sponsor: AquaTru
Today listeners receive 20% off any AquaTru purifier! Just go to AquaTru.com and enter code “CURB“ at checkout.
Sponsor: Uncommon Goods
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Risks/benefits in older males, when to test, fertility considerations, and more.
Master male hypogonadism diagnosis and management. Discover when and how to test, how to tackle confounding conditions, and why lifestyle changes may be more effective than testosterone therapy in certain patients. We are joined by Dr. Brad Anawalt, an expert in endocrine care, to guide us through the essentials.
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Show Segments
Intro
Case 1
History and Physical
Laboratory Testing
Effect of Lifestyle on Testosterone
Case 2
Prostate and Cardiovascular risk
Treatment Options and Considerations
Secondary Causes of Hypogonadism
Case 3
Testicular Size and Klinefelter Syndrome
hCG and Clomiphene
Monitoring and Follow-Up
Take-Home Points
Outro
Credits
Written and produced by Paul Wurtz MD. Show notes, cover art, and infographic also created by Paul Wurtz MD.
Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP
Reviewer: Sai S Achi MD, MBA, FACP
Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
Technical Production: PodPaste
Guest: Bradley D. Anawalt MD
Sponsor: Freed
You can try Freed for free right now by going to freed.ai. And listeners of Curbsiders can use code CURB50 for $50 off their first month.
Sponsor: Pattern
With huge discounts for doctors in training, now is truly the best time to request your disability insurance quotes with Pattern at patternlife.com/curbsiders.
Sponsor: Litter Robot
As a special holiday offer, Whisker is offering up to $100 off Litter-Robot bundles. AND, as a special offer to listeners, you can get an additional $50 off when you go to stopscooping.com/CURB.
A Bell-Ringer of a Presentation
Is it a stroke or is it botox? No, it’s Bell’s palsy! Learn how to differentiate facial palsy from other sinister diagnoses. Join us as Dr. Jordan Amar (Assistant Professor of Clinical Neurology at USC Keck School of Medicine) gives us Bell’s palsy pointers (and a great mnemonic, if there is such a thing).
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Show Segments
Introduction
Rapid fire questions and Reflex Hammers
Case #1: Ms. Melanie
Framework for Bell's Palsy
Bell's Palsy vs Stroke: How to Differentiate
Approach to History and Physical Exam
Case #2: Mr. Lopez
Red Flags in Facial Palsy (GROWLS FACE)
Workup: From Imaging to Labs and What Not to Do
Treatment: The Role of Steroids and Antivirals
Supportive Care, Complications and Prognosis
Take-Home Points
Outro
Credits
Producer and Writer: Isabel Valdez, PA-C
Show Notes: Paul Wurtz MD, Ben Furman MPH MS3, Isabel Valdez, PA-C
Infographic and Cover Art: Zoya Surani, MS2
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: Jordan Amar, MD
Sponsor: Beginly Health
Ready to take control of your job search? Visit beginlyhealth.com/curbsiders to get started
Sponsor: OpenEvidence
If you haven't tried it out yet check it out, it will save you time and help you make better decisions go to openevidence.com/curbsiders
Sponsor: Freed
You can try Freed for free right now by going to freed.ai. And listeners of Curbsiders can use code CURB50 for $50 off their first month.
Preserve your sanity while treating heart failure with preserved ejection fraction. Dr Michelle Kittleson @MKittlesonMD (Cedars Sinai) illuminates this confounding cardiac condition.
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Show Segments
00:00 Introduction and Advice for Physicians
02:24 Case Presentation
04:16 Understanding HFpEF
08:11 Differential Diagnosis of Dyspnea and Edema
11:30 Diagnosing HFPEF: H2F-PEF Score and Testing
17:07 Managing Comorbidities in HFpEF
20:54 Non-Pharmacological Interventions: Weight Loss and Exercise
23:16 Understanding the Challenges of HFpEF
25:08 Medications
30:13 Promising Results of GLP-1 Receptor Agonists
36:38 Managing Salt and Water Intake
Credits
Writer and Producer: Deborah Gorth MD, PhD
Infographic and Cover Art: Zoya Surani
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: Michelle Kittleson MD, PhD
Sponsor: Freed
You can try Freed for free right now by going to freed.ai. And listeners of Curbsiders can use code CURB50 for $50 off their first month.
