Right Care at Baptist

BMHCC

Right Care at Baptist is the official CME podcast for the medical staff at Baptist Memorial Health Care. Dr. Jake Lancaster, the Chief Medical Information Officer, and Dr. Amanda Comer, System Director of Advanced Practice Providers, cover important and timely clinical information with experts across the Baptist system. Baptist Memorial Health Care Corporation is accredited by the Mississippi State Medical Association to provide continuing medical education for physicians. BMHCC designates this enduring material for a maximum of .50 AMA PRA Category 1 Credit(s)TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

  1. FEB 12

    Rash Decisions: A Dermatologist's Guide to Managing Common Skin Conditions in Primary Care

    Hosts: Jake Lancaster MD, Chief Medical Information Officer and Amanda Comer DNP, System Director, Advanced Practice Providers Guest: Zachary Nahmias, MD, Dermatologist Summary: In this episode of Right Care Baptist, host Dr. Jake Lancaster (Chief Medical Officer, Baptist Medical Group) and Amanda Comer, NP (Chief Advanced Practice Officer) sit down with Dr. Zachary Nahmias, a board-certified dermatologist at NEA Baptist Clinic in Jonesboro, Arkansas, to discuss the most common dermatology referrals from primary care and how to manage them more effectively. Dr. Nahmias breaks down his top five referral categories — suspicious skin lesions, psoriasis, eczema/contact dermatitis, adult acne, and hard-to-place rashes — and offers practical guidance for each. The conversation covers red flags for skin cancer (flat irregular lesions, bleeding, pain, and the "ugly duckling" that stands out from surrounding spots), when and how to screen patients, and the importance of gathering UV exposure and family history before referring. The discussion then shifts to rashes, where Dr. Nahmias encourages primary care providers to treat confidently when they recognize common conditions like psoriasis, eczema, and seborrheic dermatitis rather than deferring to a 6-month dermatology wait. He highlights common pitfalls including diagnostic anchoring, the risk of topical steroids masking or feeding fungal infections, the dangers of systemic steroids for psoriasis causing a rebound "whiplash," and misusing high-potency topical steroids in sensitive skin fold areas. He walks through distinguishing tinea from eczema by looking for a leading scale with an erythematous base, and recommends Lotrisone as an underappreciated option when the diagnosis is unclear on the feet and lower legs. On drug-related rashes, Dr. Nahmias discusses the challenge of identifying culprit medications in patients on multiple drugs, common inpatient offenders like vancomycin and sulfa drugs, and serious reactions including Stevens-Johnson syndrome and DRESS syndrome. The episode wraps with advice on building relationships with local dermatology offices, taking clinical photos to share with referrals, knowing when to send a patient urgently (vasculitic rashes, sudden whole-body eruptions with systemic symptoms), and how the VisualDx diagnostic platform can help primary care providers narrow differentials and select first-line treatments. CME Credit Info: Link to complete brief survey and claim CME credit: https://www.surveymonkey.com/r/C55LKSYCME credit is available for up to 3 years after the stated release date Contact CEOD@bmhcc.org if you have any questions about claiming credit.

    35 min
  2. 03/03/2025

    Syphilis Testing and Management

    Hosts: Jake Lancaster MD, Chief Medical Information Officer and Amanda Comer DNP, System Director, Advanced Practice Providers Guest: Alex Yoby, Pharmacist CME Credit Info: Link to complete brief survey and claim CME credit: https://www.surveymonkey.com/r/C55LKSYCME credit is available for up to 3 years after the stated release date Contact CEOD@bmhcc.org if you have any questions about claiming credit. CDC’s Sexually Transmitted Infections (STI) Treatment Guidelines, 2021 Notable updates: These guidelines discuss 1) updated recommendations for treatment of Neisseria gonorrhoeae, Chlamydia trachomatis, and Trichomonas vaginalis; 2) addition of metronidazole to the recommended treatment regimen for pelvic inflammatory disease; 3) alternative treatment options for bacterial vaginosis; 4) management of Mycoplasma genitalium; 5) human papillomavirus vaccine recommendations and counseling messages; 6) expanded risk factors for syphilis testing among pregnant women; 7) one-time testing for hepatitis C infection; 8) evaluation of men who have sex with men after sexual assault; and 9) two-step testing for serologic diagnosis of genital herpes simplex virus Syphilis Lore It is postulated that syphilis came to Europe in the 1490s when Columbus arrived in Italy from America. After Italy surrendered to the invading French in 1495, this new disease rapidly spread across Europe. The name "syphilis" comes from the work of Girolamo Fracastoro, a noted poet and physician in Verona, Italy. In 1530, he wrote about a shepherd named Syphilus who angered Apollo, causing the god to curse the entire population with the affliction that we now know as syphilis T. pallidum Syphilis is a systemic, bacterial infection caused by Treponema pallidum.  Treponema are thin, Gram-negative, slowly metabolizing spirochetal bacterium, requiring an average of 30 hours to multiply. It is microaerophilic and cannot grow on standard culture media. Treponema pallidum’s outer membrane lacks lipopolysaccharides and has few surface-exposed unique proteins, making it difficult for the immune system to fight the infection. Because of this characteristic, T pallidum is labeled as a stealth pathogen. T. pallidum is the only Treponema species that causes sexually transmitted disease. Syphilis is characterized by a wide range of variable clinical symptoms that can resemble other diseases, which make it difficult to diagnose without a test, therefore, it is often referred to as “The Great Imitator”. The infection progresses through multiple stages (primary, secondary, latent, and tertiary) and can affect virtually every organ system in the body, even many years or even decades after the original infection. Infected people are contagious during the primary and secondary stages of syphilis. Stages of syphilis Primary syphilis: Primary syphilis classically presents as a single painless ulcer or chancre at the site of infection but can also present with multiple, atypical, or painful lesions. A chancre is defined as a firm, round, painless ulcer at the...

    25 min
4.8
out of 5
17 Ratings

About

Right Care at Baptist is the official CME podcast for the medical staff at Baptist Memorial Health Care. Dr. Jake Lancaster, the Chief Medical Information Officer, and Dr. Amanda Comer, System Director of Advanced Practice Providers, cover important and timely clinical information with experts across the Baptist system. Baptist Memorial Health Care Corporation is accredited by the Mississippi State Medical Association to provide continuing medical education for physicians. BMHCC designates this enduring material for a maximum of .50 AMA PRA Category 1 Credit(s)TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.