The Curbsiders Internal Medicine Podcast

Join us as we review recent practice-changing articles on preventive PCI, andexanet alfa for ICH, aspirin for fatty liver, naltrexone in cirrhosis, pivmecillinam for UTI, cefepime vs pip-tazo, MDRO decolonization, microplastics and MACE, and more! Fill your brain hole with a delicious stack of hotcakes! Featuring Paul Williams (@PaulNWilliamz), Rahul Ganatra (@rbganatra), Nora Taranto (@norataranto) and Matt Watto (@doctorwatto). Claim CME for this episode at curbsiders.vcuhealth.org! Episodes | Subscribe | Spotify | Swag! |Mailing List | Contact | CME! Credits Written and Hosted by: Rahul Ganatra MD, MPH; Nora Taranto MD; Paul Williams, MD, FACP, Matthew Watto MD, FACPCover Art: Matthew Watto MD, FACPReviewer: Rahul Ganatra MD, MPH; Emi Okamoto MDTechnical Production: Pod PasteShowrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP Show Segments Intro, disclaimerPreventive PCIAndexanet alfa for ICHAspirin for MASLDNaltrexone for AUD in cirrhosisPivmecillinam for UTIMDRO decolonizationCefepime vs pip/tazoMicroplasticsPax-NO-vidOutro 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: Litter Robot  Whisker is currently offering $50 off Litter-Robot bundles. As a special offer to listeners of the show, go tostopscooping.com/CURB and use promo code CURB to save an additional $50 on any Litter-Robot bundle.

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.  Claim CME for this episode at curbsiders.vcuhealth.org! Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME Show Segments 00:00 Intro and Guest intro05:53 Case 1: Elise - Macrocytic Anemia14:59 Case 2: Jane - Hemolytic Anemia23:24 Testing for Underlying Causes of Autoimmune Hemolytic Anemia24:40 Association of Autoimmune Hemolytic Anemia with Lymphomas25:10 Autoimmune Hemolytic Anemia: Diagnosis and Treatment26:06 Management Approach for Autoimmune Hemolytic Anemia27:30 Considerations for Outpatient Treatment of Autoimmune Hemolytic Anemia28:18 Clotting Risk in Autoimmune Hemolytic Anemia29:20 Treatment Options for Autoimmune Hemolytic Anemia30:42 Long-Term Prognosis and Recurrence of Autoimmune Hemolytic Anemia33:32 Diagnostic Challenges in Myelodysplastic Syndrome35:00 Considerations for Folate Supplementation36:24 Factors to Consider in the Management of Myelodysplastic Syndrome39:30 When to Perform a Bone Marrow Biopsy in Myelodysplastic Syndrome41:25 Shared Decision-Making in the Treatment of Myelodysplastic Syndrome Credits Writer and Producer: Matthew Watto MD, FACPShow Notes: Matthew Watto MD, FACPCover Art and Infographic: Matthew Watto MD, FACPHosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   Reviewer: Fatima Syed MD, MScShowrunners: Matthew Watto MD, FACP; Paul Williams MD, FACPTechnical Production: PodPasteGuest: 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 Get up to 60% off your Babbel subscription, for a limited time, at Babbel.com/CURB.

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) Claim CME for this episode at curbsiders.vcu health.org! Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME Show Segments 00:00 Intro03:31 Understanding Primary Hyperparathyroidism09:03 Handling Mistakes and Complications in Surgery11:44 Case Discussion: Hypercalcemia and Elevated PTH Levels22:41 Symptoms of Primary Hyperparathyroidism25:06 The Role of Vitamin D in Primary Hyperparathyroidism28:07 Testing Considerations for Parathyroid Hormone (PTH) Levels46:02 Considerations for Parathyroid Carcinoma49:19 Parathyroid Imaging in Primary Hyperparathyroidism52:23 The Surgical Procedure for Primary Hyperparathyroidism57:45 Intraoperative Parathyroid Hormone Monitoring01:00:15 Post-Operative Monitoring for Hypocalcemia01:04:38 Normocalcemic Primary Hypoparathyroidism and Normohormonal Primary Hyperparathyroidism Credits Written and produced by: Paul Williams, MD, FACPShow Notes: Paul Williams, MD, FACPInfographic and Cover Art: Paul Williams, MD, FACPHosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   Reviewer: Fatima Syed, MDShowrunners: Matthew Watto MD, FACP; Paul Williams MD, FACPTechnical Production: PodPasteGuest: 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 Get AI writing support that works where you work. Sign up and download for FREE at grammarly.com/PODCAST