Sponsor: Bombas
Head over to Bombas.com/curb and use code curb for 20% off your first purchase.
Sponsor: Beginly Health
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Join us as we review recent articles and news featured in The DIGEST issues #56 and #57, including finerenone for heart failure, the skinny on pneumonia vaccines and the latest, PCV21, long-term oxygen therapy (the REDOX trial), and the PREVENT vs PCE cardiovascular risk equations. Fill your brain hole with a fully digestible meal! Featuring Alex Chaitoff (@alexchaitoff), Rahul Ganatra (@rbganatra), Nora Taranto (@norataranto), and Matt Watto (@doctorwatto).
Note: **Update on Pneumonia Vaccine from ACIP: After we recorded and just before we published this episode, the CDC updated its vaccine guidance to include pneumonia vaccination for all adults aged 50 years and older to receive either PCV20, PCV21, or the combination of PCV15 followed by PPSV23 one year later (CDC site accessed 24 Oct 2024).**
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Credits
Written and Hosted by: Nora Taranto MD; Rahul Ganatra MD, MPH, Alex Chaitoff MD, MPH, Matthew Watto MD, FACP
Cover Art: Matthew Watto MD
Reviewer: Emi Okamoto MD
Technical Production: Pod Paste
Showrunners: Matthew Watto MD, FACP
Show Segments
Introduction + Pun
Exploring Finerenone in Heart Failure
Pneumonia Vaccines: The PCV21 Trial
Long-Term Oxygen Therapy: The REDOX Trial
Cardiovascular Risk Calculators: The PREVENT Equation
Sponsor: Freed
You can try Freed for free right now by going to freed.ai. And listeners of Curbsiders can use code CURB50 for $50 off their first month.
Sponsor: Quince
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Sponsor: Beginly Health
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Kittleson Rules Outpatient Heart Failure Volume 1
Provide superb outpatient care for your patients with HFrEF. Identify underlying causes of heart failure and titrate medications with ease. Dr Michelle Kittleson @MKittlesonMD (Cedars Sinai) breaks down the nuances of treating this common cardiac condition.
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Show Segments
00:00 Introduction
03:22 Case Presentation: Newly Diagnosed Heart Failure
07:26 Using Physical Exam Findings to Guide Diuresis
11:58 The Four Pillars of Guideline-Directed Medical Therapy for Heart Failure
15:07 Optimizing Therapy and Follow-Up in Heart Failure Patients
22:10 The Benefits of High-Intensity Initiation and Titration of Guideline-Directed Medical Therapy
28:02 Consideration of Other Medications
40:02 Referral to Advanced Heart Failure Specialist
49:11 Optimizing Therapy and Follow-Up
55:33 Conclusion and Book Recommendation
Credits
Writer and Producer: Deborah Gorth MD, PhD
Infographic and Cover Art: Zoya Surani
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: Michelle Kittleson MD, PhD
Sponsor: Freed
You can try Freed for free right now by going to freed.ai. And listeners of Curbsiders can use code CURB50 for $50 off their first month.
Sponsor: Litter Robot
Right now, Whisker is offering $75 off Litter-Robot bundles. AND, as a special offer to listeners, you can get an additional $50 off when you go to stopscooping.com/CURB.
Sponsor: Beginly Health
Ready to take control of your job search? Visit beginlyhealth.com/curbsiders to get started
Treating colds, flu, and more with Dr Amber Bird!
Dive deep into upper respiratory viral infections with Dr Amber Bird, MD (Penn). Feel confident on when to order testing, recommend symptom relieving treatments, and avoid unnecessary antibiotics.
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Show Segments
00:00 Introduction and Setting the Agenda
03:07 Getting to Know the Guest and Rapid Fire Questions
05:51 Case from Kashlak: Mateo with Common Cold Symptoms
06:12 Defining and Diagnosing the Common Cold
09:08 Approach to History and Physical Exam
13:23 Viral Respiratory Testing and Its Indications
17:36 Symptomatic Treatment Options for the Common Cold
24:25 Managing Cough and Nasal Congestion
35:03 Home Remedies and natural products
42:16 Prescribing Antivirals for Influenza
46:33 Antibiotics and Counseling Patients
52:07 Contagiousness and Risk to Family Members
54:52 Recurring Colds and Risk Factors
59:38 Vaccination recommendations
01:01:23 Key Takeaways and Conclusion
Credits
Producer: Leah Witt, MD and Molly Heublein, MD
Show Notes/CME: Molly Heublein, MD
Cover Art and Infographic: Leah Witt, MD
Hosts, writers: Leah Witt and Molly Heublein, MD
Reviewer: Fatima Syed, MD
Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
Technical Production: PodPaste
Guest: Amber Bird, MD
Sponsor: Babbel
Get up to 60% off at Babbel.com/CURB.
