The Curbsiders Internal Medicine Podcast

Risks/benefits in older males, when to test, fertility considerations, and more. Master male hypogonadism diagnosis and management. Discover when and how to test, how to tackle confounding conditions, and why lifestyle changes may be more effective than testosterone therapy in certain patients. We are joined by Dr. Brad Anawalt, an expert in endocrine care, to guide us through the essentials. Claim CME for this episode at curbsiders.vcuhealth.org! Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME Show Segments IntroCase 1History and Physical Laboratory Testing Effect of Lifestyle on TestosteroneCase 2Prostate and Cardiovascular riskTreatment Options and ConsiderationsSecondary Causes of HypogonadismCase 3Testicular Size and Klinefelter SyndromehCG and ClomipheneMonitoring and Follow-UpTake-Home PointsOutro Credits Written and produced by Paul Wurtz MD. Show notes, cover art, and infographic also created by Paul Wurtz MD. Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   Reviewer: Sai S Achi MD, MBA, FACPShowrunners: Matthew Watto MD, FACP; Paul Williams MD, FACPTechnical Production: PodPasteGuest: Bradley D. Anawalt 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 With huge discounts for doctors in training, now is truly the best time to request your disability insurance quotes with Pattern at patternlife.com/curbsiders. Sponsor: Litter Robot As a special holiday offer, Whisker is offering up to $100 off Litter-Robot bundles. AND, as a special offer to listeners, you can get an additional $50 off when you go to stopscooping.com/CURB.

A Bell-Ringer of a Presentation Is it a stroke or is it botox? No, it’s Bell’s palsy! Learn how to differentiate facial palsy from other sinister diagnoses. Join us as Dr. Jordan Amar (Assistant Professor of Clinical Neurology at USC Keck School of Medicine) gives us Bell’s palsy pointers (and a great mnemonic, if there is such a thing). Claim CME for this episode at curbsiders.vcuhealth.org! Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME Show Segments IntroductionRapid fire questions and Reflex HammersCase #1: Ms. MelanieFramework for Bell's PalsyBell's Palsy vs Stroke: How to Differentiate Approach to History and Physical Exam Case #2: Mr. LopezRed Flags in Facial Palsy (GROWLS FACE) Workup: From Imaging to Labs and What Not to DoTreatment: The Role of Steroids and AntiviralsSupportive Care, Complications and PrognosisTake-Home PointsOutro Credits Producer and Writer: Isabel Valdez, PA-C Show Notes: Paul Wurtz MD, Ben Furman MPH MS3, Isabel Valdez, PA-CInfographic and Cover Art: Zoya Surani, MS2Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   Reviewer: Leah Witt, MDShowrunners: Matthew Watto MD, FACP; Paul Williams MD, FACPTechnical Production: PodPasteGuest: Jordan Amar, MD Sponsor: Beginly Health Ready to take control of your job search? Visit beginlyhealth.com/curbsiders to get started Sponsor: OpenEvidence  If you haven't tried it out yet check it out, it will save you time and help you make better decisions go to openevidence.com/curbsiders 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.

Preserve your sanity while treating heart failure with preserved ejection fraction.  Dr Michelle Kittleson @MKittlesonMD (Cedars Sinai) illuminates this confounding cardiac condition. Claim CME for this episode at curbsiders.vcuhealth.org! Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME Show Segments 00:00 Introduction and Advice for Physicians02:24 Case Presentation04:16 Understanding HFpEF08:11 Differential Diagnosis of Dyspnea and Edema11:30 Diagnosing HFPEF: H2F-PEF Score and Testing17:07 Managing Comorbidities in HFpEF20:54 Non-Pharmacological Interventions: Weight Loss and Exercise23:16 Understanding the Challenges of HFpEF25:08 Medications30:13 Promising Results of GLP-1 Receptor Agonists36:38 Managing Salt and Water Intake Credits Writer and Producer: Deborah Gorth MD, PhDInfographic and Cover Art: Zoya SuraniHosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   Reviewer: Emi Okamoto MDShowrunners: Matthew Watto MD, FACP; Paul Williams MD, FACPTechnical Production: PodPasteGuest: Michelle Kittleson MD, PhD 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: Bombas Head over to Bombas.com/curb and use code curb for 20% off your first purchase. Sponsor: Beginly Health Ready to take control of your job search? Visit beginlyhealth.com/curbsiders to get started

