The Curbsiders Internal Medicine Podcast

This is an unlocked episode from our Curbsiders Patreon. You can sign up at Patreon.com/curbsiders.

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

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Sponsor: Pathway

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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.

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Show Segments

• Intro, disclaimer, guest bio
• 5:00 Guest one-liner
• 10:25 Case from Kashlak; Definitions
• 11:19 Methadone pharmacology and evidence
• 17:08 What an OTP feels like
• 20:25 OTP intake
• 24:45 Talking through methadone with a patient
• 28:15 Personal impact of methadone
• 30:20 Requirements at an OTP
• 33:43 What your patient needs to access an OTP
• 37:25 The line
• 39:06 Dosing/Take homes
• 44:48 Loss of take homes
• 48:39 How to interact with an OTP as a PCP
• 52:50 Methadone at STRs
• 57:03 How to clinicians use their voice to improve things
• 1:00:45 Take home points
• 1:03:00 Plugs
• 1:04:24 Outro

Credits

• Producer, Writer, Show Notes, Infographic, Cover Art: Shawn Cohen MD 
• Hosts: Carolyn Chan, MD. MHS and Shawn Cohen MD
• Reviewer: Payel Jhoom Roy MD, MSc
• Showrunner: Carolyn Chan, MD, MHS
• Technical Production: PodPaste
• Guest:  Ruth Potee MD, David Frank PhD

Get your patients ready to globetrot with our fantastic review of Travel Medicine with the esteemed Dr. Boghuma Titanji (@Boghuma)!  We cover malaria, anti-malarial chemoprophylaxis, basics of treatment and management of traveler’s diarrhea, yellow fever, and vaccination guidance!

Claim CME for this episode at curbsiders.vcuhealth.org!

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Show Segments

• Intro
• Case 1 - Defining travel medicine
• How to approach a travel clinic visit
• Malaria basics, transmission and burden
• Chemoprophylaxis for malaria
• Basic guidance for mosquito avoidance and travel
• Harm reduction, pregnancy and STI prevention, PrEP and doxyPEP
• Case 2 - Traveler’s diarrhea
• Food safety
• When to treat traveler’s diarrhea
• Case 3 - Yellow fever vaccine
• General vaccination guidance
• Take home points
• Outro

Credits

• Producer, Writer, Show Notes & Graphics: Beth Garbitelli MD
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP, Beth Garbitelli MD
• Reviewer:Emi Okamoto MD
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste
• Guest: Dr. Boghuma Titanji MD, MSc., DTM&H, PhD

Sponsor: Babbel

Get up to 60% off your Babbel subscription at Babbel.com/CURB. For a limited time only. 

Sponsor: Freed

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Sponsor: Rocket Money

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In this episode of The Curbsiders Podcast, the team delves into the recently updated breast cancer screening recommendations from the U.S. Preventive Services Task Force (USPSTF) with Dr. Wanda Nicholson (@wnicholsonobgyn), an expert in preventive medicine, diversity, equity and inclusion, and women's health and the Chair of the Task Force.  Join us as we review the newest screening mammography recommendations, evidence for earlier screening for all women, the challenge of dense breast findings, and more. Importantly, we discuss disparities in breast cancer outcomes and the need to better understand and address them.

Claim CME for this episode at curbsiders.vcuhealth.org!

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Show Segments

• Intro and Guest Background
• Case
• Updated Breast Cancer Screening Recommendations
• Rationale for screening age
• Considerations for findings of dense breasts
• Balancing benefits and harms
• Racial disparities
• Research Gaps
• Outro

Credits

• Producer, writer, show notes, infographic, and cover art: Fatima Syed MD
• Hosts: Paul Williams MD, FACP and Fatima Syed MD   
• Reviewer: Emi Okamoto MD
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste
• Guest: Wanda Nicholson MD, MBA, MPH

Elevate your rhinitis management!

Learn from expert allergist Dr. Olajumoke Fadugba about rhinitis and environmental allergies. You’ll review how to distinguish between allergic and non-allergic rhinitis, and how to decode the drugstore allergy aisle for your patients!

Claim free CME for this episode at curbsiders.vcuhealth.org!

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Show Segments

• Intro
• Rapid Fire Questions
• Case Part 1
• Allergic vs Non-Allergic Rhinitis
• The Rhinitis History and Physical
• Allergy skin testing
• The Pathophysiology of Allergies
• Oral, intranasal and ocular treatments
• Case Part 2
• Allergy immunotherapy
• Chronic sinusitis
• Sinus rinses
• Climate Change and Allergies
• Outro

Credits

• Producer: Leah Witt, MD & Matthew Watto MD
• Writer, Show Notes, Infographic, and Cover Art:  Leah Witt, MD
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
• Reviewer: Sai S Achi, MD MBA
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste
• Guest:  Olajumoke Fadugba MD

Sponsor: 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 

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.

Sponsor: Grammarly  

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Anxious about psychiatry on the wards? Don’t be! Join us with guest Dr. Aaron Gluth (Emory University) as we learn about the role the hospitalist plays in managing co-morbid psychiatry conditions on the wards. 

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Show Segments

• Intro
• Rapid fire questions/picks of the week
• Case
• Pertinent history
• Physical Exam including Mental Status Exam
• Role of the multidisciplinary team
• Work-up for reversible causes
• Agitation management
• Framework for capacity and challenging ethical scenarios
• Mortality gap
• Transitions of Care
• Outro

Credits

• Producer, Writer, Show Notes, Hosts: Meredith Trubitt MD MPH, Monee Amin MD
• Infographic and Cover Art: Caroline Coleman, MD
• Reviewer: Rahul Ganatra, MD MPH
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste
• Guest: Aaron Gluth

Sponsor: Dementia Care Aware 

For Dementia care training and more visit dementiacareaware.org

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

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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!