Sponsor: Freed
You can try Freed for free right now by going to freed.ai. And listeners of Curbsiders can use code
CURB50 for $50 off their first month.
Sponsor: Panacea Legal
Let Panacea Legal help you today at Panacea.Legal
Supplemental oxygen is ubiquitous and yet there is a tremendous amount of uncertainty related to prescription and management in the outpatient setting. Have no fear, we’ve got your back! On this episode of The Curbsiders we host special guest Susan Jacobs, RN, MS who is a bonafide, world-class expert in outpatient oxygen therapy. How to prescribe? What’s out there? What do you do when your patient travels? She joins us to tackle these questions and so much more so make sure to tune in and snag some knowledge food for that old brain hole!
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Show Segments
Intro
Getting to know our guest
Basics of oxygen prescribing and devices
Caveats for the patient who only has exertional hypoxemia
How to prepare for travel
Key points & take aways
Outro
Credits
Producer, Writer, Infographic and Cover Art Artist: Leah Witt, MD
Show Notes: Cyrus Askin, MD
Reviewer: Fatima Syed, MD
Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP
Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
Technical Production: PodPaste
Guest: Susan Jacobs, RN, MS
Sponsor: UVA Health
To learn more about UVA Health, visit https://uvahealth.com/
Sponsor: Beginly Health
Ready to take control of your job search? Visit beginlyhealth.com/curbsiders to get started.
Sponsor: Freed AI
You can try Freed for free right now by going to freed.ai. And listeners of Curbsiders can use code CURB50 for $50 off their first month.
View full show notes at thecurbsiders.com
De-stress your approach to stress fractures (and trochanteric pain syndromes and meniscus tears)!
Follow along as the great Dr. Senter guides us through the diagnosis, workup, and treatment of an all-star lineup of sport injuries. Part 2 covers stress fractures, relative energy deficiency in sports, trochanteric pain, meniscus tears, and the ongoing quest to diagnose Paul’s mysterious hip injury.
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Show Segments
Case 1 - Hip stress fracture
Approach to hip injuries in runners
Relative Energy Deficiency in Sports (RED-S)
Imaging consideration for bone stress injuries
Surgical and treatment consideration for hip stress fractures
Osteoporosis evaluation
Case 2 - Greater trochanteric pain syndrome
Hip and trochanter anatomy
Treatment and imaging of trochanteric tendinopathies
Case 3 - Meniscus tear
Knee evaluation and physical exam
Bucket handle tears and surgical considerations
Special physical exam maneuvers
Imaging and further surgical considerations
Outro & Take Home Points
Credits
Producer and Show Notes: Peter Wikoff MD
Writer, Infographic and Cover art: Edison Jyang MD
Reviewer: Sai S Achi MD MBA FACP
Hosts and Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
Technical Production: PodPaste
Guest: Dr. Carlin Senter MD
Sponsor: ClinicalKey AI
To learn more about ClinicalKey AI, visit Elsevier.health/AI
Sponsor: Beginly Health
Ready to take control of your job search? Visit beginlyhealth.com/curbsiders to get started.
Sponsor: Freed AI
You can try Freed for free right now by going to freed.ai. And listeners of Curbsiders can use code CURB50 for $50 off their first month.
Learn how to manage diabetes and hypertension in chronic kidney disease with expert tips from Kidney Boy, Kashlak’s Chief of Nephrology, Dr. Joef Topf @kidney_boy.
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Credits
Written and Produced by: Fatima Syed, MD, MSc
Infographic and Cover Art: Zoya Surani, MD
Show Notes: Fatima Syed, MD, MSc
Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP
Reviewer: Sai S Achi, MD, MBA, FACP
Showrunners: Matthew Watto MD, FACP and Paul Williams MD, FACP
Technical Production: Pod Paste
Guest: Joel Topf, MD
Sponsor: Mint Mobile
To get this new customer offer and your new 3-month premium wireless plan for just 15 bucks a month, go to mintmobile.com/CURB.
