Louisville Lectures Internal Medicine Lecture Series Podcast

Antimicrobial Stewardship in Pneumonia: Empiric Thoughts and Approaches with Audry Hawkins Jan 30, 2024

Audry Hawkins is back to discuss antimicrobial stewardship in pneumonia. She starts with comparing differences in guidelines and recent primary literature on empiric treatment of pneumonia. Hawkins then evaluates appropriate empiric step-down therapy and durations and after, discusses the nuances in guideline recommendations for pneumonia.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.

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Introduction to Infection Prevention with Crystal Heishman Dec 08, 2023

Crystal Heishman presents an introduction on the broad topic of Infection Prevention. Heishman presents how to identify methods to prevent infectious disease transmission and how to implement device related infection prevention strategies for CAUTI and CLABSI. After, she discusses appropriate testing requirements for C.Diff.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.

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"I have reflux" with Dr. Ben Rogers Oct 25, 2023

Dr. Ben Rogers presents a lecture on reflux by discussing a classic presentation of reflux as well as testing. Dr. Rogers emphasizes modifying care and diagnosis towards each patient with their own unique symptoms.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.

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Introduction to Diagnostic Stewardship with Ryan Doster and Audry Hawkins Oct 25, 2023

In this presentation, Dr. Ryan Doster gives an introduction to diagnostic stewardship after last week's discussion on antimicrobial stewardship. After, Audry Hawkins, PharmD, BCIDP, returns to give an overview on blood culture.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.

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Introduction to Antimicrobial Stewardship with Audry Hawkins and Sarah Moore Oct 25, 2023

In this introduction to antimicrobial stewardship, Audry Hawkins first lists untoward effects of antibiotic use. She then describes antibiotic stewardship principles, goals, and strategies. After, she recognizes changes in the regulatory roadmap and national landscape of antimicrobial stewardship over the past few years, including requirements for accreditation for stewardship programs. Lastly, she identifies proven benefits of antimicrobial steward ship; and finally, Sarah Moore reviews the available local and state-level resources.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.

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Adrenal Insufficiency with Dr. Malika Rawal Oct 25, 2023

Dr. Malika Rawal presents Adrenal Insufficiency by first answering the question: What Is Adrenal Insufficiency? She then reviews its causes as well as some basics of cortisol. After, Dr. Rawal discusses testing and treatment.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.

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Sodium Derangements in the Medical Patient with Dr. Bryan Moffett Oct 18, 2023

Dr. Bryan Moffett presents "Sodium Derangements in the Medical Patient" by first differentiating the difference between total body sodium and sodium concentration. The then breaks down the physiology, causes, and treatment of hyponatremia.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.

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Systemic Lupus Erythematosus with Dr. David Armstrong Apr 11, 2023

Dr. David Armstrong presents Systemic Lupus Erythematosus by first presenting a case. He then discusses the history of SLE as well as the different kinds of lupus. After, he differentiates between systemic lupus erythematosus and drug-induced lupus. And finally, Dr. Armstrong gives examples of treatment and drug induced lupus management.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture.

For more information, see our citation page.

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Glomerular Disease Part 1: Nephrotic Syndrome with Dr. Dawn Caster Mar 10, 2023

In Glomerular Disease Part One, Dr. Dawn Caster begins by discussing the classifications of common renal pathology and after, focuses on nephrotic syndrome. Dr. Caster gives an overview of nephrotic syndrome and its associated abnormalities as well as the mechanisms of the thrombophilic state in nephrotic syndrome. In part two. Dr. Caster will discuss Glomerulophritis.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture.

For more information, see our citation page.

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Common HIV Regimens and Opportunistic Infection Prophylaxis with Alexa Filley, PharmD Feb 13, 2023

Alexa Filley, PharmD, delivers a lecture on Common HIV Regimens and Opportunistic Infection Prophylaxis. She first reviews common human immunodeficiency virus treatment regimens and after, discusses patient/medication characteristics to guide therapy selection. Filley concludes her presentation by reviewing and applying Department of Health and Human Services (DHHS) Guidelines on opportunistic infection prophylaxis in patients with HIV.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.