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Credits

• Written and Hosted by: Rahul Ganatra MD, MPH; Nora Taranto MD; Paul Williams, MD, FACP, Matthew Watto MD, FACP
• Cover Art: Matthew Watto MD, FACP
• Reviewer: Rahul Ganatra MD, MPH; Emi Okamoto MD
• Technical Production: Pod Paste
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

Show Segments

• Intro, disclaimer
• Preventive PCI
• Andexanet alfa for ICH
• Aspirin for MASLD
• Naltrexone for AUD in cirrhosis
• Pivmecillinam for UTI
• MDRO decolonization
• Cefepime vs pip/tazo
• Microplastics
• Pax-NO-vid
• 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: 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!

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Show Segments

• 00:00 Intro and Guest intro
• 05:53 Case 1: Elise - Macrocytic Anemia
• 14:59 Case 2: Jane - Hemolytic Anemia
• 23:24 Testing for Underlying Causes of Autoimmune Hemolytic Anemia
• 24:40 Association of Autoimmune Hemolytic Anemia with Lymphomas
• 25:10 Autoimmune Hemolytic Anemia: Diagnosis and Treatment
• 26:06 Management Approach for Autoimmune Hemolytic Anemia
• 27:30 Considerations for Outpatient Treatment of Autoimmune Hemolytic Anemia
• 28:18 Clotting Risk in Autoimmune Hemolytic Anemia
• 29:20 Treatment Options for Autoimmune Hemolytic Anemia
• 30:42 Long-Term Prognosis and Recurrence of Autoimmune Hemolytic Anemia
• 33:32 Diagnostic Challenges in Myelodysplastic Syndrome
• 35:00 Considerations for Folate Supplementation
• 36:24 Factors to Consider in the Management of Myelodysplastic Syndrome
• 39:30 When to Perform a Bone Marrow Biopsy in Myelodysplastic Syndrome
• 41:25 Shared Decision-Making in the Treatment of Myelodysplastic Syndrome

Credits

• Writer and Producer: Matthew Watto MD, FACP
• Show Notes: Matthew Watto MD, FACP
• Cover Art and Infographic: Matthew Watto MD, FACP
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
• Reviewer: Fatima Syed MD, MSc
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste
• Guest: 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!

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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

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

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Sponsor: Grammarly

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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. 

Claim CME for this episode at curbsiders.vcu health.org!

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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.

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!

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Show Segments

• Intro
• ACP Pearls
• Outro

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 MD
• Show Notes: Matthew Watto MD, FACP; Paul Williams MD, FACP, Molly Heublein MD, Nora Taranto MD, Chris Chiu MD, Rahul Ganatra MD MPH, Beth Garbitelli MD
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
• Reviewer:Matthew Watto MD FACP
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical 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!

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Show Segments

• 00:00 Intro 
• 03:00 Guest Introduction
• 06:45 Topic
• 07:30 Endo Definition & Symptoms
• 14:40 Endo phenotypes
• 21:30 Differential Diagnoses to Consider
• 25:47 Making a Diagnosis 
• 31:00 Imaging to consider
• 37:40 Endo Hormonal Treatment Optiosn
• 48:30 Monitoring Treatment
• 52:20 When to Refer
• 57:30 Surgical Treatment
• 1:09:20 Pain Management
• 1:13:30 Take Homes
• 1:19:00 Outro

Credits

• Producer, Show notes, Infographics: Carolyn Chan, MD, MHS
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
• Reviewer: Sai S Achi, MD, MBA
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste
• Guest: 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!

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Show Segments

• 00:00 Introduction 
• 06:14 Anatomy and Pain Generators
• 09:58 Approach to Neck Pain
• 22:57 Differentiating Radiculopathy from Non-Specific Neck Pain
• 24:05 Management of Mechanical Neck Pain
• 27:36 Indications for Imaging
• 29:21 Terminology and Explanation of Spondylosis, Spondylolisthesis, and Spondylolysis
• 30:48 Diffuse Idiopathic Skeletal Hyperostosis (DISH)
• 32:23 Imaging Terminology and Plain Films
• 36:19 Pathophysiology of Cervical Radiculopathy
• 38:34 Physical Examination for Cervical Radiculopathy
• 44:54 Diagnostic Work-up for Radiculopathy
• 51:53 Interventions for Cervical Radiculopathy
• 53:53 Considerations for Surgery
• 57:49 Recognizing Cervical Myelopathy
• 01:00:17 Natural History of Myelopathy
• 01:02:25 Referral and Treatment for Myelopathy
• 01:09:28 Summary and Takeaways

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: Leah Witt, MD
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste
• Guest: 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

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Show Segments

• Intro
• Rapid fire questions/Picks of the Week
• Case #1 and Definitions
• Bowel habits
• Water intake 
• Case #2
• Vaginal Estrogen
• Non-antibiotic prophylaxis
• Antibiotic in prophylaxis
• Pelvic Floor Physical Therapy
• Take-home points
• Outro

Credits

• Producer, Writer & Show Notes: Isabel Valdez, PA
• Infographic & Covert Art: Edison Jyang
• 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: 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

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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!