Join us as we review recent articles and news featured in The DIGEST issues #56 and #57, including finerenone for heart failure, the skinny on pneumonia vaccines and the latest, PCV21, long-term oxygen therapy (the REDOX trial), and the PREVENT vs PCE cardiovascular risk equations.  Fill your brain hole with a fully digestible meal! Featuring Alex Chaitoff (@alexchaitoff), Rahul Ganatra (@rbganatra), Nora Taranto (@norataranto), and Matt Watto (@doctorwatto).  Note: **Update on Pneumonia Vaccine from ACIP: After we recorded and just before we published this episode, the CDC updated its vaccine guidance to include pneumonia vaccination for all adults aged 50 years and older to receive either PCV20, PCV21, or the combination of PCV15 followed by PPSV23 one year later (CDC site accessed 24 Oct 2024).** Claim CME for this episode at curbsiders.vcu health.org! Episodes | Subscribe | Spotify | Swag! |Mailing List | Contact | CME! Credits Written and Hosted by: Nora Taranto MD; Rahul Ganatra MD, MPH, Alex Chaitoff MD, MPH, Matthew Watto MD, FACPCover Art: Matthew Watto MD Reviewer: Emi Okamoto MD Technical Production: Pod PasteShowrunners: Matthew Watto MD, FACP  Show Segments Introduction + Pun Exploring Finerenone in Heart FailurePneumonia Vaccines: The PCV21 TrialLong-Term Oxygen Therapy: The REDOX TrialCardiovascular Risk Calculators: The PREVENT Equation 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: Quince Go to Quince.com/curb for free shipping on your order and 365-day returns. Sponsor: Beginly Health Ready to take control of your job search? Visit beginlyhealth.com/curbsiders to get started

Kittleson Rules Outpatient Heart Failure Volume 1 Provide superb outpatient care for your patients with HFrEF. Identify underlying causes of heart failure and titrate medications with ease. Dr Michelle Kittleson @MKittlesonMD (Cedars Sinai) breaks down the nuances of treating this common cardiac condition.  Claim CME for this episode at curbsiders.vcuhealth.org! Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME Show Segments 00:00 Introduction 03:22 Case Presentation: Newly Diagnosed Heart Failure07:26 Using Physical Exam Findings to Guide Diuresis11:58 The Four Pillars of Guideline-Directed Medical Therapy for Heart Failure15:07 Optimizing Therapy and Follow-Up in Heart Failure Patients22:10 The Benefits of High-Intensity Initiation and Titration of Guideline-Directed Medical Therapy28:02 Consideration of Other Medications40:02 Referral to Advanced Heart Failure Specialist49:11 Optimizing Therapy and Follow-Up55:33 Conclusion and Book Recommendation Credits Writer and Producer: Deborah Gorth MD, PhDInfographic and Cover Art: Zoya SuraniHosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   Reviewer: Emi Okamoto MDShowrunners: Matthew Watto MD, FACP; Paul Williams MD, FACPTechnical Production: PodPasteGuest: Michelle Kittleson MD, PhD 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: Litter Robot Right now, Whisker is offering $75 off Litter-Robot bundles. AND, as a special offer to listeners, you can get an additional $50 off when you go to stopscooping.com/CURB. Sponsor: Beginly Health Ready to take control of your job search? Visit beginlyhealth.com/curbsiders to get started