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! Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME Show Segments IntroPicks of the WeekCase 1: TamaraWhat is syncope?Categorizing SyncopeInitial workupRisk scoresPulmonary embolism Case 2: TravisCardiac evaluationTake-home pointsOutro Credits Producer, Script and Show Notes: Emi Okamoto MD Infographic and Cover Art: Caroline Coleman MDHosts: Monee Amin MD and Meredith Trubitt MDReviewer: Rahul Ganatra MD, MPHShowrunners: Matthew Watto MD, FACP; Paul Williams MD, FACPTechnical Production: PodPasteGuest: 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 Download the Pathway app by visiting pathway.md

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! Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME Show Segments 00:00 Tropical Diseases: Resurgence of Malaria and Dengue Fever03:44 Infectious Diseases: Syphilis Rates and New Treatments for C. diff08:28 Coagulopathy and Cirrhosis: Managing Hemostasis and Portal Vein Thrombosis11:34 Fatty Liver Disease: Risk Stratification and Treatment14:59 Cardiology Updates: Cardiovascular Kidney Metabolic Syndrome31:03 New Medications for Hypertension32:54 Renal Denervation and Hypertension33:51 Lp(a) Drugs and Their Potential36:01 Peripheral Arterial Disease and Claudication38:10 SGLT2 Inhibitors and Gout41:50 APO-B and LDL Cholesterol42:45 Secondary Hypogonadism and Head and Neck Radiation45:30 VEXAS: A Genetic Autoimmune Condition49:08 Obesity-Induced Leukocytosis52:49 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 MDCME, Cover Art: Beth Garbitelli MDHosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   Reviewer: Nora Taranto MDShowrunners: Matthew Watto MD, FACP; Paul Williams MD, FACPTechnical 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! Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME Show Segments IntroCase from KashlakHepatitis B screening - who should be screened?Hepatitis B screening - interpreting test resultsHepatitis B vaccinationStages of Chronic HBV infectionCounseling patients with chronic HBV about preventing transmission and protecting liver healthTreatment of chronic HBV infectionScreening for hepatocellular carcinomaOutro Credits Producer, Writer, Show Notes, Infographics, and Cover Art: Malini Gandhi Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   Reviewer: Fatima Syed MDShowrunners: Matthew Watto MD, FACP; Paul Williams MD, FACPTechnical Production: PodPasteGuest: 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! Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME Show Segments 00:00 Intro05:38 Shoulder Anatomy14:47 Continuum of Impingement Syndrome33:41 When to order an MRI36:28 Glenohumeral joint arthritis vs frozen shoulder51:50 AC joint arthritis 62:25 Outro Credits Written and Produced by: Matthew Watto MD, FACPShow Notes: Matthew Watto MD, FACPCover Art and Infographic: Beth Garbitelli MDHosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   Reviewer: Leah Witt MDShowrunners: Matthew Watto MD, FACP; Paul Williams MD, FACPTechnical Production: PodPasteGuest: 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! Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME Show Segments IntroPicks of the WeekHeart FailurePatients with DisabilitiesPOCUS on Inpatient ServiceGI UpdatesHigh Value Delivery of Medical EducationMolecular Testing for Infectious DiseasesInterhospital TransfersArtificial intelligence in Inpatient CareCare of the Incarcerated PatientPeriop UpdatesOncologic Emergencies--Neutropenic FeverOral vs IV AntibioticsUpdates in Hospital MedicineUpdates in Critical Care & Guidelines in Hospital MedicinePost Acute CareThings We Do For No Reason ™Iron Deficiency AnemiaUpdates in Community Acquired PneumoniaUpdates in Palliative CareOutro Credits Written, produced and show notes by: Monee Amin MD, Caroline Coleman MD, Meredith Trubitt MD Cover Art: Caroline Coleman MDHosts: Monee Amin MD, Meredith Trubitt MD Reviewer: Rahul Ganatra, MD, MPHShowrunners: Matthew Watto MD, FACP; Paul Williams MD, FACPTechnical Production: PodPasteGuests: 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.