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Show Segments

• 00:00 Introduction and Diabetes Puns
• 01:00 Introduction of Guest and Topic
• 09:12 Qualifications and Eligibility for CGMs
• 11:32 Types of CGMs and Sensor Placement
• 24:47 Interpreting CGM Data and Alarms
• 34:30 Troubleshooting Patterns and Adjustments
• 35:23 Understanding Hypoglycemia and Counter Regulatory Hormone Responses
• 36:15 The Rule of 15 and Addressing Hypoglycemia
• 37:10 Reducing Basal Insulin to Address Nocturnal Hypoglycemia
• 38:29 Addressing Postprandial Highs with GLP-1, SGLT-2 Inhibitors, or Prandial Insulin
• 39:51 Managing Exercise-Induced Hypoglycemia
• 41:43 Preventing Exercise-Induced Hypoglycemia with Snacks
• 43:42 Managing Nocturnal Hypoglycemia with Sulfonylureas
• 45:31 Addressing Postprandial Hyperglycemia with GLP-1, SGLT-2 Inhibitors, or Prandial Insulin
• 46:54 Adjusting Basal Insulin to Address Morning Hyperglycemia
• 51:18 Troubleshooting High Blood Sugars with Basal Insulin and Mealtime Insulin
• 56:49 Managing High Blood Sugars with Basal Insulin and Mealtime Insulin
• 57:44 Addressing Adherence and Medication Barriers
• 59:39 Using Continuous Glucose Monitors (CGMs) for Diabetes Management
• 01:02:30 Using Sulfonylureas and Basal Insulin Combination as a Stopgap
• 01:05:49 Considering Patient Adherence and Barriers to Treatment

Credits

• Writer and Producer: Matthew Watto MD, FACP
• Show Notes: Matthew Watto MD, FACP
• Cover Art and Infographic: Matthew Watto MD, FACP
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
• Reviewer: Emi Okamoto MD
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste
• Guest: Jeff Colburn MD

Sponsor: Freed


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Sponsor: Panacea Financial


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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).

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Credits

• Written and Hosted by: Rahul Ganatra MD, MPH; Paul Williams, MD, FACP, Matthew Watto MD, FACP
• Cover Art: Matthew Watto MD, FACP
• Reviewer: Rahul Ganatra MD, MPH
• Technical Production: Pod Paste
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

Show Segments

• Introduction and disclaimer
• E-cigarettes for smoking cessation
• Gabapentinoids and COPD exacerbations
• Topical lidocaine for neck pain
• Association between specific antibiotics and C. diff infection
• Shortage of GLP-1 agonists and “dosing by clicks”

Sponsor: Locumstory

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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! 

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Show Segments

• Intro, disclaimer
• A case of pericarditis
• Diagnosing pericarditis
• The difference between pericarditis, myocarditis, myopericarditis, and perimyocarditis
• Etiologies of pericarditis and initial testing recommendations
• Treatment of acute uncomplicated pericarditis
• Using colchicine to prevent recurrent pericarditis
• Patient counseling after diagnosing pericarditis
• A case of myocarditis
• Interpreting elevated troponin levels
• Distinguishing between myocardial infarction and myocardial injury
• Diagnostic testing for suspected myocarditis
• When to pursue cardiac MRI and endomyocardial biopsy
• The spectrum of myocarditis presentations
• Fulminant myocarditis
• Common etiologies of myocarditis
• Immune checkpoint inhibitor myocarditis
• Myocarditis from mRNA vaccines and from SARS-CoV-2 infection
• Management of patients with myocarditis
• Activity restrictions for patients with myocarditis
• Outro

Credits

• Hosts: Paul Williams, MD, FACP, Matthew Watto MD, FACP
• Guest: Vivek Kulkarni, MD, FACC
• Producer, Script, and Show Notes: Adam Barelski, MD
• Infographics and Cover Art: Edison Jyang
• Reviewer: Leah Witt, MD
• Technical Production: Pod Paste
• Showrunners: 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!

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Show Segments

Time stamps refer to the ad-free version

• 00:00 Introduction and Guest Bio
• 07:46 Case Presentation
• 08:42 Initial Approach to CKD Management
• 09:10 Metabolic Acidosis in CKD
• 13:30 Consequences of Metabolic Acidosis
• 22:28 Administration of Bicarbonate
• 23:54 Alternative Options for Bicarbonate Repletion
• 24:47 Citrate and Bicarbonate
• 26:02 Sodium Bicarbonate for CKD
• 30:19 Dietary Modifications
• 33:35 Renal Diet
• 38:20 Counseling CKD Patients
• 41:39 Veverimer and Other Treatments
• 44:36 Mistakes and Pitfalls
• 46:55 Conclusion

Credits

• Writer and Producer: Matthew Watto MD, FACP
• Show Notes: Matthew Watto MD, FACP
• Cover Art and Infographic: Matthew Watto MD, FACP
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
• Reviewer: Emi Okamoto MD
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste
• Guest: Timothy Yau MD

Sponsor: Rocket Money 

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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). 

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Show Segments

• Intro
• Case from Kashlak
• Diagnosing anxiety
• Explaining anxiety to patients
• Non-pharmacological management of anxiety
• Pharmacological management of anxiety
• 2nd and 3rd line treatments
• Cannabis and anxiety
• Outro

Credits

• Writer, Producer, Show Notes, Infographic, Cover Art: Edison Jyang
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
• Reviewer: Sai Achi MD, MBA
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste
• Guest: 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). 

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Credits

• Written and Hosted by: Nora Taranto MD; Paul Williams, MD, FACP, Matthew Watto MD, FACP
• Cover Art: Nora Taranto MD 
• Reviewer: Emi Okamoto MD 
• Technical Production: Pod Paste
• Showrunners: 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.


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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). 

