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The Curbsiders Internal Medicine Podcast | MedEd | FOAMed | Internist | Hospitalist | Primary Care | Family Medicine

Supercharge your learning and enhance your practice with this Internal Medicine Podcast featuring board certified Internists as they interview national and international experts to bring you clinical pearls and practice changing knowledge. Doctors Matthew Watto, Stuart Brigham, and Paul Williams deliver some knowledge food for your brain hole. No boring lectures here, just high value content and a healthy dose of humor. Fantastic podcast for Internal Medicine, Family Medicine, Primary Care, and Hospital Medicine. Topics include heart disease, obesity, diabetes, cardiac imaging, migraines, fibromyalgia, hypertension, cholesterol, osteoporosis, insomnia, testosterone, functional medicine, dementia, and more!
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Now displaying: November, 2017

Supercharge your learning and enhance your practice with this Internal Medicine Podcast featuring board certified Internists as they interview national and international experts to bring you clinical pearls and practice changing knowledge. Doctors Matthew Watto, Stuart Brigham, and Paul Williams deliver some knowledge food for your brain hole.

thecurbsiders@gmail.com

Nov 27, 2017

Making all your nephrology dreams come true with part 2 of our interview with  @kidney_boy, Joel Topf, MD Salt Whisperer and Chief of Nephrology at Kashlak Memorial Hospital. Flush away your bad prescribing habits when it comes to nephrotoxic drugs in this fast paced run down of the medications which must stay on or off Santa’s naughty-list, backed up with a sack full of memorable research studies. Special thanks to Annie Medina, Justin Berk and Kate Grant for writing/producing this show and to physician artist, Kate Grant for her lovely/hilarious artwork (more at paintscientific.com).

Full show notes available at http://thecurbsiders.com/podcast

Join our mailing list and receive a PDF copy of our show notes every Monday. Rate us on iTunes, recommend a guest or topic and give feedback at thecurbsiders@gmail.com.

Time Stamps

  • 00:00 Intro
  • 03:00 Which medications should we exercise caution over in CKD?
  • 03:31 Bactrim (Trimethoprim+Sulfamethoxazole)
  • 07:00 NSAIDS
  • 08:29 NSAIDS and the ‘Precision’ Trial NEJM 2016 looking at cardiovascular safety
  • 12:50 The Male Physician Study JAMA 2001
  • 13:50 Discussion about Nurses Health Study and use of analgesia, and CKD
  • 15:15 Acute Interstitial Nephritis, Beta Lactam Antibiotics, and the risk of Acute kidney injury +/- CKD with Proton Pump Inhibitors
  • 18:20 Advice for co-prescribing NSAIDS,ACE inhibitors and diuretics
  • 20:39 Creatinine levels and ACE/ARB prescribing. How High can you go?
  • 24:55 Facebook question from listener: measures to reduce proteinuria in hypertensive patients
  • 27:20 Empagliflozin and renal protection in diabetic patients
  • 32:00 Contrast Induced Nephropathy, the AMACING trial 2016.
  • 38:00 Take Home Points
  • 39:57 Outro

Tags:  chronic, kidney, disease, nephrology, renal, glomerular, filtration, crcl, gfr, creatinine, medications, pharmacology, bactrim, nsaids, ace-i, contrast, metformin, empagliflozin, nephropathy, care, education, doctor, family, foam, foamed, health, hospitalist, hospital, internal, internist, nurse, meded, medicine, medical, primary, physician, resident, student

 

Nov 20, 2017

Steady your hand and annihilate tremor with tips from Neurologist, and Movement Disorder specialist, Andres Deik, MD, Assistant Professor of Clinical Neurology at Kashlak Memorial Hospital (we can’t tell you where he really works: ) We teach you to differentiate benign causes of tremor from Parkinson’s disease with simple history and physical exam skills, plus nonpharmacologic and pharmacologic therapies for tremor. Special thanks to Beth Garbitelli and Chris Thrash who wrote and produced this episode and the show notes!

Full show notes available at http://thecurbsiders.com/podcast

Join our mailing list and receive a PDF copy of our show notes every Monday. Rate us on iTunes, recommend a guest or topic and give feedback at thecurbsiders@gmail.com.

