The Curbsiders Internal Medicine Podcast The Curbsiders Internal Medicine Podcast
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- Health & Fitness
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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#444 Macrocytosis, Hemolytic Anemia, Myelodysplastic Syndrome
Recorded LIVE! At Johns Hopkins Internal Medicine Grand Rounds
Step up your anemia game as we explore the causes and diagnostic approach for macrocytic anemia, what to do with a reticulocyte count, the differential diagnosis for hemolytic anemia, the significance of the direct antiglobulin test, and diagnosis and management pearls for autoimmune hemolytic anemia (AIHA) and myelodysplastic syndrome (MDS). Plus, common questions and concerns regarding folate supplementation and the use of bone marrow biopsies. We’re joined by hematologist and pun enthusiast Dr. Rakhi Naik MD, MHS, @redcell_doc @hopkinsheme.
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Show Segments
00:00 Intro and Guest intro
05:53 Case 1: Elise - Macrocytic Anemia
14:59 Case 2: Jane - Hemolytic Anemia
23:24 Testing for Underlying Causes of Autoimmune Hemolytic Anemia
24:40 Association of Autoimmune Hemolytic Anemia with Lymphomas
25:10 Autoimmune Hemolytic Anemia: Diagnosis and Treatment
26:06 Management Approach for Autoimmune Hemolytic Anemia
27:30 Considerations for Outpatient Treatment of Autoimmune Hemolytic Anemia
28:18 Clotting Risk in Autoimmune Hemolytic Anemia
29:20 Treatment Options for Autoimmune Hemolytic Anemia
30:42 Long-Term Prognosis and Recurrence of Autoimmune Hemolytic Anemia
33:32 Diagnostic Challenges in Myelodysplastic Syndrome
35:00 Considerations for Folate Supplementation
36:24 Factors to Consider in the Management of Myelodysplastic Syndrome
39:30 When to Perform a Bone Marrow Biopsy in Myelodysplastic Syndrome
41:25 Shared Decision-Making in the Treatment of Myelodysplastic Syndrome
Credits
Writer and Producer: 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: Fatima Syed MD, MSc
Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
Technical Production: PodPaste
Guest: Rakhi P. Naik MD, MHS
Sponsor: Beginly Health
Visit beginlyhealth.com/curbsiders job matching platform for every Physician and Advanced Practice Clinician, from training to practice.
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
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#443 Primary Hyperparathyroidism: Stones, bones, and almost certainly some groans
Don’t just sit on that borderline calcium! Learn how to approach hypercalcemia and work up primary hyperparathyroidism. In this episode, we learn who goes to surgery, how to work them up, and some variants of typical primary hyperparathyroidism. We’re joined by Dr. Lindsay Kuo @lindsaykuo (Temple University Hospital)
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Show Segments
00:00 Intro
03:31 Understanding Primary Hyperparathyroidism
09:03 Handling Mistakes and Complications in Surgery
11:44 Case Discussion: Hypercalcemia and Elevated PTH Levels
22:41 Symptoms of Primary Hyperparathyroidism
25:06 The Role of Vitamin D in Primary Hyperparathyroidism
28:07 Testing Considerations for Parathyroid Hormone (PTH) Levels
46:02 Considerations for Parathyroid Carcinoma
49:19 Parathyroid Imaging in Primary Hyperparathyroidism
52:23 The Surgical Procedure for Primary Hyperparathyroidism
57:45 Intraoperative Parathyroid Hormone Monitoring
01:00:15 Post-Operative Monitoring for Hypocalcemia
01:04:38 Normocalcemic Primary Hypoparathyroidism and Normohormonal Primary Hyperparathyroidism
Credits
Written and produced by: 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
Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
Technical Production: PodPaste
Guest: Lindsay Kuo, MD
Sponsor: Freed
You can try Freed for free by going to freed.ai. Use code CURB50 for $50 off your first month.
Sponsor: Panacea Financial
Visit panaceafinancial.com to learn more about a nationwide digital bank built for doctors, by doctors.
Sponsor: Grammarly
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#442 Syncope: Live from SHM #Converge24 with Dr. Dan Dressler
Don’t pass up on passing out!
Stand up to syncope as Dr. Dan Dressler (Emory University) guides us to confidently manage cases! We review a framework for understanding different types of syncope, and strategies for determining which low-risk patients can be safely discharged, and appropriate next steps to work up those high-risk and in-between cases.
Claim CME for this episode at curbsiders.vcu health.org!
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Show Segments
Intro
Picks of the Week
Case 1: Tamara
What is syncope?
Categorizing Syncope
Initial workup
Risk scores
Pulmonary embolism
Case 2: Travis
Cardiac evaluation
Take-home points
Outro
Credits
Producer, Script and Show Notes: Emi Okamoto MD
Infographic and Cover Art: Caroline Coleman MD
Hosts: Monee Amin MD and Meredith Trubitt MD
Reviewer: Rahul Ganatra MD, MPH
Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
Technical Production: PodPaste
Guest: Daniel D. Dressler, MD, MSc, MHM, FACP
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
Request your disability insurance quotes with Pattern at patternlife.com/curbsiders.
