The Curbsiders Internal Medicine Podcast The Curbsiders Internal Medicine Podcast

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


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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. 

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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

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Sponsor: Pathway

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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

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.

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.

We went to it so you don’t have to

We recap the top pearls for the hospitalist from #SHM #Converge24 covering discussions on heart failure, gastrointestinal bleeds, sepsis, updates in critical care, updates in hospital medicine, oncologic emergencies, pneumonia, COPD, transitions of care, vulnerable populations, AI, and more!

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Show Segments





Intro
Picks of the Week
Heart Failure
Patients with Disabilities
POCUS on Inpatient Service
GI Updates
High Value Delivery of Medical Education
Molecular Testing for Infectious Diseases
Interhospital Transfers
Artificial intelligence in Inpatient Care
Care of the Incarcerated Patient
Periop Updates
Oncologic Emergencies--Neutropenic Fever
Oral vs IV Antibiotics
Updates in Hospital Medicine
Updates in Critical Care & Guidelines in Hospital Medicine
Post Acute Care
Things We Do For No Reason ™
Iron Deficiency Anemia
Updates in Community Acquired Pneumonia
Updates in Palliative Care
Outro



Credits





Written, produced and show notes by: Monee Amin MD, Caroline Coleman MD, Meredith Trubitt MD 
Cover Art: Caroline Coleman MD
Hosts: Monee Amin MD, Meredith Trubitt MD 
Reviewer: Rahul Ganatra, MD, MPH
Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
Technical Production: PodPaste
Guests: Harika Gorti MD, Sneha Neurgaonkar 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.