We cover angina, COPD-asthma overlap, home oxygen, colon cancer screening, cancer survivorship, tobacco cessation, e-cigarettes, step counts for health,  new drugs, the RSV vaccine, addiction medicine, interstitial lung disease, APOL1-mediated kidney disease, testosterone therapy, antimicrobial resistance, office-based allergy testing and more! The Curbsiders review highlights, clinical pearls, and practice-changing updates from the American College of Physician Internal Medicine Meeting #IM2024!  No CME for this episode due to rapid turnaround, but claim CME for most episodes at  curbsiders.vcuhealth.org! Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME Show Segments IntroACP PearlsOutro Credits Producers: Matthew Watto MD, FACP; Paul Williams MD, FACP, Molly Heublein MD, Nora Taranto MD, Chris Chiu MD, Rahul Ganatra MD MPH, Beth Garbitelli MDShow Notes: Matthew Watto MD, FACP; Paul Williams MD, FACP, Molly Heublein MD, Nora Taranto MD, Chris Chiu MD, Rahul Ganatra MD MPH, Beth Garbitelli MDHosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   Reviewer:Matthew Watto MD FACPShowrunners: Matthew Watto MD, FACP; Paul Williams MD, FACPTechnical Production: PodPaste Sponsor: Beginly Health Visit https://beginlyhealth.com/curbsiders for the 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.

Energize your education on endometriosis! Learn common clinical presentations, optimal diagnostic imaging tests, and how to counsel patient on treatment options. We are joined by Dr. Adela Cope (Mayo Clinic) and Dr. Isabel Green @isabelgreenMD (Mayo Clinic). Claim CME for this episode at curbsiders.vcuhealth.org! Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME Show Segments 00:00 Intro 03:00 Guest Introduction06:45 Topic07:30 Endo Definition & Symptoms14:40 Endo phenotypes21:30 Differential Diagnoses to Consider25:47 Making a Diagnosis 31:00 Imaging to consider37:40 Endo Hormonal Treatment Optiosn48:30 Monitoring Treatment52:20 When to Refer57:30 Surgical Treatment1:09:20 Pain Management1:13:30 Take Homes1:19:00 Outro Credits Producer, Show notes, Infographics: Carolyn Chan, MD, MHSHosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   Reviewer: Sai S Achi, MD, MBAShowrunners: Matthew Watto MD, FACP; Paul Williams MD, FACPTechnical Production: PodPasteGuest: Dr. Adela Cope and Dr. Isabel Green 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: Locumstory Tune in to The Locumstory Podcast on Spotify, Apple, or Google podcasts. Sponsor: Babbel Curbsiders listeners get 60% off at babbel.com/CURB

A real pain in the neck (Get it?! We have fun.) Protect your neck!  Learn how to evaluate a patient with neck pain, and differentiate between mechanical neck pain, radiculopathy, and myelopathy. You’ll learn who should be reassured, who should see a surgeon, and what nonoperative options are available.  We’re joined by Dr. Anthony Mikula @anthony_mikula from Mayo Clinic.  Claim CME for this episode at curbsiders.vcuhealth.org! Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME Show Segments 00:00 Introduction 06:14 Anatomy and Pain Generators09:58 Approach to Neck Pain22:57 Differentiating Radiculopathy from Non-Specific Neck Pain24:05 Management of Mechanical Neck Pain27:36 Indications for Imaging29:21 Terminology and Explanation of Spondylosis, Spondylolisthesis, and Spondylolysis30:48 Diffuse Idiopathic Skeletal Hyperostosis (DISH)32:23 Imaging Terminology and Plain Films36:19 Pathophysiology of Cervical Radiculopathy38:34 Physical Examination for Cervical Radiculopathy44:54 Diagnostic Work-up for Radiculopathy51:53 Interventions for Cervical Radiculopathy53:53 Considerations for Surgery57:49 Recognizing Cervical Myelopathy01:00:17 Natural History of Myelopathy01:02:25 Referral and Treatment for Myelopathy01:09:28 Summary and Takeaways Credits Written and Produced by: Paul Williams, MD, FACPShow Notes: Paul Williams, MD, FACPInfographic and Cover Art: Paul Williams, MD, FACPHosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   Reviewer: Leah Witt, MDShowrunners: Matthew Watto MD, FACP; Paul Williams MD, FACPTechnical Production: PodPasteGuest: Anthony Mikula, 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: Grammarly Make a bigger impact at work with Grammarly. Sign up and download for FREE at grammarly.com/PODCAST