Time Stamps

  • 00:00 Intro and disclaimer
  • 01:08 Listener feedback - Paul is not fired.
  • 02:09 Picks of the week.
  • 05:35 Dr. Deik intro
  • 07:19 Icebreaker questions
  • 12:20 Wikipedia definition
  • 13:02 Classifying tremor
  • 14:33 Postural tremor vs. reemerging rest tremor
  • 15:48 Important history questions
  • 17:58 Medications that can induce tremor
  • 21:39 Physical exam techniques
  • 27:30 Exam characteristics between typical PD tremor and ET
  • 28:36 History components to distinguish between PD and ET
  • 34:10 Misdiagnosis of Parkinson’s
  • 36:54 Imaging workup
  • 39:03 Case from Dr Deik
  • 41:33 Nonpharmacologic management
  • 44:18 Pharmacologic management
  • 49:06 Dosing propranolol
  • 51:07 Distinguishing between physiologic tremor and pathologic tremor’
  • 54:06 Website recommendations
  • 55:50 Handwriting
  • 59:14 Take home points
  • 61:34 Outro

Tags: tremor, essential, postural, neurology, Parkinsons, disease, beta, blockers, primidone, movement, disorders, antidepressants, occupational, therapy, rest, intention, assistant, care, education, doctor, family, foam, foamed, health, hospitalist, hospital, internal, internist, nurse, meded, medicine, medical, primary, physician, resident, student

Nov 13, 2017

Take control of chronic kidney disease with tools, and tips from @kidney_boy, Joel Topf, MD Salt Whisperer and Chief of Nephrology at Kashlak Memorial Hospital. Learn which equation is best for eGFR, how to counsel patients about progression/prognosis, how to monitor patients in CKD, and who needs a referral to Nephrology. Special thanks to Annie Medina, and Justin Berk for writing/producing this show and to physician-artist, Kate Grant for her lovely and hilarious artwork (more at paintscientific.com). 

Full show notes available at http://thecurbsiders.com/podcast

Join our mailing list and receive a PDF copy of our show notes every Monday. Rate us on iTunes, recommend a guest or topic and give feedback at thecurbsiders@gmail.com

Time Stamps

  • 00:00 Intro
  • 03:13 Pick of the weeks
  • 08:49 Clinical Case
  • 09:36 How to explain CKD to patients
  • 12:16 Loss of GFR with age
  • 13:22 Which equation should be used to estimate GFR
  • 18:05 Creatinine clearance from 24 hour urine collection
  • 22:25 Initial workup upon diagnosis of CKD
  • 25:40 Interpreting tests for proteinuria
  • 26:52 Staging and prognosis in CKD
  • 32:00 Completing the initial workup for CKD
  • 33:52 Who needs a referral to nephrology?
  • 35:53 What labs to check in CKD and a discussion of secondary hyperparathyroidism
  • 40:32 Take home points
  • 42:30 Outro

Tags: chronic, kidney, disease, nephrology, renal, glomerular, filtration, crcl, gfr, creatinine, prognosis, monitoring, iron, pth, proteinuria, hypertension, nephropathy, diabetes, albumin, protein, anemia, hyperparathyroidism, assistant, care, education, doctor, family, foam, foamed, health, hospitalist, hospital, internal, internist, nurse, meded, medicine, medical, primary, physician, resident, student

Nov 6, 2017

Hiding from Hep C? Dive in with experts Dr. Gina Simoncini, MD, MPH Associate Professor of Clinical Medicine at Temple University Hospital, & Dr. David Koren, PharmD, BCPS, AAHIVP,  board-certified pharmacotherapy specialist and infectious diseases clinical pharmacist at Temple University Hospital. They walk us through a simplified approach on whom to screen, how to start antiviral therapy, what to follow up on, and how to navigate insurance waters along the way. Special thanks to Sarah Roberts and Jordana Kozupsky who wrote and produced this episode and the show notes!

Full show notes available at http://thecurbsiders.com/podcast

Join our mailing list and receive a PDF copy of our show notes every Monday. Rate us on iTunes, recommend a guest or topic and give feedback at thecurbsiders@gmail.com.

Time Stamps

  • 00:00 Intro
  • 01:00 Guest bios
  • 03:00 Getting to know our guests
  • 05:35 Picks of the week
  • 10:05 Clinical case
  • 10:54 Diagnosing HCV
  • 12:00 ASCEND study
  • 13:14 Restrictions on HCV treatment
  • 15:17 Ordering and interpreting pre-treatment tests
  • 19:30 Prescribing medication
  • 22:00 Genotyping and drug resistance
  • 24:10 Patient counseling
  • 25:49 Understanding drug classes
  • 27:33 Drug interactions
  • 30:06 Multidisciplinary approach to treatment
  • 33:01 Follow-up
  • 36:47 Reinfection/cure rates
  • 39:35 Patient counseling revisited
  • 41:25 Side effects of treatment
  • 42:53 Screening
  • 44:02 Take home points

Tags: hepatitis, virus, hcv, direct-acting, antiviral, therapy, management, primary, care, liver, ultrasound, fibrosis, cirrhosis, side, effects, monitoring, hcc, hiv, infectious, disease, assistant, education, doctor, family, foam, foamed, health, hospitalist, hospital, internal, internist, nurse, meded, medicine, medical, primary, physician, resident, student

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