Sponsor: ClinicalKey AI
ClinicalKey AI is an award-winning solution that combines trusted, evidence-based clinical content with conversational search powered by generative AI. To unlock the power of AI in clinical decision-making with ClinicalKey AI, visit Elsevier.health/AI”
Sponsor: Freed
You can try Freed for free right now by going to freed.ai. And listeners of Curbsiders can use code CURB50 for $50 off their first month.
Follow along as the great Dr. Senter guides us through the diagnosis, workup, and treatment of an all-star lineup of sport injuries. Part 1 covers concussions, femoroacetabular impingement (FAI), and the ongoing quest to diagnose Paul’s mysterious hip injury.
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Show Segments
00:00 Introduction
08:43 Case 1 - Concussion
9:39 Approach and Workup of Concussions
18:08 Treatment of Concussions (Return to Activity)
24:10 Consideration of Head Imaging
33:20 Case 2 - Hip Pain (FAI)
34:15 Hip Anatomy and Differential Diagnosis
38:41 Hip Physical Exam
45:41 Hip Imaging
47:28 Treatment of FAI
Outro & Take Home Points
Credits
Producer and Show Notes: Peter Wikoff MD
Writer, Infographic and Cover art: Edison Jyang MD
Reviewer: Sai S Achi MD MBA FACP
Hosts and Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
Technical Production: PodPaste
Guest: Dr. Carlin Senter MD
Sponsor: ClinicalKey AI
ClinicalKey AI is an award-winning solution that combines trusted, evidence-based clinical content with conversational search powered by generative AI. To unlock the power of AI in clinical decision-making with ClinicalKey AI, visit Elsevier.health/AI
Sponsor: Freed
You can try Freed for free right now by going to freed.ai. And listeners of Curbsiders can use code CURB50 for $50 off their first month.
Sponsor: Babbel
Get up to 60% off your Babbel subscription - but only for our listeners at Babbel.com/CURB.
Expand your NAFLD/MASLD knowledge!
Expert guest Dr. Elliot Tapper (@ebtapper) shares his framework for approaching NAFLD/MASLD and the treatment tools he recommends including lifestyle modifications and medications.
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Show Segments
Intro
Rapid Fire Segment
Case 1 Part 1
NAFLD/MASLD terminology and differential diagnoses
PEth testing
Diagnostic tools for NAFLD/MASLD: Fib4 Score
Imaging
When to Refer to a Hepatologist?
Treatment options
Lifestyle modifications
Role of GLP-1 agonists
Role of new FDA approved medications
Outro
Credits
Producer: Sai S Achi, MD, MBA, FACP; Matthew Watto MD, FACP
Writer, Show Notes, Cover Art, and Infographics: Sai S Achi, MD MBA, FACP
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. Elliot Tapper MD
Sponsor: Freed
You can try Freed for free right now by going to freed.ai. And listeners of Curbsiders can use code CURB50 for $50 off their first month.
Sponsor: The University of Virginia
Visit uvahealth.com website to explore this exceptional opportunity and submit your application today.
Sponsor: Beginly Health
Ready to take control of your job search? Visit beginlyhealth.com/curbsiders to get started.
Quit playing games with my heart
Yet another beat no to skip here with part 2 of our conversation with cardiologist Dr. Sanjeev Francis (@, Maine Medical Center)for acute coronary syndrome. Learn about the warranty on stress tests, initial management of ACS and how to deal with those pesky elevated troponins from patients with sepsis.
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Show Segments
Start Part 1
Intro
Rapid fire questions/Picks of the Week
Case 1
History and Physical
ECGs
Definitions
Risk Stratification Tools
Non-invasive Testing Options
End Part 1
Start Part 2
Case 2
Warranty on Non-invasive Testing
Invasive Management of non ST elevation ACS
Medical Management of non ST elevation ACS
Case 3
Myocardial Injury Definitions
Diagnostics to Consider for Myocardial Injury
Transitions of Care
Outro
End Part 2
Credits
Producer, Writer, Show Notes, Hosts: Meredith Trubitt, MD, MPH, Monee Amin MD
Infographic, Cover Art: Caroline Coleman, MD
Reviewer: Rahul Ganatra, MD, MPH
Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
Technical Production: PodPaste
Guest: Sanjeev Francis, MD
Sponsor: Babbel
Get up to 60% off your Babbel subscription - but only for our listeners at Babbel.com/CURB.
