The Point of Care Podcast

RMO Medical Education
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The Point of Care Podcast provides high-yield medical information to help clinicians effectively and efficiently manage patients with common medical complaints. The show is based on the templates featured on pointofcaremedicine.com, which aim to standardize common patient encounters and promote evidence-based practices.

  1. 11. März

    What is Asterixis, Actually?

    Explore asterixis, often called the 'liver flap,' a critical neurological sign indicating toxic-metabolic encephalopathy. Learn why this 'negative myoclonus' isn't a tremor, how to spot its distinctive 'flapping' motion, and its diverse etiologies, from liver and kidney disease to hypoglycemia and medications. We demystify its strong historical link to hepatic issues and emphasize why this finding is key to a complete diagnostic assessment. Subscribe to our Substack: https://substack.com/@rokeefemd

  2. 9. März

    Why are ammonia levels not useful for diagnosing or trending hepatic encephalopathy?

    Navigating hepatic encephalopathy can be complex, and the role of ammonia levels is often misunderstood. In this concise episode, we clarify why hepatic encephalopathy is fundamentally a clinical diagnosis, not one based solely on lab values, and reveal the crucial limitations of ammonia testing. Learn when ammonia levels are genuinely helpful - specifically in acute liver failure - and why relying on them for routine diagnosis or trending can lead clinicians astray, diverting focus from essential clinical assessment. Subscribe to our Substack: https://substack.com/@rokeefemd

  3. 11. Feb.

    Why Do Simple, Seemingly Benign Triggers Lead to Hepatic Encephalopathy?

    Hepatic encephalopathy (HE) can feel like it comes out of nowhere: one day a patient is baseline, the next they’re confused after “just” constipation, a little dehydration, or a routine diuretic tweak. In this episode, we unpack why seemingly benign stressors can flip a fragile gut–liver–brain system past its tipping point. Subscribe to the Point of Care Medicine Substack.

  4. 9. Feb.

    Why do lactulose and rifaximin specifically help to treat hepatic encephalopathy?

    In this episode, we break down why lactulose and rifaximin work specifically for HE: lactulose acidifies the colon to “trap” ammonia as ammonium (NH4⁺) and rapidly clears nitrogen substrates via catharsis, while rifaximin reshapes the gut microbiome and dampens gut-derived inflammatory signaling - benefits that don’t always correlate with serum ammonia levels. We also cover why other antibiotics fell out of favor, where polyethylene glycol fits, and how to think mechanistically about the best risk–reward strategy for preventing and treating HE. Subscribe to the Point of Care Medicine Substack

  5. 05.11.2025

    Opioid Withdrawal (Quick Admit)

    A comprehensive guide on how to complete a thorough history and physical (H+P) for patients presenting to the hospital with opioid withdrawal. 00:15 Admission Checklist for Opioid Withdrawal 00:40 Triage and Chart Check 02:01 Critical Considerations and Admission Orders 03:10 Initial Treatment Options for Opioid Withdrawal 05:32 Detailed HPI Intake Questions 07:33 Physical Exam Notes 08:35 Key Takeaways and Conclusion Subscribe to our Substack to receive updates and IM/Hospital Medicine recaps directly to your inbox. POCM Opioid Withdrawal Inpatient Admission POCM Opioid Use Disorder and Withdrawal Clinical Review 13 Essential Facts for Managing Opioid Withdrawal in 2025

  6. 22.10.2025

    6 Facts Every Clinician Needs to Know About Tumor Lysis Syndrome

    This is a text-to-speech (TTS) AI reading of our most recent blog post: 6 Facts Every Clinician Needs to Know About Tumor Lysis Syndrome. https://www.pointofcaremedicine.com/blog-post/6-facts-every-clinician-needs-to-know-about-tumor-lysis-syndrome-2025 Tumor Lysis Syndrome (NEJM, 2025) Bociek RG, Lunning M. Tumor Lysis Syndrome. N Engl J Med. 2025;393(11):1104-1116. doi:10.1056/NEJMra2300923 ‍Related Content Tumor Lysis Syndrome Admission Template

  7. 19.10.2025

    Stop Missing Primary Aldosteronism - IM Recaps

    Many patients with hypertension have primary aldosteronism, but most at-risk patients are never tested. Learn who needs screening, how to order an ARR without unnecessary washouts, and why timely diagnosis prevents heart, vessel, and kidney damage. Based on “Things We Do For No Reason – Failing to Consider Primary Aldosteronism in Hypertension” (Journal of Hospital Medicine). Source: https://pubmed.ncbi.nlm.nih.gov/40113595/ Subscribe to our Substack: https://rokeefemd.substack.com/

  8. 18.07.2025

    12 Key Principles for Diagnosing and Managing Vertigo and Dizziness

    Today's episode is an AI text-to-speech (TTS) reading of our most recent blog post: 12 Key Principles for Diagnosing and Managing Vertigo and Dizziness.Read along here:https://www.pointofcaremedicine.com/blog-post/12-key-principles-for-diagnosing-and-managing-vertigo-and-dizzinessRelated ContentDizziness and Vertigo Admission Template https://www.pointofcaremedicine.com/inpatient-admission/dizziness-and-vertigo Dizziness and Vertigo Clinical Review https://www.pointofcaremedicine.com/review-article/dizziness-and-vertigo

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Info

The Point of Care Podcast provides high-yield medical information to help clinicians effectively and efficiently manage patients with common medical complaints. The show is based on the templates featured on pointofcaremedicine.com, which aim to standardize common patient encounters and promote evidence-based practices.

Informationen

  • Erstellt von
    RMO Medical Education
  • Jahre aktiv
    2022 - 2026
  • Folgen
    39
  • Bewertung
    Unbedenklich
  • Copyright
    © RMO Medical Education
  • Sendungswebsite
    The Point of Care Podcast

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