It’s NOT Always a UTI! Sounds like another UTI but it could be more than that! Time to explore the entire pelvic floor and see what more you can treat. School’s in session with the Bladder Teacher,  Kellen Choi, DO from the University of Louisville @KellenChoi Claim CME for this episode at curbsiders.vcuhealth.org! Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME Show Segments IntroRapid fire questions/Picks of the WeekCase #1 and DefinitionsBowel habitsWater intake Case #2Vaginal EstrogenNon-antibiotic prophylaxisAntibiotic in prophylaxisPelvic Floor Physical TherapyTake-home pointsOutro Credits Producer, Writer & Show Notes: Isabel Valdez, PAInfographic & Covert Art: Edison JyangHosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   Reviewer: Fatima Syed, MDShowrunners: Matthew Watto MD, FACP; Paul Williams MD, FACPTechnical Production: PodPasteGuest: Kellen Choi DO, FAOCS 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: Locumstory Tune in to The Locumstory Podcast on Spotify, Apple, or Google podcasts.

Step up your diabetes game! Learn the ins and outs of continuous glucose monitors (CGM) including key features, what and how to order, interpreting CGM data (time in range, time above range, etc.), and how to make adjustments to a patient’s insulin regimen, aka “insulin pattern matching”. We discuss common scenarios including overnight hypoglycemia, exercise-induced hypoglycemia, post-prandial hyperglycemia, what to do when the patient runs high all the time, and how to incorporate GLP1 agonists and SGLT2 inhibitors into a patient's regimen. Returning guest and Paul’s favorite frenemy, Dr. Jeff Colburn (VCU Health) returns! Claim CME for this episode at curbsiders.vcuhealth.org! Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME Show Segments 00:00 Introduction and Diabetes Puns01:00 Introduction of Guest and Topic09:12 Qualifications and Eligibility for CGMs11:32 Types of CGMs and Sensor Placement24:47 Interpreting CGM Data and Alarms34:30 Troubleshooting Patterns and Adjustments35:23 Understanding Hypoglycemia and Counter Regulatory Hormone Responses36:15 The Rule of 15 and Addressing Hypoglycemia37:10 Reducing Basal Insulin to Address Nocturnal Hypoglycemia38:29 Addressing Postprandial Highs with GLP-1, SGLT-2 Inhibitors, or Prandial Insulin39:51 Managing Exercise-Induced Hypoglycemia41:43 Preventing Exercise-Induced Hypoglycemia with Snacks43:42 Managing Nocturnal Hypoglycemia with Sulfonylureas45:31 Addressing Postprandial Hyperglycemia with GLP-1, SGLT-2 Inhibitors, or Prandial Insulin46:54 Adjusting Basal Insulin to Address Morning Hyperglycemia51:18 Troubleshooting High Blood Sugars with Basal Insulin and Mealtime Insulin56:49 Managing High Blood Sugars with Basal Insulin and Mealtime Insulin57:44 Addressing Adherence and Medication Barriers59:39 Using Continuous Glucose Monitors (CGMs) for Diabetes Management01:02:30 Using Sulfonylureas and Basal Insulin Combination as a Stopgap01:05:49 Considering Patient Adherence and Barriers to Treatment Credits Writer and Producer: Matthew Watto MD, FACPShow Notes: Matthew Watto MD, FACPCover Art and Infographic: Matthew Watto MD, FACPHosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   Reviewer: Emi Okamoto MDShowrunners: Matthew Watto MD, FACP; Paul Williams MD, FACPTechnical Production: PodPasteGuest: Jeff Colburn 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: Panacea Financial Download the 2024 Residents & Fellows Survey Report for free at panaceafinancial.com/report.