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Show Segments

• Introduction
• Case Presentation: Mr. Smith
• Differential Diagnosis of Heart Failure with Preserved Ejection Fraction
• Understanding Amyloidosis
• Clinical Clues and Red Flags for Amyloidosis
• Physical Examination Findings
• Workup for Amyloidosis
• Treatment Options
• AL Amyloidosis and Hematologist's Role
• ATTR Amyloidosis and Cardiologist's Role
• Other Therapies for TTR Amyloidosis
• Therapy on the Horizon
• Cost and Access to Tafamidis
• Alternative Therapies and Supplements
• Monitoring and Side Effects of Tafamidis
• Symptomatic Management and Anticoagulation
• Take Home Points

Credits

• Written and Produced by; Deborah Gorth, MD, PhD
• Infographic and Cover Art: Meryl Gorth, RD, MPH and Deborah Gorth, MD, PhD
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
• Reviewer: Sai S. Achi MD MBA
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste
• Guest: 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 

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Sponsor: Grammarly 

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Sponsor: Rocket Money 

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Join us as Sandhya Pruthi, MD talks us through basics of breast cancer, specifically how to share a new diagnosis with a patient, the spectrum of disease from favorable to more aggressive, and the basics of what to expect with initial treatment. Feel more confident sharing a new diagnosis of breast cancer and supporting your patients through this journey.

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Show Segments

00:00 Introduction
02:18 Getting to Know Dr Sandhya Pruthi
09:49 Picks of the Week
12:35 Case 1: Diagnosis and Treatment of ductal carcinoma in situ (DCIS)
21:24 Risk Stratification and Active Surveillance for DCIS
23:43 Genetic Testing Recommendations
28:08 Case 2: Evaluation and Diagnosis of a Breast Lump
39:14 Invasive Ductal Carcinoma
47:49 Initial Management of invasive ductal carcinoma (IDC)
48:19 Preoperative Discussion and MRI
49:19 Lumpectomy and Sentinel Lymph Node Biopsy
50:16 Radiation and Hormonal Adjuvant Therapy
51:46 Considerations for Chemotherapy
55:51 Signs of Late Recurrence or Metastasis
58:20 Screening Guidelines and Age
01:02:25 Importance of Breast Self-Awareness

Credits

• Written and produced, Show Notes:  Molly Heublein MD
• Infographic and Cover Art: Edison Jyang
• Hosts: Molly Heublein MD, Era Kryzhanovskaya MD 
• Reviewer: Leah Witt, MD
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste
• Guest: Sandhya Pruthi MD

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: Freed

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Sponsor: Babbel

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Sponsor: NetSuite

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Get rid of those clots around anticoagulation and antiplatelet management

Join us for a review of the perioperative risk assessment of bleeding and clotting and how to manage each patient’s own antithrombotics. We are joined by Dr. Poorvi Hardman from Ohio State University. 

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Show Segments

• Intro
• Rapid Fire Questions/Picks of the Week
• Case 1
• Risk stratification of thromboembolism and bleeding
• Review of types of surgeries and risk associated with surgical intervention
• Utilizing scoring systems to aid decision making
• Bridging
• Considerations for VKAs, DOACs 
• Pitfalls to bridging
• Case 2
• Aspirin Management
• P2Y12 Management
• Consultants
• Outro

Credits

• Written, produced and show notes by: Jaimie Patel MD
• Infographic and Cover Art by: Caroline Coleman MD
• Hosts: Monee Amin MD; Meredith Trubitt MD  
• Reviewer: Fatima Syed MD
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste
• Guest: Poorvi Hardman MD

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: 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

Get your shoes at Allbirds.com and use code CURB and score a free pair of socks with purchase today.

Sponsor: Pathway

Improve your clinical decision-making process and enhance patient care. Download the Pathway app today by visiting pathway.md

The Curbsiders and Cribsiders are back with a very special Med-Peds collaboration on RSV immunizations! Dr. Buddy Creech, Pediatric Infectious Disease at Vanderbilt, walks us through these breakthrough “vaccines" for both adults and kids. He teaches us about their mechanisms of action, eligibility criteria, and why it’s been so challenging to find doses this season. Get ready for your next shot of fun!

Join us as we review recent practice-changing articles on transfusion thresholds in acute MI, COVID-19 rebound after treatment with ritonavir-boosted nirmatrelvir (PaxlovidTM), the prevalence of iron deficiency, as well as the debut of our new “corrections and omissions” section, in which we cover important knowledge updates on oral iron dosing and correcting serum calcium. And, find out why oral phenylephrine does not work and what you should prescribe instead for upper respiratory symptoms. Fill your brain hole with a delicious stack of hotcakes! Featuring Paul Williams (@PaulNWilliamz), Rahul Ganatra (@rbganatra), and Matt Watto (@doctorwatto).

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Credits

• Written, Produced, and Hosted by: Rahul Ganatra MD, MPH; Paul Williams, MD, FACP, Matthew Watto MD, FACP
• Cover Art: Matthew Watto MD, FACP
• Reviewer: Rahul Ganatra MD, MPH
• Technical Production: Pod Paste
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

Show Segments

• 00:00 Introduction and Calcium Puns
• 03:11 Iron Deficiency and Iron Supplementation
• 12:20 Corrected Calcium
• 18:09 Virologic Rebound after nirmatrelvir/ritonavir (Paxlovid™)
• 32:09 Phenylephrine and its Ineffectiveness
• 37:00 Restrictive vs. Liberal Transfusion Strategy in MI (MINT trial)
• 49:20 Outro

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: Rocket Money

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Sponsor: Netsuite

Download NetSuite’s popular KPI Checklist, designed to give you consistently excellent performance for 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. 

Join Lisa Simon, MD, DMD (@lisathedoc) as we discuss dental care for the PCP- from examination techniques, treatment options, emergencies in dental care, and general dental advice.  Help your patients manage caries, gingivitis, dry mouth, and temporomandibular joint (TMJ) dysfunction.  Be aware of dental side effects of medications, how to manage anticoagulants during dental procedures, and when to recommend antibiotic prophylaxis. 