Treating colds, flu, and more with Dr Amber Bird! Dive deep into upper respiratory viral infections with Dr Amber Bird, MD (Penn).  Feel confident on when to order testing, recommend symptom relieving treatments, and avoid unnecessary antibiotics. Claim CME for this episode at curbsiders.vcuhealth.org! Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME Show Segments 00:00 Introduction and Setting the Agenda03:07 Getting to Know the Guest and Rapid Fire Questions05:51 Case from Kashlak: Mateo with Common Cold Symptoms06:12 Defining and Diagnosing the Common Cold09:08 Approach to History and Physical Exam13:23 Viral Respiratory Testing and Its Indications17:36 Symptomatic Treatment Options for the Common Cold24:25 Managing Cough and Nasal Congestion35:03 Home Remedies and natural products42:16 Prescribing Antivirals for Influenza46:33 Antibiotics and Counseling Patients52:07 Contagiousness and Risk to Family Members54:52 Recurring Colds and Risk Factors59:38 Vaccination recommendations01:01:23 Key Takeaways and Conclusion Credits Producer: Leah Witt, MD and Molly Heublein, MDShow Notes/CME: Molly Heublein, MDCover Art and Infographic: Leah Witt, MDHosts, writers: Leah Witt and Molly Heublein, MD  Reviewer: Fatima Syed, MDShowrunners: Matthew Watto MD, FACP; Paul Williams MD, FACPTechnical Production: PodPasteGuest: Amber Bird, MD Sponsor: Babbel Get up to 60% off at Babbel.com/CURB.  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: Panacea Legal  Let Panacea Legal help you today at Panacea.Legal

Supplemental oxygen is ubiquitous and yet there is a tremendous amount of uncertainty related to prescription and management in the outpatient setting. Have no fear, we’ve got your back! On this episode of The Curbsiders we host special guest Susan Jacobs, RN, MS who is a bonafide, world-class expert in outpatient oxygen therapy. How to prescribe? What’s out there? What do you do when your patient travels? She joins us to tackle these questions and so much more so make sure to tune in and snag some knowledge food for that old brain hole! Claim CME for this episode at curbsiders.vcuhealth.org! Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME Show Segments IntroGetting to know our guestBasics of oxygen prescribing and devicesCaveats for the patient who only has exertional hypoxemiaHow to prepare for travelKey points & take awaysOutro Credits Producer, Writer, Infographic and Cover Art Artist: Leah Witt, MDShow Notes: Cyrus Askin, MDReviewer:  Fatima Syed, MDHosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACPTechnical Production: PodPasteGuest: Susan Jacobs, RN, MS Sponsor: UVA Health To learn more about UVA Health, visit https://uvahealth.com/ Sponsor: Beginly Health Ready to take control of your job search? Visit beginlyhealth.com/curbsiders to get started. Sponsor: Freed AI 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. View full show notes at thecurbsiders.com

De-stress your approach to stress fractures (and trochanteric pain syndromes and meniscus tears)! Follow along as the great Dr. Senter guides us through the diagnosis, workup, and treatment of an all-star lineup of sport injuries. Part 2 covers stress fractures, relative energy deficiency in sports, trochanteric pain, meniscus tears, and the ongoing quest to diagnose Paul’s mysterious hip injury.  Claim CME for this episode at curbsiders.vcuhealth.org! Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME Show Segments Case 1 - Hip stress fracture Approach to hip injuries in runners  Relative Energy Deficiency in Sports (RED-S)Imaging consideration for bone stress injuriesSurgical and treatment consideration for hip stress fracturesOsteoporosis evaluationCase 2 - Greater trochanteric pain syndrome Hip and trochanter anatomy  Treatment and imaging of trochanteric tendinopathiesCase 3 - Meniscus tearKnee evaluation and physical exam  Bucket handle tears and surgical considerationsSpecial physical exam maneuvers Imaging and further surgical considerations Outro & Take Home Points  Credits Producer and Show Notes: Peter Wikoff MDWriter, Infographic and Cover art: Edison Jyang MD Reviewer: Sai S Achi MD MBA FACPHosts and Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP   Technical Production: PodPasteGuest: Dr. Carlin Senter MD Sponsor: ClinicalKey AI To learn more about ClinicalKey AI, visit Elsevier.health/AI  Sponsor: Beginly Health Ready to take control of your job search? Visit beginlyhealth.com/curbsiders to get started.  Sponsor: Freed AI 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.