Sponsor: Pathway
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#441 More Clinical Pearls (New antibiotics, syphilis, heart disease, cirrhosis, lots more!) from ACP #IM2024
More clinical pearls from ACP #IM2024, including emerging infectious diseases in the US (malaria, dengue, super gonorrhea, and a resurgence of syphilis), new C. diff treatments, coagulopathy and cirrhosis, fatty liver disease, HFpEF, peripheral arterial disease, Lp(a) and ApoB, CAR T-cells for autoimmune disease, SGLT2i for gout, and hematology updates. Paul and Watto are joined by Drs. Nora Taranto, Beth Garbitelli, and of course Chris “The Chiu Man” Chiu.
Claim CME for this episode at curbsiders.vcuhealth.org!
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Show Segments
00:00 Tropical Diseases: Resurgence of Malaria and Dengue Fever
03:44 Infectious Diseases: Syphilis Rates and New Treatments for C. diff
08:28 Coagulopathy and Cirrhosis: Managing Hemostasis and Portal Vein Thrombosis
11:34 Fatty Liver Disease: Risk Stratification and Treatment
14:59 Cardiology Updates: Cardiovascular Kidney Metabolic Syndrome
31:03 New Medications for Hypertension
32:54 Renal Denervation and Hypertension
33:51 Lp(a) Drugs and Their Potential
36:01 Peripheral Arterial Disease and Claudication
38:10 SGLT2 Inhibitors and Gout
41:50 APO-B and LDL Cholesterol
42:45 Secondary Hypogonadism and Head and Neck Radiation
45:30 VEXAS: A Genetic Autoimmune Condition
49:08 Obesity-Induced Leukocytosis
52:49 CAR T-Cell Therapy in Rheumatologic Diseases
Credits
Producers/Writers/Show Notes: Matthew Watto MD, FACP; Paul Williams MD, FACP, Nora Taranto MD, Chris Chiu MD, Beth Garbitelli MD
CME, Cover Art: Beth Garbitelli MD
Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP
Reviewer: Nora Taranto MD
Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
Technical Production: PodPaste
Sponsor: Litter Robot
Go to stopscooping.com/CURB and enter promocode CURB to save an EXTRA $50 on any Litter-Robot bundle.
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: Beginly
Visit beginlyhealth.com/curbsiders for the job matching platform for every Physician and Advanced Practice Clinician, from training to practice -
#440 Hepatitis B with Dr. Arthur Kim
Become a pro in Hepatitis B! Dr. Arthur Kim teaches us how to approach Hepatitis B screening and vaccination in primary care, provides pearls on counseling patients with chronic Hepatitis B infection, and summarizes considerations for Hepatitis B antiviral treatment and monitoring.
Claim CME for this episode at curbsiders.vcuhealth.org!
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Show Segments
Intro
Case from Kashlak
Hepatitis B screening - who should be screened?
Hepatitis B screening - interpreting test results
Hepatitis B vaccination
Stages of Chronic HBV infection
Counseling patients with chronic HBV about preventing transmission and protecting liver health
Treatment of chronic HBV infection
Screening for hepatocellular carcinoma
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: Arthur Kim MD
Sponsor: Babbel
Get up to 60% off your Babbel subscription Babbel.com/curb
Sponsor: Freed
You can try Freed for free by going to freed.ai. Use code CURB50 for $50 off your first month.
Sponsor: Pattern
Request your disability insurance quotes with Pattern at patternlife.com/curbsiders. -
#439 Shoulder Pain: Impingement, Bursitis, Tendonitis, Cuff Tears, and Arthritis with Dr. Ted Parks
Repair and replace your old approach to shoulder pain! We cover shoulder anatomy, explain the continuum of impingement syndrome (from bursitis to tendonitis to rotator cuff tears to cuff tear arthropathy), how to take a good shoulder history, perform a high-yield physical exam, when to refer, and when to get an MRI. Plus, how to differentiate glenohumeral joint arthritis from frozen shoulder, and how to diagnose AC joint pathology. We’re joined by everyone’s favorite orthopedic surgeon, inventor, and renaissance man, Dr. Ted Parks.
Claim CME for this episode at curbsiders.vcuhealth.org!
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Show Segments
00:00 Intro
05:38 Shoulder Anatomy
14:47 Continuum of Impingement Syndrome
33:41 When to order an MRI
36:28 Glenohumeral joint arthritis vs frozen shoulder
51:50 AC joint arthritis
62:25 Outro
Credits
Written and Produced by: Matthew Watto MD, FACP
Show Notes: Matthew Watto MD, FACP
Cover Art and Infographic: Beth Garbitelli MD
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: Ted Parks 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
Request your disability insurance quote online at patternlife.com/curbsiders.
Sponsor: Panacea Financial
Visit panaceafinancial.com to learn more about a nationwide digital bank built for doctors, by doctors.