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Show Segments

00:00 Introduction and Overview
09:13 Diagnosing Dental Pain and Examination Techniques
18:44 Treatment Options for Dental Pain
29:34 Complications and Emergencies in Dental Care
32:36 Post-operative Care and General Dental Advice
40:35 Dry Mouth and Treatment Options
44:05 Gingivitis
49:39 Temporomandibular Joint (TMJ) Dysfunction
55:43 Medications and Dental Side Effects
56:12 Anticoagulants and Dental Procedures
01:00:55 Endocarditis Prophylaxis
01:03:15 Joint Replacements and Antibiotic Prophylaxis
01:04:10 Oral Health in Patients with Opioid Use Disorder

Credits

• Written and produced, Show Notes, Infographic and Cover Art by Dr Kate Grant 
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
• Reviewer: Molly Heublein MD
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste
• Guest: Lisa Simon MD, DMD

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: Grammarly

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Sponsor: Factor

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Sponsor: Freed

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Learn practical tips for the inpatient management of patients with sickle cell disease and vaso-occlusive crisis from guest, Dr. Yoo Mee Shin (Emory). We cover acute pain management including adjuvant therapies, IV fluids, oxygen therapy, the management of acute chest syndrome, and when to perform simple vs exchange transfusions. Key takeaways include the importance of early triage and analgesia, addressing misconceptions about opioid use disorder in patients with sickle cell disease, and recognizing complications of vaso-occlusive crises.

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Show Segments

• 00:00 Intro
• 01:27 Getting to know our guest
• 07:48 Case Presentation and Initial Management of Sickle Cell Disease (SCD)
• 13:46 Misconceptions about opioid use disorder and sickle cell
• 17:02 Management of Acute Pain in Sickle Cell Disease
• 25:46 Adjuvant therapy for pain
• 29:04 Transition to outpatient care
• 32:46 General admission orders for sickle cell
• 38:44 Management of Acute Chest Syndrome
• 42:01 Simple vs exchange transfusion
• 47:08 Transfusion in preoperative and pregnant patients
• 48:03 Transitions and follow-up care
• 49:35 Key takeaways and Outro

Credits

• Written and Produced by:  Matthew Watto MD, FACP
• Cover Art & Infographic: Matthew Watto MD, FACP
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
• Reviewer: Emi Okamoto MD
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste
• Guest: Yoo Mee Shin MD

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: Green Chef

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Conquer your fear of antiphospholipid syndrome! Dr. Arielle Langer leads us through what clinical features raise suspicion for antiphospholipid syndrome, how to interpret laboratory testing, and the nuances of antiphospholipid syndrome management.

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Show Segments

• Intro
• Case from Kashlak
• What is antiphospholipid syndrome?
• Clinical features that raise suspicion for antiphospholipid syndrome
• Laboratory testing and diagnosis of antiphospholipid syndrome
• Management of antiphospholipid syndrome: initial treatment
• Management of antiphospholipid syndrome: managing recurrent thrombosis
• Return to Case: Pregnancy in patients with a history of thrombotic APLS
• Obstetric APLS
• Final questions
• 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: Arielle Langer MD

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.

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Discover DGBI! Learn its pathophysiology, evaluation and individualized treatments so you can leave the fear of managing DGBI behind. We’re joined again by the great Dr. Xiao Jing (Iris) Wang, (@IrisWangMD, Mayo Clinic)

Claim CME for this episode at curbsiders.vcuhealth.org!

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Show Segments

• Intro, disclaimer, guest bio
• Guest one-liner, Picks of the Week*
• Case from Kashlak; Definitions (6:20) 
• Definition of Disorders of the Gut-Brain Interaction (7:30-11:00)
• Functional Dyspepsia: diagnostic criteria, definitions (15:30-24:30), and treatments  (24:30-36:00)
• Irritable bowel disease: diagnostics (41:00), testing algorithm, and treatments (55:00)
• Cyclic Vomiting Syndrome and Cannabis Hyperemesis Syndrome: definitions, diagnosis, and management (1:11)
• Take home points
• Outro

Credits

• Producer: Elena Gibson MD
• Writer:Andréa Perdigão, Elena Gibson
• Show Notes and Infographics: Andréa Perdigão
• Cover Art: Kate Grant
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
• Associate Editor: Leah Witt
• Showrunner: Matthew Watto MD, FACP
• Editor: Clair Morgan of nodderly.com
• Guest: Dr. Xiao Jing (Iris) Wang MD

Join us as we recap various topics discussed throughout the year, including hormonal and non-hormonal therapy for menopause symptoms, hemochromatosis, evaluation and management of hematuria, updates in diabetes management (insulin, GLP1 agonists, SGLT2 inhibitors, hypoglycemia), xylazine overdose and withdrawal, primary aldosteronism, resistant hypertension, delirium, and its implications, the ACORN trial on AKI risk with pip-tazo vs. cefepime, the REPRIEVE trial on statin therapy in patients with HIV, inpatient heart failure management, the implications of kratom use, and the effectiveness of RSV vaccines. Plus, Paul Williams (@PaulNWilliamz), Rahul Ganatra (@rbganatra), Nora Taranto (@norataranto), and Matt Watto (@doctorwatto) share their picks of the year and take a moment to reflect on their gratitude for the fans and the opportunity to work on Curbsiders.

Our team needed a break so we did not make CME for this episode. 

