28 episodes
The Point of Care Podcast RMO Medical Education
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- Health & Fitness
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4.8 • 6 Ratings
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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.
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Acute Pancreatitis (Inpatient) - Full Episode
This full-length episode on the inpatient management of acute pancreatitis includes not only the admission framework, but also key clinical pearls on the background, pathophysiology, etiologies, presentation, diagnosis, treatment, and complications associated with the disease to help take your understanding to the next level!
Visit pointofcaremedicine.com to see the templates, pearls, literature, and other resources discussed in this episode.
Our mission is to create accessible and easy-to-use digital resources that help healthcare professionals tackle common clinical presentations at the point of care, without getting bogged down by unnecessary details or trivia.
Timestamps
00:00:00 - Background and Epidemiology
00:01:13 - A Note on Chronic Pancreatitis
00:01:31 - Admission Checklist
00:03:49 - HPI Intake
00:04:33 - Physical Exam
00:05:20 - Etiology and Differential
00:06:20 - Plan - Work Up
00:07:30 - Plan - Treatment
00:09:31 - If You Remember Nothing Else
00:10:04 - Pearls - Pathophysiology
00:11:15 - Pearls - Etiology and Risk Factors
00:12:56 - Pearls - Presentation and Diagnosis
00:15:56 - Pearls - Treatment
00:18:08 - Pearls – Complications
Show Notes
Reviews
Acute Pancreatitis: A Review (JAMA, 2021)
Acute Pancreatitis (NEJM, 2016)
Trials
WATERFALL Trial - Aggressive (20 ml/kg bolus + 3 ml/kg/hr) vs Non-Aggressive (10 ml/kg bolus + 1.5 ml/kg/hr) fluid resuscitation in acute pancreatitis - fluid overload resulted in 20.5% vs 6.3% of patients but no difference in the development of moderately severe or severe pancreatitis (NEJM, 2022)
Other Literature
Enteral versus parenteral nutrition for acute pancreatitis (Cochrane, 2010)
A Critical Evaluation of Laboratory Tests in Acute Pancreatitis (Am J Gastroenterol, 2002)
Blogs and Summaries
Clinical Problem Solvers - Acute Pancreatitis Illness Script
Internet Book of Critical Care - Pancreatitis
Radiopaedia - Imaging Findings in Acute Pancreatitis
Pathway Guidelines Summary - Acute Pancreatitis -
Acute Pancreatitis - Quick Admit
This Quick-Admit episode on acute pancreatitis will focus on only the highest-yield information you need when admitting a patient to the hospital.
To take your understanding of the disease to the next level, check out the full-length episode for more information including a discussion of the most important clinical pearls and literature.
Visit pointofcaremedicine.com to see the templates, pearls, literature, and other resources discussed in this episode.
Our mission is to create accessible and easy-to-use digital resources that help healthcare professionals tackle common clinical presentations at the point of care, without getting bogged down by unnecessary details or trivia. -
Hyperkalemia (Inpatient)
Visit pointofcaremedicine.com to see the templates, pearls, literature, and other resources discussed in this episode.
Our mission is to create accessible and easy-to-use digital resources that help healthcare professionals tackle common clinical presentations at the point of care, without getting bogged down by unnecessary details or trivia.
Timestamps:
00:00:07 - Background and Epidemiology
00:00:42 - Pathophysiology
00:02:29 - Admission Checklist
00:04:29 - HPI Intake
00:05:15 - To Note on Exam
00:05:25 - Etiology and Differential
00:06:10 - Plan - Treatment
00:07:56 - If You Remember Nothing Else
00:08:40 - Pearls - Etiology
00:09:44 - Pearls - Presentation and Diagnosis
00:12:03 - Pearls - Treatment
Trials and Literature
Clinical Management of Hyperkalemia (Mayo Clin Proc, 2021)
An Integrated View of Potassium Homeostasis (NEJM, 2015)
Risk of Hospitalization for Serious Adverse Gastrointestinal Events Associated With Sodium Polystyrene Sulfonate Use in Patients of Advanced Age (JAMA, 2019) - Kayexalate is associated with serious GI adverse events over 30 days (0.2% of people who take vs. 0.1% who don’t) - NNH is 1000; intestinal ischemia is the most common
Sodium zirconium cyclosilicate in hyperkalemia
(NEJM 2015) - reduces K over placebo
Other Resources:
Clinical Problem Solvers - Hyperkalemia Schema
Core EM - Hyperkalemia (good EKG change images)
Life in the Fastlane - EKG Features of Hyperkalemia -
Diabetic Foot Wound (Inpatient)
Visit pointofcaremedicine.com to see the templates, pearls, literature, and other resources discussed in this episode.