Learn how to manage diabetes and hypertension in chronic kidney disease with expert tips from Kidney Boy, Kashlak’s Chief of Nephrology, Dr. Joef Topf @kidney_boy.  Claim CME for this episode at curbsiders.vcuhealth.org! Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME Credits Written and Produced by: Fatima Syed, MD, MScInfographic and Cover Art: Zoya Surani, MD Show Notes: Fatima Syed, MD, MScHosts: Matthew Watto MD, FACP; Paul Williams MD, FACPReviewer: Sai S Achi, MD, MBA, FACPShowrunners: Matthew Watto MD, FACP and Paul Williams MD, FACPTechnical Production: Pod PasteGuest: Joel Topf, MD Sponsor: Mint Mobile To get this new customer offer and your new 3-month premium wireless plan for just 15 bucks a month, go to mintmobile.com/CURB.  Sponsor: ClinicalKey AI ClinicalKey AI is an award-winning solution that combines trusted, evidence-based clinical content with conversational search powered by generative AI. To unlock the power of AI in clinical decision-making with ClinicalKey AI, visit Elsevier.health/AI” 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.

Follow along as the great Dr. Senter guides us through the diagnosis, workup, and treatment of an all-star lineup of sport injuries. Part 1 covers concussions, femoroacetabular  impingement (FAI), and the ongoing quest to diagnose Paul’s mysterious hip injury.  Claim CME for this episode at curbsiders.vcuhealth.org! Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME Show Segments 00:00 Introduction  08:43 Case 1 - Concussion  9:39 Approach and Workup of Concussions  18:08 Treatment of Concussions (Return to Activity)  24:10 Consideration of Head Imaging  33:20 Case 2 - Hip Pain (FAI)  34:15 Hip Anatomy and Differential Diagnosis  38:41 Hip Physical Exam  45:41 Hip Imaging  47:28 Treatment of FAI Outro & Take Home Points  Credits Producer and Show Notes: Peter Wikoff MDWriter, Infographic and Cover art: Edison Jyang MD Reviewer: Sai S Achi MD MBA FACPHosts and Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP   Technical Production: PodPasteGuest: Dr. Carlin Senter MD Sponsor: ClinicalKey AI ClinicalKey AI is an award-winning solution that combines trusted, evidence-based clinical content with conversational search powered by generative AI. To unlock the power of AI in clinical decision-making with ClinicalKey AI, visit Elsevier.health/AI 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 Get up to 60% off your Babbel subscription - but only for our listeners at Babbel.com/CURB.

Expand your NAFLD/MASLD knowledge! Expert guest Dr. Elliot Tapper (@ebtapper) shares his framework for approaching NAFLD/MASLD and the treatment tools he recommends including lifestyle modifications and medications.  Claim CME for this episode at curbsiders.vcuhealth.org! Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME Show Segments IntroRapid Fire SegmentCase 1 Part 1NAFLD/MASLD terminology and differential diagnosesPEth testing Diagnostic tools for NAFLD/MASLD: Fib4 ScoreImagingWhen to Refer to a Hepatologist?Treatment optionsLifestyle modifications Role of GLP-1 agonistsRole of new FDA approved medicationsOutro Credits Producer: Sai S Achi, MD, MBA, FACP; Matthew Watto MD, FACP Writer, Show Notes, Cover Art, and Infographics: Sai S Achi, MD MBA, FACPHosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   Reviewer: Leah Witt MDShowrunners: Matthew Watto MD, FACP; Paul Williams MD, FACPTechnical Production: PodPasteGuest: Dr. Elliot Tapper 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: The University of Virginia Visit uvahealth.com website to explore this exceptional opportunity and submit your application today. Sponsor: Beginly Health Ready to take control of your job search? Visit beginlyhealth.com/curbsiders to get started.