Show Segments

Time Stamps are for Patreon (Ad-Free) Version

• 00:00 Introduction and Overview
• 09:42 Hormonal and Non-Hormonal Therapy for Menopause Symptoms
• 14:20 Understanding Hemochromatosis
• 19:24 Evaluation and Management of Hematuria
• 25:00 Updates in Diabetes Management
• 29:35 Xylazine Overdose and Withdrawal
• 35:35 Primary Aldosteronism
• 39:36 Resistant Hypertension
• 44:12 Delirium and its Implications
• 46:29 The Acorn trial and AKI risk
• 49:47 HIV trial: Reprieve
• 51:11 Updates in hospital medicine
• 56:00 Kratom and its implications
• 59:11 RSV vaccines and their effectiveness
• 01:05:38 Reflections and Gratitude

Credits

• Written, Produced, and Hosted by: Nora Taranto MD, Rahul Ganatra MD, MPH; Matthew Watto MD, FACP; Paul Williams MD, FACP
• Cover Art: Matthew Watto MD, FACP
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste

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 - Glass Health

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Glass helps clinicians to draft differential diagnoses and draft clinical plans using physician-validated context. 

You can also use Glass to capture knowledge of all the schemas, scripts, cases, and pearls that you encounter and leverage them to take better care of patients. 

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Glass, like a clinical reference text or podcast, should never replace clinician judgment. 

Absorb all (but not too much) of the Calcium for your brain hole as Dr. Carl Pallais (Brigham and Women’s Hospital) walks us through his approach to Hypercalcemia. We learn about how tightly our body regulates calcium and what to do when that regulation goes awry.  Not to mention that PTH is the name to remember (and phosphorus, if you need a quick stand-in while that PTH is pending).  

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Absorb all (but not too much) of the Calcium for your brain hole as Dr. Carl Pallais (Brigham and Women’s Hospital) walks us through his approach to Hypercalcemia. We learn about how tightly our body regulates calcium and what to do when that regulation goes awry.  Not to mention that PTH is the name to remember (and phosphorus, if you need a quick stand-in while that PTH is pending). 

Show Segments

• Intro, disclaimer, guest bio
• Dr. Pallais One-Liner
• Case from Kashlak
• Definitions: What’s a Normal Calcium Level, and how to adjust for Albumin
• Causes of hypercalcemia
• How Lithium works! 
• Testing for Hypercalcemia: Get that PTH, and that phos 
• Symptoms of Hypercalcemia, and Questions on History 
• Indications for Surgery for Parathyroidectomy 
• Management of Hypercalcemia and Hypercalcemic Emergency 
• Outro

Credits

• Producer, Writer, Infographic, Cover Art: Nora Taranto MD 
• Hosts: Matthew Watto MD, FACP; Nora Taranto MD  
• Reviewer: Yan Emily Yuan MD, MSc
• Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com
• Guest:  Carl Pallais MD, MPH 

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Sponsor - Glass Health
Glass Health was founded in 2021 and has the mission of empowering doctors with AI-powered clinical decision support. 

Glass helps clinicians to draft differential diagnoses and draft clinical plans using physician-validated context.  You can also use Glass to capture knowledge of all the schemas, scripts, cases, and pearls that you encounter and leverage them to take better care of patients. 

Try Glass for yourself by visiting https://glass.health Personal knowledge management features are completely free and with Glass Pro, you get access to their powerful AI. You can get one month of Glass Pro free by signing up at https://glass.health and using the code CURBSIDERS.

Glass, like a clinical reference text or podcast, should never replace clinician judgment. 


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We’re taking a short break, but we’ll be back in two week with a brand-new episode. Can’t wait? Join our Kashlak family at patreon.com/curbsiders for access to twice-monthly bonus episodes… there are already 17 of them available to feed your brain hole! Yummy!
Time Stamps*

Kashlak’s esteemed Chief of Nephrology, Dr Joel Topf @kidney_boy walks us through the evaluation and differentiation of nephrotic syndrome and glomerulonephritis. Embrace the kidney again as we sort the different diagnostics, managements, and prognosis for these two pathologies. 

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Time Stamps*

*Note: Time Stamps refer to ad free version

• Intro, disclaimer, guest bio - 00:00
• Picks of the Week - 3:10
• Case from Kashlak - 6:30
• Nephrotic syndrome definition- 12:30
• Proteinuria evaluation - 15:04
• Additional lab testing - 27:08; 40:09
• Types of Nephrotic syndrome - 30:15
• Mechanism of nephrotic syndrome edema - 33:08
• Management of nephrotic syndrome - 44:07
• Second Kashlak Case- Glomerulonephritis - 55:05
• Treatment of glomerulonephritis - 65:05
• Outro and post-credits scene - 73:20

Credits

• Producer, writer, infographic, cover art: Elena Gibson MD
• Hosts: Elena Gibson MD, Stuart Brigham MD; Matthew Watto MD, FACP; Paul Williams MD, FACP  
• Editor: Emi Okamoto MD (written); Clair Morgan of nodderly.com (audio)
• Guest: Joel Topf MD

Sponsor - Pattern Life 
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A shock to the system

Join us for an infectious conversation about sepsis as we learn about the recognition and initial management of sepsis on the wards. We are joined by Dr. Mohleen Kang (@KangMohleen, Emory University).

Claim free CME for this episode at curbsiders.vcuhealth.org!

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Show Segments

• Intro
• Rapid fire questions/Picks of the Week
• Case
• Managing rapid response logistics
• Sepsis Scoring Systems
• Diagnostic Work-up for Sepsis
• Access 
• Antibiotic Management
• Fluids
• Pressors 
• Supportive Measures for Sepsis
• Outro

Credits

• Producers, Writers, and Hosts: Meredith Trubitt, MD  and Monee Amin, MD 
• Show Notes: Meredith Trubitt, MD
• Infographic and Cover Art: Sean Evans or Caroline Coleman
• Reviewer: Leah Witt, MD
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste
• Guest: Mohleen Kang, MD, MSc

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.