Our mission is to create accessible and easy-to-use digital resources that help healthcare professionals tackle common clinical presentations at the point of care without getting bogged down by unnecessary details or trivia.
Timestamps
00:00:08 – Background
00:01:12 – Pathophysiology
00:01:55 – Admission Checklist
00:03:29 – HPI Intake
00:04:19 – To Note on Exam
00:04:58 – Plan: Workup
00:05:40 – Plan: Treatment
00:07:28 – If You Remember Nothing Else
00:08:28 – Pearls
00:10:43 – Literature
Literature
IWGDF/IDSA Guidelines on Diagnosis and Treatment
of Diabetes-Related Foot Infections (Diabetes Metab Res Rev, 2023)
Diabetic Foot Ulcers and Their Recurrence (NEJM, 2017)
Diabetic Foot Ulcers: A Review (JAMA, 2023) -
Acute Gout Flare (Inpatient)
Visit pointofcaremedicine.com to see the templates, pearls, literature, and other resources discussed in this episode.
Our mission is to create accessible and easy-to-use digital resources that help healthcare professionals tackle common clinical presentations at the point of care, without getting bogged down by unnecessary details or trivia.
Time Stamps:
00:00:08 - Background and Definitions
00:01:39 - Pathophysiology
00:03:22 - Admission Checklist
00:04:25 - HPI Intake
00:05:51 - Physical Exam
00:06:06 - Differential Diagnosis
00:06:38 - Plan - Workup and Treatment
00:08:54 - If You Remember Nothing Else
00:10:14 - Pearls - Etiology
00:11:00 - Pearls - Presentation and Diagnosis
00:13:07 - Pearls - Treatment
00:15:20 - Literature and Trials
00:15:56 - Wrap Up
Show Notes:
Gout Review (NEJM, 2022)STOP Gout Trial (NEJM, 2022) - allopurinol non-inferior to febuxostat for preventing flares and for reaching target urate concentrations at 48 weeks
CARES Trial (NEJM, 2018) suggested an increased risk of mortality in febuxostat from cardiac events, but a follow-up FAST Trial (Lancet, 2020) showed no difference compared to allopurinol - FDA still has a black box warning
Calcium Pyrophosphate Deposition Disease (CPPD) Review (NEJM, 2016) -
Community-Acquired Pneumonia (Inpatient)
Today's episode is on the inpatient workup and management of Community-Acquired Pneumonia featuring an admission checklist, HPI intake, differential, plan, and high-yield clinical pearls.
Visit pointofcaremedicine.com to see the templates, pearls, literature, and other resources discussed in this episode.
Our mission is to create accessible and easy-to-use digital resources that help healthcare professionals tackle common clinical presentations at the point of care without getting bogged down by unnecessary details or trivia.
Show Notes:
00:00:08 - Background and Definitions
00:01:13 - Etiology and Pathophysiology
00:02:49 - Admission Checklist
00:05:16 - HPI Intake
00:06:38 - Physical Exam Findings
00:07:30 - Differential
00:08:48 - Treatment Plan
00:10:15 - If You Remember Nothing Else
00:11:47 - Clinical Pearls - Etiology
00:13:47 - Clinical Pearls - Presentation and Diagnosis
00:16:53 - Clinical Pearls - Treatment
00:19:52 - Clinical Pearls - Complications
Customer Reviews
Great for med students on clerkship!
An incredible podcast! Presents information in a clear way that really helps cover the pertinent topics we sometimes miss when we are busy studying pheochromocytomas.
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