Quit playing games with my heart Yet another beat no to skip here with part 2 of our conversation with cardiologist Dr. Sanjeev Francis (@, Maine Medical Center)for acute coronary syndrome. Learn about the warranty on stress tests, initial management of ACS and how to deal with those pesky elevated troponins from patients with sepsis. Claim CME for this episode at curbsiders.vcuhealth.org! Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME Show Segments Start Part 1IntroRapid fire questions/Picks of the WeekCase 1History and PhysicalECGs DefinitionsRisk Stratification ToolsNon-invasive Testing OptionsEnd Part 1Start Part 2Case 2Warranty on Non-invasive TestingInvasive Management of non ST elevation ACS Medical Management of non ST elevation ACS Case 3Myocardial Injury DefinitionsDiagnostics to Consider for Myocardial InjuryTransitions of CareOutroEnd Part 2 Credits Producer, Writer, Show Notes, Hosts: Meredith Trubitt, MD, MPH, Monee Amin MDInfographic, Cover Art: Caroline Coleman, MDReviewer: Rahul Ganatra, MD, MPHShowrunners: Matthew Watto MD, FACP; Paul Williams MD, FACPTechnical Production: PodPasteGuest: Sanjeev Francis, MD Sponsor: Babbel Get up to 60% off your Babbel subscription - but only for our listeners at Babbel.com/CURB. 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: Panacea Financial  If you’re ready to join the thousands of doctors who have declared independence from traditional banks, visit panaceafinancial.com today.

Quit playing games with my heart Don’t skip a beat and join us  in part 1 of our conversation with cardiologist  Dr. Sanjeev Francis (@, Maine Medical Center)for acute coronary syndrome. First up, the basics on physical exam, how to interpret high-sensitivity troponin and how to think through the spectrum of acute coronary syndrome. Claim CME for this episode at curbsiders.vcuhealth.org! Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME Show Segments Start Part 1IntroRapid fire questions/Picks of the WeekCase 1History and PhysicalECGs DefinitionsRisk Stratification ToolsNon-invasive Testing OptionsEnd Part 1Start Part 2Case 2Warranty on Non-invasive TestingInvasive Management of non ST elevation ACS Medical Management of non ST elevation ACS Case 3Myocardial Injury DefinitionsDiagnostics to Consider for Myocardial InjuryTransitions of CareOutroEnd Part 2 Credits Producer, Writer, Show Notes, Hosts: Meredith Trubitt, MD, MPH, Monee Amin MDInfographic, Cover Art: Caroline Coleman, MDReviewer: Rahul Ganatra, MD, MPHShowrunners: Matthew Watto MD, FACP; Paul Williams MD, FACPTechnical Production: PodPasteGuest: Sanjeev Francis, MD Sponsor: Mint Mobile  To get your new 3-month premium wireless plan for just 15 bucks a month, go to mintmobile.com/CURB.  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 your first month.  Sponsor: American College of Physicians Preorder ACP MKSAP to receive discounted pricing plus free MKSAP 19 premium content you can use now at acponline.org/acpmksap

We're taking a short summer break, but we'll be back at the end of August with brand new episodes.  Lose your heart to NephMadness 2022! Dr. Joel Topf (@kidney_boy) and Dr. Sadiya Khan (@HeartDocSadiya) tackle the NephMadness 2022 Cardiorenal Syndrome region, leading us through the pathophysiology of cardiorenal syndrome, how to approach the creatinine “bump” with diuresis, managing patients with diuretic resistance, and more. Claim CME for this episode at curbsiders.vcuhealth.org! Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME! Show Segments Intro, disclaimer, guest biosGuest one-liners, Introduction to Nephmadness 2022Case #1 from Kashlak: acute decompensated heart failure with elevated creatinineDefinition and pathophysiology of cardiorenal syndromeUse of home ACE-is/ARBs and SGLT-2 inhibitors in cardiorenal syndromeCase #2 from Kashlak: the creatinine bump with diuresisApproach to the creatinine bump with diuresisTips for the volume examInterpreting cardiac biomarkers in patients with chronic kidney diseaseCase #3 from Kashlak: diuretic resistanceMaximizing loop diuretic efficacySequential nephron blockadeUse of hypertonic salineOutro Credits Producer, Writer, Show Notes, Infographics: Malini GandhiCover Art:  Beth GarbitelliHosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   Reviewer: Emi Okamoto MD, FACPExecutive Producer: Beth GarbitelliShowrunner: Matthew Watto MD, FACPEditor: Clair Morgan of nodderly.com Guest: Dr. Joel Topf MD, Dr. Sadiya Khan MD Sponsor: Beginly Health Ready to take control of your job search? Visit beginlyhealth.com/curbsiders to get started.  Sponsor: Locumstory Tune in to The Locumstory Podcast on Spotify, Apple, or Google podcasts. 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.