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Join us as we review recent articles and news featured in The DIGEST #45 and #46, including semaglutide in HFpEF and obesity (STEP HFpEF), TCAs for irritable bowel syndrome (ATLANTIS), clopidogrel versus aspirin as long-term secondary prevention after PCI (HOST-EXAM), statins in HIV (REPRIEVE), weight changes and diet, and heavy metal exposure in cannabis users. Fill your brain hole with a delicious stack of hotcakes! Featuring Drs. Paul Williams (@PaulNWilliamz), Nora Taranto (@norataranto), and Matt Watto (@doctorwatto).

Claim free CME for this episode at curbsiders.vcuhealth.org!

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Credits

• Written and Hosted by: Nora Taranto MD; Paul Williams, MD, FACP, Matthew Watto MD, FACP
• Cover Art: Matthew Watto MD, FACP
• Reviewers: Nora Taranto MD; Paul Williams, MD, FACP; Matthew Watto MD, FACP; Sai Achi, MD MBA
• Technical Production: Pod Paste
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

Show Segments

• Intro, disclaimer
• STEP HFpEF: semaglutide for HFpEF in obesity 
• TCAs for IBS 
• HOST-EXAM and post-PCI  clopidogrel versus aspirin after DAPT 
• REPRIEVE and pitavastatin in HIV
• Starchy vegetables and weight changes 
• Cannabis and heavy metal content 
• Outro

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.

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Become a pro on pre-exposure prophylaxis!

Review the updated 2023 United States Preventive Task Force (USPSTF) guidelines on PrEP for HIV Prevention with Dr. John Wong.

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Show Segments

• Intro
• What is PrEP?
• USPSTF PrEP for HIV Prophylaxis recommendations
• Defining Increased Risk for HIV
• Counseling pearls
• Types of PrEP, considerations about choice of PrEP
• Talking about Safer Sex practices, HIV and STI screening on PrEP
• Recap; outro

Credits

• Producer, Writer, Show Notes, Infographic/Cover Art: Beth Garbitelli MD
• Hosts: Paul Williams MD, FACP, Beth Garbitelli MD
• Reviewer:Leah Witt MD
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste
• Guest: John Wong MD

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.

“I collect spores, molds and fungus” - Dr. Egon Spengler

Dr. Ilan Schwartz MD PhD (@GermHunterMD) teaches us that we should always at least consider fungi in the differential diagnosis of unexplained sepsis, especially in patients with impaired immune systems or complex medical or surgical histories, and walks us through an approach to antifungals.  Be sure to check out the Mycoses Study Group Education & Research Consortium (@MSG_ERC), an organization of clinicians who are dedicated to advancing diagnostics and treatment of fungal disease (where Dr. Schwartz serves on the board of directors!) Claim CME for this episode at curbsiders.vcuhealth.org!

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Show Segments

• Intro
• Rapid fire questions, get to know our guest
• Intentionally vague case; When should we be worried about fungal infection?
• Overnight emergencies: Candidiasis and mucormycosis
• Starting empiric anti-fungals
• Testing basics: direct versus indirect
• Fungemia, fungal endocarditis
• Resistant candida; candida auris
• Pneumocystis jiroveci pneumonia
• Outro

Credits

• Producer, Writer, Show Notes, Infographic/Cover Art: Beth Garbitelli MD
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP, Beth Garbitelli MD
• Reviewer: Emi Okamoto MD
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste
• Guest: Ilan Schwartz 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: Uncommon Goods

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Diagnosing and treating bipolar disorder is not always black-and-white. Dr. Kevin Johns teaches us how to not get tripped up on this tricky diagnosis. (The Ohio State University Wexner Medical Center)

Claim free CME for this episode at curbsiders.vcuhealth.org!

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Show Segments

• Intro
• Case
• Screening for mania
• History for diagnosing bipolar disorder
• Definition
• Mimickers
• Treatment
• Outro

Credits

• Written and Produced by: Deborah Gorth MD, PhD 
• Infographic and Cover Art: Deborah Gorth MD, PhD and Meryl Gorth MPH, RD
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP; Deborah Gorth MD, PhD 
• Reviewer: Molly Heublein MD
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste
• Guest:   Kevin Johns MD

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.

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We’re taking a short break, but we’ll be back next week with a brand-new episode. Can’t wait? Join our Kashlak family at patreon.com/curbsiders for access to twice-monthly bonus episodes… there are already 15 of them available to feed your brain hole! Yummy!

Tighten up your glute-n facts!

Take control of celiac disease (CD) with gastroenterologist, Dr. Amy Oxentenko (Chair of Medicine at Mayo Clinic AZ, @AmyOxentenkoMD). Learn how to recognize both classic and non-classical features of CD and  understand diagnostic testing, management and proper follow-up for patients.

Claim free CME for this episode at curbsiders.vcuhealth.org!

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Show Segments

• Intro, disclaimer, guest bio
• Guest one-liner, Picks of the Week
• Case from Kashlak; Definitions
• Workup for a typical celiac patient
• Nonclassical features of CD
• When to do a small bowel biopsy
• Management of CD
• Considerations for atypical celiac patient and differentials
• Non-celiac gluten sensitivity
• Outro

Credits

• Production and Script: Matthew Watto MD, FACP
• Production, Show Notes and Infographics: Edison Jyang
• Cover Art: Kate Grant MBChB, MRCGP, DipGUMed
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP; Beth Garbitelli   
• Reviewer: Emi Okamoto MD
• Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com
• Guest: Amy Oxentenko MD, FACG

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Join us as we review recent practice-changing articles on VKAs vs DOACs in frail adults with atrial fibrillation, RSV vaccine for adults over 60, how much does blood pressure cuff size matter, cotton fever in people who inject drugs, new bloating and belching guidelines, and does pip-tazo cause more AKI than cefepime. 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!