Join us as we review recent practice-changing articles on E-cigarettes for smoking cessation, Gabapentin and COPD exacerbations, lidocaine patches for mechanical neck pain, Cdiff risk by antibiotic type, and “dosing by clicks” for GLP1 agonists. Fill your brain hole with a delicious stack of hotcakes! Featuring Paul Williams (@PaulNWilliamz), Rahul Ganatra (@rbganatra), and Matt Watto (@doctorwatto). Claim CME for this episode at curbsiders.vcuhealth.org! Episodes | Subscribe | Spotify | Swag! |Mailing List | Contact | CME! Credits Written and Hosted by: Rahul Ganatra MD, MPH; Paul Williams, MD, FACP, Matthew Watto MD, FACPCover Art: Matthew Watto MD, FACPReviewer: Rahul Ganatra MD, MPHTechnical Production: Pod PasteShowrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP Show Segments Introduction and disclaimerE-cigarettes for smoking cessationGabapentinoids and COPD exacerbationsTopical lidocaine for neck painAssociation between specific antibiotics and C. diff infectionShortage of GLP-1 agonists and “dosing by clicks” 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.

Show description:  Join us as we review the diagnosis and treatment of pericarditis, myocarditis, peri-myocarditis, myo-pericarditis…and everything in between! We are joined by our esteemed guest, Dr. Vivek Kulkarni (@VivekKulkarniMD), a clinical cardiologist and assistant program director for the Cardiovascular Disease Fellowship at Cooper University Health Care, who helps us get to the heart of the matter!  Claim CME for this episode at curbsiders.vcuhealth.org! Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME Show Segments Intro, disclaimerA case of pericarditisDiagnosing pericarditisThe difference between pericarditis, myocarditis, myopericarditis, and perimyocarditisEtiologies of pericarditis and initial testing recommendationsTreatment of acute uncomplicated pericarditisUsing colchicine to prevent recurrent pericarditisPatient counseling after diagnosing pericarditisA case of myocarditisInterpreting elevated troponin levelsDistinguishing between myocardial infarction and myocardial injuryDiagnostic testing for suspected myocarditisWhen to pursue cardiac MRI and endomyocardial biopsyThe spectrum of myocarditis presentationsFulminant myocarditisCommon etiologies of myocarditisImmune checkpoint inhibitor myocarditisMyocarditis from mRNA vaccines and from SARS-CoV-2 infectionManagement of patients with myocarditisActivity restrictions for patients with myocarditisOutro Credits Hosts: Paul Williams, MD, FACP, Matthew Watto MD, FACPGuest: Vivek Kulkarni, MD, FACCProducer, Script, and Show Notes: Adam Barelski, MDInfographics and Cover Art: Edison JyangReviewer: Leah Witt, MDTechnical Production: Pod PasteShowrunners: Matthew Watto MD, FACP; Paul Williams MD, 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: Panacea Financial Download the full  2024 Residents & Fellows Survey Report for free at panaceafinancial.com/report. Sponsor: Factor Head to factormeals.com/curb50 and use code curb50 to get 50% off.