We're taking a short summer break, but we'll be back at the end of August with brand new episodes.   AKI Tips and Tricks from Joel Topf MD, Kashlak’s Chief of Nephrology Get a grip on acute kidney injury (AKI) with Dr. Joel Topf (AKA @kidney_boy), Kashlak’s Chief of Nephrology! We’ve put together an AKI highlight reel - focusing on practical tips and tricks to help you identify, diagnose and manage AKI, plus how to recognize AIN and random myths and musings on vancomycin, NSAIDS, contrast nephropathy, and the risk of NSF from gadolinium. Listeners can claim Free CE credit through VCU Health at http://curbsiders.vcuhealth.org/ (CME goes live at 0900 ET on the episode’s release date).  Show Notes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME! Credits Written (including CME questions) and Produced by: Cyrus Askin, MDInfographic by: Cyrus Askin, MDCover Art: Kate Grant MBChb, MRCGPHosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   Editor: Matthew Watto MD, FACP (written materials); Clair Morgan of nodderly.com Guest: Joel Topf, MD Time Stamps 00:00 Sponsors - VCU Health CE and Pediatrics On Call podcast by APP 00:30 Intro, disclaimer, guest bio 03:00 Guest one-liner, Picks of the Week*: Zoe Keating albums (Cellist); Mrs. America (TV series) on FX; The Last of Us (Videogame); 08:45 Sponsor - Pediatrics On Call podcast by APP 09:15 Definition of acute kidney injury (AKI) and fundamentals 11:00 Cardiorenal syndrome 12:24 Schema for AKI 17:30 Establish an etiology, determine urine output and address electrolyte abnormalities 21:22 AKI in the otherwise-healthy patient; 32:20 Rhabdomyolysis 38:21 Vancomycin 41:43 Acute interstitial nephritis (AIN) 44:52 Contrast induced nephropathy (CIN) 50:37 Gadolinium in AKI and/or CKD 52:53 Timing of dialysis  56:37 AKI in the out-patient setting and how to handle home meds e.g. TMP-SMX, RAAS inhibitors; 62:01 Is Ultrasound necessary in AKI  64:58 Dr. Topf’s take home points and Plug for Seminars in Nephrology 68:45 Outro and Sponsor - VCU Health CE 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: Panacea Financial If you’re ready to join the thousands of doctors who have declared independence from traditional banks, visit panaceafinancial.com today. Sponsor: Locumstory Tune in to The Locumstory Podcast on Spotify, Apple, or Google podcasts.

We're taking a short summer break, but we'll be back at the end of August with brand new episodes. Your swell guide to the swollen leg We're taking a short summer break, but we'll be back at the end of August with brand new episodes. We have seen our esteemed guests, and they are us!  Paul Williams (@PaulNWilliamz) leads the discussion with Matt Watto (@DoctorWatto) and Beth “Garbs” Garbitelli (@bethgarbitelli) on the evaluation and management of common causes of edema. Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME! Show Segments Intro, disclaimerPicks of the Week*The case of Lynn FedemaPathophysiology of edemaDifferential diagnosis of chronic edemaChronic edema work-upManagement of chronic edemaCalvin Fedema and acute edemaEvaluation of acute edemaOutro Credits Written and produced by: Paul Williams, MD, FACPInfographic and Cover Art: Matthew Watto, MD, FACPHosts: Matthew Watto MD, FACP; Paul Williams MD, FACP; Beth GarbitelliReviewer: Emi Okamoto, MDExecutive Producer: Beth GarbitelliShowrunner: Matthew Watto, MD, FACP   Editor: Clair Morgan of nodderly.com 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: Rocket Money Cancel your unwanted subscriptions by going to RocketMoney.com/CURB. Sponsor: Grammarly   Get AI writing support that works where you work. Sign up and download for FREE at grammarly.com/PODCAST