Sponsor: Freed
You can try Freed for free right now by going to freed.ai. And listeners of Curbsiders can use code CURB50 for $50 off their first month.
Sponsor: Panacea Financial
If you’re ready to join the thousands of doctors who have declared independence from traditional banks, visit panaceafinancial.com today.
Quit playing games with my heart
Don’t skip a beat and join us in part 1 of our conversation with cardiologist Dr. Sanjeev Francis (@, Maine Medical Center)for acute coronary syndrome. First up, the basics on physical exam, how to interpret high-sensitivity troponin and how to think through the spectrum of acute coronary syndrome.
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Show Segments
Start Part 1
Intro
Rapid fire questions/Picks of the Week
Case 1
History and Physical
ECGs
Definitions
Risk Stratification Tools
Non-invasive Testing Options
End Part 1
Start Part 2
Case 2
Warranty on Non-invasive Testing
Invasive Management of non ST elevation ACS
Medical Management of non ST elevation ACS
Case 3
Myocardial Injury Definitions
Diagnostics to Consider for Myocardial Injury
Transitions of Care
Outro
End Part 2
Credits
Producer, Writer, Show Notes, Hosts: Meredith Trubitt, MD, MPH, Monee Amin MD
Infographic, Cover Art: Caroline Coleman, MD
Reviewer: Rahul Ganatra, MD, MPH
Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
Technical Production: PodPaste
Guest: Sanjeev Francis, MD
Sponsor: Mint Mobile
To get your new 3-month premium wireless plan for just 15 bucks a month, go to mintmobile.com/CURB.
Sponsor: Freed
You can try Freed for free right now by going to freed.ai. And listeners of Curbsiders can use code CURB50 for $50 off your first month.
Sponsor: American College of Physicians
Preorder ACP MKSAP to receive discounted pricing plus free MKSAP 19 premium content you can use now at acponline.org/acpmksap
We're taking a short summer break, but we'll be back at the end of August with brand new episodes.
Lose your heart to NephMadness 2022! Dr. Joel Topf (@kidney_boy) and Dr. Sadiya Khan (@HeartDocSadiya) tackle the NephMadness 2022 Cardiorenal Syndrome region, leading us through the pathophysiology of cardiorenal syndrome, how to approach the creatinine “bump” with diuresis, managing patients with diuretic resistance, and more.
Claim CME for this episode at curbsiders.vcuhealth.org!
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Show Segments
Intro, disclaimer, guest bios
Guest one-liners, Introduction to Nephmadness 2022
Case #1 from Kashlak: acute decompensated heart failure with elevated creatinine
Definition and pathophysiology of cardiorenal syndrome
Use of home ACE-is/ARBs and SGLT-2 inhibitors in cardiorenal syndrome
Case #2 from Kashlak: the creatinine bump with diuresis
Approach to the creatinine bump with diuresis
Tips for the volume exam
Interpreting cardiac biomarkers in patients with chronic kidney disease
Case #3 from Kashlak: diuretic resistance
Maximizing loop diuretic efficacy
Sequential nephron blockade
Use of hypertonic saline
Outro
Credits
Producer, Writer, Show Notes, Infographics: Malini Gandhi
Cover Art: Beth Garbitelli
Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP
Reviewer: Emi Okamoto MD, FACP
Executive Producer: Beth Garbitelli
Showrunner: Matthew Watto MD, FACP
Editor: Clair Morgan of nodderly.com
Guest: Dr. Joel Topf MD, Dr. Sadiya Khan MD
Sponsor: Beginly Health
Ready to take control of your job search? Visit beginlyhealth.com/curbsiders to get started.
Sponsor: Locumstory
Tune in to The Locumstory Podcast on Spotify, Apple, or Google podcasts.
Sponsor: Freed
You can try Freed for free right now by going to freed.ai. And listeners of Curbsiders can use code CURB50 for $50 off their first month.
We're taking a short summer break, but we'll be back at the end of August with brand new episodes.