This episode has been Unlocked from patreon.com/curbsiders! Hone your obesity medicine skills in primary care! We discuss overcoming barriers, patient counseling, obesity pathophysiology, motivational interviewing, tools and tips from a weight loss program, and how to discuss medications for weight loss including phentermine/topiramate, bupropion/naltrexone, orlistat, oral superabsorbent hydrogel, and GLP1 agonists. We’re joined by obesity medicine expert, Dr. Kimberly Anne Gudzune of @HopkinsMedicine, recorded @SocietyGIM#SGIM23 in Denver, Colorado This audio episode is only available on Patreon!  Below are links to the original interview & show notes. #405 Obesity Medicine, GLP1 agonists, Weight Loss Management Tools and Tips Picks of the week: Paul recommends: Blue Eye Samurai (Netflix)Matt recommends:  Live, Die, Repeat aka Edge of Tomorrow (film) Show Segments 00:00 Introduction and Happy New Year 02:22 Overview of Obesity Medicine 04:13 Challenges in Weight Maintenance 06:07 Prevention of Obesity 08:04 Barriers to Obesity Care 09:29 Setting Realistic Weight Loss Goals 10:24 Counseling Patients on Weight Loss 11:45 Measuring Waist Circumference 12:44 Telemedicine and Tracking Apps 13:41 Psychological Considerations in Obesity Medicine 15:05 Low-Carb Diets 21:04 Managing Side Effects of GLP-1 Agonists 23:54 New Medication for Obesity 24:52 Prolia and Forteo for Osteoporosis 26:18 Statins and Lab Testing 29:30 Annual Labs and Urine Testing 32:37 Picks of the Week 35:02 Outro Join our Patreon today and save 16% on an annual membership at patreon.com/curbsiders. Kashlak Admitting Privileges comes with ad-free episodes, access to the Kashlak Vault, which contains PDF files and graphics from over 400 Curbsiders shows, access to our private Discord group, plus twice monthly bonus episodes like this one!

Is bicarbonate supplementation for metabolic acidosis in chronic kidney disease (CKD) a thing we do for no reason? We cover the pathophysiology and long-term consequences of metabolic acidosis, the history of bicarbonate use, alternative options for bicarbonate repletion including baking soda, lemon juice, fruits and veggies, whether the renal diet works, counseling patients with CKD, and common mistakes and pitfalls in managing metabolic acidosis in CKD. Our guest is Dr. Timothy Yau (@Maximal_Change, @WUNephrology, @AJKDOnline). It’s NephMadness 2024! Fill out your bracket today and check out the other podcasts participating in the NephMadness pod crawl! Claim CME for this episode at curbsiders.vcuhealth.org! Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME Show Segments Time stamps refer to the ad-free version 00:00 Introduction and Guest Bio07:46 Case Presentation08:42 Initial Approach to CKD Management09:10 Metabolic Acidosis in CKD13:30 Consequences of Metabolic Acidosis22:28 Administration of Bicarbonate23:54 Alternative Options for Bicarbonate Repletion24:47 Citrate and Bicarbonate26:02 Sodium Bicarbonate for CKD30:19 Dietary Modifications33:35 Renal Diet38:20 Counseling CKD Patients41:39 Veverimer and Other Treatments44:36 Mistakes and Pitfalls46:55 Conclusion Credits Writer and Producer: Matthew Watto MD, FACPShow Notes: Matthew Watto MD, FACPCover Art and Infographic: Matthew Watto MD, FACPHosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   Reviewer: Emi Okamoto MDShowrunners: Matthew Watto MD, FACP; Paul Williams MD, FACPTechnical Production: PodPasteGuest: Timothy Yau MD Sponsor: Rocket Money  Cancel your unwanted subscriptions by going to RocketMoney.com/CURB Sponsor: Freed You can try Freed for free right now by going to freed.ai And listeners of Curbsiders can use code CURB 50 for $50 off their first month.

Elevate your primary care management of anxiety. Become confident in counseling patients about a new anxiety diagnosis, 2nd and 3rd line medications, augmentation for anxiety treatment, and options for non-pharmacological anxiety treatment. We are joined by psychiatrist and mental health expert Dr. Jessi Gold, @drjessigold (University of Tennessee System; drjessigold.com).  Claim CME for this episode at curbsiders.vcuhealth.org! Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME Show Segments IntroCase from KashlakDiagnosing anxietyExplaining anxiety to patientsNon-pharmacological management of anxietyPharmacological management of anxiety2nd and 3rd line treatmentsCannabis and anxietyOutro Credits Writer, Producer, Show Notes, Infographic, Cover Art: Edison JyangHosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   Reviewer: Sai Achi MD, MBAShowrunners: Matthew Watto MD, FACP; Paul Williams MD, FACPTechnical Production: PodPasteGuest: Jessi Gold MD 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. Sponsor: Allbirds   Visit Allbirds.com and use code CURB for a free pair of socks with a purchase of $48 or more.