We're taking a short summer break, but we'll be back at the end of August with brand new episodes. Drop the pounds and the sugar with new guidelines  Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME Credits Producer: Matthew Watto, MD and Isabel Valdez, PAWriter: Matthew Watto, MDShow Notes, Cover Art and Infographics: Isabel Valdez, PAHosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   Reviewer: Fatima Syed, MDShowrunners: Matthew Watto MD, FACP; Paul Williams MD, FACPTechnical Production: PodPasteGuest:  Marie E. McDonnell, MD Show Segments Puns and Intro.Disclaimer and Guest bioCase from KashlakLabs to distinguish type 1 from type 2 diabetesSelecting initial therapy: Focus on weight loss and glucose controlHbA1c goals Yeast infections and SGLT2-iUsing sulfonylureas and extended release metforminPancreatitis and GLP-1 RACancer and GLP-1 RASemaglutide tipsTirzepatide, how it works and benefitsTake home pointsOutro 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: ACP MKSAP Learn more about ACP MKSAP at acponline.org/acpmksap  Sponsor: Pathway Download the Pathway app by visiting pathway.md

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We're taking a short summer break, but we'll be back at the end of August with brand new episodes. Master common hypertension scenarios in the clinic! Our guest Dr. Jordy Cohen (@jordy_bc) will lead us through the FAQs of outpatient hypertension management, including making a diagnosis of hypertension, managing blood pressure in patients with chronic kidney disease, working up refractory hypertension, and more. Claim CME for this episode at curbsiders.vcuhealth.org! Credits ● Writer: Matthew Watto, MD, FACP ● Producers: Matthew Watto, MD, FACP and Malini Gandhi ● Show Notes, Infographic, and Cover Art: Malini Gandhi ● Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP ● Reviewer: Emi Okamoto MD ● Executive Producer: Beth Garbitelli ● Showrunner: Matthew Watto MD, FACP ● Editor: Clair Morgan of nodderly.com ● Guest: Jordy Cohen MD Show Segments ● Intro, disclaimer, guest bio ● Guest one-liner, Picks of the Week* ● Case from Kashlak: New diagnosis of hypertension ● How to make a diagnosis of hypertension ● When to start anti-hypertensive medication ● Initial blood pressure regimen ● Case from Kashlak: White coat hypertension ● Case from Kashlak: Hypertension in chronic kidney disease ● ACEis and ARBs in chronic kidney disease ● Diuretics in chronic kidney disease ● Case from Kashlak: Refractory hypertension ● History and initial workup for refractory hypertension ● Treatment of primary hyperaldosteronism ● Outro 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: Pathway Download the Pathway app by visiting pathway.md Sponsor: Mint Mobile Go to mintmobile.com/CURB to get a 3-month premium wireless plan for just $15 a month.

OTP yea you know me Make methadone a part of your practice. Learn how the methadone system in the US works and how you can play an active role in improving care for people with opioid use disorder treated with methadone. We’re joined by Dr. Ruth Potee @DrRuthPotee (website) and Dr. David Frank @highway_dave  Claim CME for this episode at curbsiders.vcuhealth.org! By listening to this episode and  completing CME, this can be used to count towards the new DEA 8-hr requirement on substance use disorders education. Episodes | Subscribe | Spotify | iTunes | CurbsidersAddictionMed@gmail.com | Free CME! Show Segments Intro, disclaimer, guest bio5:00 Guest one-liner10:25 Case from Kashlak; Definitions11:19 Methadone pharmacology and evidence17:08 What an OTP feels like20:25 OTP intake24:45 Talking through methadone with a patient28:15 Personal impact of methadone30:20 Requirements at an OTP33:43 What your patient needs to access an OTP37:25 The line39:06 Dosing/Take homes44:48 Loss of take homes48:39 How to interact with an OTP as a PCP52:50 Methadone at STRs57:03 How to clinicians use their voice to improve things1:00:45 Take home points1:03:00 Plugs1:04:24 Outro Credits Producer, Writer, Show Notes, Infographic, Cover Art: Shawn Cohen MD Hosts: Carolyn Chan, MD. MHS and Shawn Cohen MDReviewer: Payel Jhoom Roy MD, MScShowrunner: Carolyn Chan, MD, MHSTechnical Production: PodPasteGuest:  Ruth Potee MD, David Frank PhD