AKI Tips and Tricks from Joel Topf MD, Kashlak’s Chief of Nephrology
Get a grip on acute kidney injury (AKI) with Dr. Joel Topf (AKA @kidney_boy), Kashlak’s Chief of Nephrology! We’ve put together an AKI highlight reel - focusing on practical tips and tricks to help you identify, diagnose and manage AKI, plus how to recognize AIN and random myths and musings on vancomycin, NSAIDS, contrast nephropathy, and the risk of NSF from gadolinium.
Listeners can claim Free CE credit through VCU Health at http://curbsiders.vcuhealth.org/ (CME goes live at 0900 ET on the episode’s release date).
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Show Notes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME!
Credits
Written (including CME questions) and Produced by: Cyrus Askin, MD
Infographic by: Cyrus Askin, MD
Cover Art: Kate Grant MBChb, MRCGP
Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP
Editor: Matthew Watto MD, FACP (written materials); Clair Morgan of nodderly.com
Guest: Joel Topf, MD
Time Stamps
00:00 Sponsors - VCU Health CE and Pediatrics On Call podcast by APP
00:30 Intro, disclaimer, guest bio
03:00 Guest one-liner, Picks of the Week*: Zoe Keating albums (Cellist); Mrs. America (TV series) on FX; The Last of Us (Videogame);
08:45 Sponsor - Pediatrics On Call podcast by APP
09:15 Definition of acute kidney injury (AKI) and fundamentals
11:00 Cardiorenal syndrome
12:24 Schema for AKI
17:30 Establish an etiology, determine urine output and address electrolyte abnormalities
21:22 AKI in the otherwise-healthy patient;
32:20 Rhabdomyolysis 38:21 Vancomycin
41:43 Acute interstitial nephritis (AIN)
44:52 Contrast induced nephropathy (CIN)
50:37 Gadolinium in AKI and/or CKD
52:53 Timing of dialysis
56:37 AKI in the out-patient setting and how to handle home meds e.g. TMP-SMX, RAAS inhibitors;
62:01 Is Ultrasound necessary in AKI
64:58 Dr. Topf’s take home points and Plug for Seminars in Nephrology
68:45 Outro and Sponsor - VCU Health CE
Sponsor: Freed
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Sponsor: Panacea Financial
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Sponsor: Locumstory
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We're taking a short summer break, but we'll be back at the end of August with brand new episodes.
Your swell guide to the swollen leg
We're taking a short summer break, but we'll be back at the end of August with brand new episodes.
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.
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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
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
Sponsor: Freed
You can try Freed for free right now by going to freed.ai. And listeners of Curbsiders can use code CURB50 for $50 off their first month.
Sponsor: Rocket Money
Cancel your unwanted subscriptions by going to RocketMoney.com/CURB.
Sponsor: Grammarly
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We're taking a short summer break, but we'll be back at the end of August with brand new episodes.
Drop the pounds and the sugar with new guidelines
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Credits
Producer: Matthew Watto, MD and Isabel Valdez, PA
Writer: Matthew Watto, MD
Show Notes, Cover Art and Infographics: Isabel Valdez, PA
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: Marie E. McDonnell, MD
Show Segments
Puns and Intro.
Disclaimer and Guest bio
Case from Kashlak
Labs to distinguish type 1 from type 2 diabetes
Selecting initial therapy: Focus on weight loss and glucose control
HbA1c goals
Yeast infections and SGLT2-i
Using sulfonylureas and extended release metformin
Pancreatitis and GLP-1 RA
Cancer and GLP-1 RA
Semaglutide tips
Tirzepatide, how it works and benefits
Take home points
Outro
Sponsor: Freed
You can try Freed for free right now by going to freed.ai. And listeners of Curbsiders can use code
CURB50 for $50 off their first month.
Sponsor: ACP MKSAP
Learn more about ACP MKSAP at acponline.org/acpmksap
Sponsor: Pathway
Download the Pathway app by visiting pathway.md
This is an unlocked episode from our Curbsiders Patreon. You can sign up at Patreon.com/curbsiders.
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Thanks for info about the Abbott SARS-cov-2 IgG blood test. Note that Labcorp exclusively uses this test. Quest uses this test for some samples.
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Amazing podcast for medical students. Highly recommend!
Internal medicine