Join us as we review recent articles and news featured in The DIGEST #48, #49, and #50 including thromboprophylaxis for patients receiving chemotherapy,  eosinophil count to guide steroids in COPD exacerbations, anticoagulation in subclinical atrial fibrillation, the new genetic testing recommendations for patients with breast cancer, and at-home STI testing–not to mention trial names galore.  Fill your brain hole with a fully digestible meal! Featuring Paul Williams (@PaulNWilliamz), Nora Taranto (@norataranto) and Matt Watto (@doctorwatto).  Claim CME for this episode at curbsiders.vcuhealth.org! Episodes | Subscribe | Spotify | Swag! |Mailing List | Contact | CME! Credits Written and Hosted by: Nora Taranto MD; Paul Williams, MD, FACP, Matthew Watto MD, FACPCover Art: Nora Taranto MD Reviewer: Emi Okamoto MD Technical Production: Pod PasteShowrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP Show Segments 00:00 Introduction + Pun  06:06 Target TP Trial: Thromboprophylaxis in Cancer Patients 13:07 Steroids for COPD Exacerbations 25:25 Anticoagulation in Subclinical Atrial Fibrillation 34:01 Genetic Testing in Breast Cancer 43:38 Home STI Testing Transcript Disclaimer We've included a a free AI-generated transcript which has not been corrected by a human for accuracy or completeness. Please consider this a starting point for further research and consultation. We disclaim any liability for damages or losses resulting from this content. Sponsor: Factor Head to FactorMeals.com/curb50 and use code curb50 to get 50% off.  Sponsor: NetSuite Download NetSuite’s popular KPI Checklist, designed to give you consistently excellent performance - absolutely free, at NetSuite.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.

The clinical picture of an underrecognized disease Amyloidosis demystified. Learn the clinical clues that suggest possible amyloidosis and how to order the correct tests to diagnose this disease. We are joined by Dr. Michelle Kittleson who shows us the ropes of treating fibril accumulation, @MKittlesonMD (Cedars Sinai).  Claim CME for this episode at curbsiders.vcuhealth.org! Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME Show Segments IntroductionCase Presentation: Mr. SmithDifferential Diagnosis of Heart Failure with Preserved Ejection FractionUnderstanding AmyloidosisClinical Clues and Red Flags for AmyloidosisPhysical Examination FindingsWorkup for AmyloidosisTreatment OptionsAL Amyloidosis and Hematologist's RoleATTR Amyloidosis and Cardiologist's RoleOther Therapies for TTR AmyloidosisTherapy on the HorizonCost and Access to TafamidisAlternative Therapies and SupplementsMonitoring and Side Effects of TafamidisSymptomatic Management and AnticoagulationTake Home Points Credits Written and Produced by; Deborah Gorth, MD, PhDInfographic and Cover Art: Meryl Gorth, RD, MPH and Deborah Gorth, MD, PhDHosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   Reviewer: Sai S. Achi MD MBAShowrunners: Matthew Watto MD, FACP; Paul Williams MD, FACPTechnical Production: PodPasteGuest: Michelle Kittleson, MD, PhD Transcript Disclaimer We've included a a free AI-generated transcript which has not been corrected by a human for accuracy or completeness. Please consider this a starting point for further research and consultation. We disclaim any liability for damages or losses resulting from this content. Sponsor: Panacea  Visit panaceafinancial.com today to open your free account. Sponsor: Grammarly  Make a bigger impact at work with Grammarly. Sign up and download for FREE at grammarly.com/PODCAST Sponsor: Rocket Money  Stop wasting money on things you don’t use. Cancel your unwanted subscriptions by going to RocketMoney.com/CURB.