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Credits

• Written and Hosted by: Rahul Ganatra MD, MPH; Paul Williams, MD, FACP, Matthew Watto MD, FACP
• Cover Art: Matthew Watto MD, FACP
• Reviewer: Sai Achi, MD
• Technical Production: Pod Paste
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

Show Segments

• Intro, disclaimer
• VKAs vs DOACs in frail adults with atrial fibrillation, 
• RSV vaccine for adults over 60, 
• how much does blood pressure cuff size matter?
• cotton fever in people who inject drugs, 
• new bloating and belching guidelines,
• does pip-tazo cause more AKI than cefepime?
• Outro

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.

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Sponsor: Locumstory 

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Common Ear Complaints, Tips and (Keratin) Pearls in Primary Care

Get an earful from ENT expert Dr. Angela Peng about how to approach common ear concerns, basic ear exam skills, safely clearing earwax and more!

Claim free CME for this episode at curbsiders.vcuhealth.org!

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Show Segments

• Intro with great pun!
• Rapid fire questions/Picks of the Week
• Case #1: Inner ear complaint
• Ear Exam 101
• Eustachian Tube Dysfunction
• Cholesteatoma
• Case #2: Outer ear complaint
• Malignant otitis externa
• Open tympanic membrane treatments
• Cerumen impaction
• Itchy Ears
• Outro

Credits

• Producer, Writer, Show Notes, Cover Art and Infographics: Isabel Valdez, PA-C
• 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:  Angela Peng, MD

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: Pathway 


Download the Pathway app for free today.

Keep saving lives by prescribing methadone and buprenorphine. Learn how initiations of each have changed in the era of high-potency synthetic opioids (HPSOs) like fentanyl and how to continue to provide person-centered care to people with opioid use disorder. We’re joined by Dr Melissa Weimer, @DrMelissaWeimer (Yale University). This episode is in honor of National Addiction Treatment Week (treataddictionsavelives.org).

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.

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Credits

• Producers: Shawn Cohen MD,  Kenneth Morford MD
• Writer: Carolyn Chan MD MHS
• Show Notes: Shawn Cohen MD
• Infographic and Cover Art: Kenneth Morford MD
• Hosts: Carolyn Chan MD. MHS Shawn Cohen MD, Natalie Stahl MD, Kenneth Morford MD
• Reviewer: Kento Sonoda MD
• Showrunner: Carolyn Chan, MD, MHS
• Technical Production: PodPaste
• Guest: Melissa Weimer DO MCR

Show Segments

• Intro, disclaimer, guest bio 00:00
• Guest one-liner 05:02
• National Addiction Treatment Week  06:00
• Case from Kashlak; Definitions 08:30
• Starting methadone  11:01
• Common methadone pitfalls 15:00
• Buprenorphine precipitated opioid withdrawal  23:50
• High-dose buprenorphine 32:20
• Treating buprenorphine precipitated withdrawal 36:50
• Low-dose buprenorphine 41:50
• Maintenance dose of buprenorphine 48:15
• ER buprenorphine 49:00
• Take home points 53:31

Semaglutide can’t fix everything…

Recommend lifestyle interventions for weight management with Dr. Will Yancy, Director of the Duke Lifestyle and Weight Management Center and Interim Chief of Division of General Internal Medicine at Duke (@DrWillYancy).  Learn about the ketogenic diet, lower carbohydrate diets, and exercise, and their impacts on your patients.  

Claim free CME for this episode at curbsiders.vcuhealth.org!

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Credits

• Producer and writer: Fatima Syed, MD, MSc, FACP
• Show Notes, Infographic, and Cover Art: Fatima Syed, MD, MSc, FACP
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
• Reviewer: Emi Okamoto, MD
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste
• Guest: Will Yancy, MD

Sponsor: Babbel

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Full Transcript available HERE

Show description: 
Feel confident diagnosing adrenal insufficiency. Learn how to accurately interpret a stimulation test, differentiate primary from secondary adrenal insufficiency, and teach patients about preventing an adrenal crisis with Dr. Atil Kargi (UNC School of Medicine) 

Claim free CME for this episode at curbsiders.vcuhealth.org!

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Show Segments

• Intro
• Case 1
• Case 2
• Topic
• Outro

Credits

• Written and Produced by: Elena Gibson, MD
• Infographic and Cover Art: Edison Jyang
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
• Reviewer: Sai S Achi, MD MBA
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste
• Guest: Atil Kargi, MD

Sponsor: Pathway

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Full transcript available HERE

A Guide to Seeing Them and Stopping Them in Their Tracks
Be a step ahead of diabetic foot infections! Learn who really needs that MRI, when to call your vascular colleagues, and when you really need that pseudomonas and anaerobic coverage. We are joined by Dr. Andrew Webster, infectious disease physician and antimicrobial stewardship director at the Atlanta VA.  Emory Division of Infectious Diseases

Claim free CME for this episode at curbsiders.vcuhealth.org!

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Show Segments

• Intro
• Picks of the Week
• Case
• Definitions
• Risk Stratifications
• Diagnostic Work-up
• Vascular evaluations
• Treatment
• Outro

Credits

• Writer, producer and show Notes: Reaford Blackburn, Jr., MD
• Cover Art and Infographic: Monee Amin, MD
• Hosts: Monee Amin, MD and Meredith Trubitt, MD   
• Reviewer:  Sai Achi, MD
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste
• Guest: Dr. Andrew Webster

Sponsor: Green Chef
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Sponsor: Pathway
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