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Gender-Affirming Hormone Therapy (GAHT) with Dr. Malika Rawal Feb 02, 2023

Dr. Malika Rawal gives an overview on Gender-Affirming Hormone Therapy. Dr. Rawal first discusses the different types of transition as well as general definitions and after, lists terms physicians should and should NOT use when treating patients. Dr. Rawal presents what a visit would look like and how to work with the patient, expectations of hormone therapy, and the physical effects of hormone therapy for feminizing hormone therapy along with masculinizing hormone therapy.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.

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Seronegative Spondyloarthropathies with Dr. David Armstrong Jan 11, 2023

Dr. David Armstrong presents Seronegative Spondyloarthropathies and emphasizes these take home points:

- HLA-B27 does not diagnose SNSAs

- Inflammatory back pain improves with exercise

- Red eye with decreased visual acuity needs slit lamp

- Nail pitting correlates with psoriatic arthritis

- NSAIDs help everything except enteropathic arthritis

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.

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Congenital Arrhythmogenic Pathologies - An Overview with Dr. Chris Reed Nov 04, 2022

Dr. Chris Reed presents an overview of congenital arrhythmogenic pathologies by first focusing on two families of diseases: structural and conduction. He then discusses pathophysiology and cause of disease and after, the diagnostic workup and what to include in a consultation. Finally, Dr. Reed presents management plans and when to pursue intervention.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.

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Nutrition, Heath Equity, and CV Mortality with Dr. Kim Williams Sep 16, 2022

Our new Chair of the Department of Medicine, Dr. Kim Williams, presents his first Grand Rounds on the topic of Nutrition, Health Equity, and CV Mortality. First, Dr. Williams discusses some of the main issue in the United States including being its expensive and broken healthcare system. With the expectance of an increase in cardiovascular disease and stroke mortality in the US in the upcoming decades, particularly in minority groups, Dr. Williams believes our poor nutrition promotes and accentuates health inequities and ethnic disparities. Dr. Williams encourages the implementation of education around plant-based diets which are associated with lower rates of of systemic hypertension, hyperlipidemia, obesity, and diabetes.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.

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Opiate Use Disorder in the Inpatient Setting: To Bup or Not to Bup with Dr. Bishop May 25, 2022

Dr. Laura Bishop presents "Opiate Use Disorder in the Inpatient Setting: To Bup or Not to Bup with Dr. Bishop" by first examining the practice for adjustments to create space of destigmatizing patients with SUDS. She then discusses the symptoms of opiate withdrawal as well as the pharmacology of buprenorphine and its efficacy/safety in treating opiate use disorder. Dr. Bishop then identifies patients who would benefit from buprenorphine and constructs a plan of care for patients with opiate withdrawal, including non-MAT and MAT options.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.

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Heart Failure Pharmacology with Dr. Regan Wade Aug 12, 2021

Dr. Regan Wade presents "Heart Failure Pharmacology" by first reviewing heart failure pathophysiology as it relates to pharmacotherapy. She then discusses guideline directed therapy and other agents indicated to optimize HF care. After, Dr. Wade evaluates literature related to new therapies and indications for medications in patients with heart failure.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.

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Asthma with Dr. Sara Ellingwood Jul 22, 2021

Dr. Sara Ellingwood presents a talk on Asthma starting with its definition and phenotypes. She discusses making a diagnosis, differential diagnosis, and management. After, Dr. Ellingwood ends with a discussion on when to refer.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.

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COVID-19 Vaccines with Dr. Forest Arnold May 14, 2021

Dr. Forest Arnold returns to present "COVID-19 Vaccines: Wows and Woes" today on Louisville Lectures. In this presentation, Dr. Arnold gives an overview of COVID-19 and vaccines. He then discusses a case of potential thrombosis due to the Johnson & Johnson vaccine as well as the pathophysiology of vaccine-induced immune thrombotic thrombocytopenia (VITT). After, he presents the CDC Advisory Committee on Immunization Practices and the efficacy of vaccines in light of variants. And finally, Dr. Arnold discusses post acute COVID-19 Syndrome (PACS).

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.

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COVID-19: An Update with Dr. Mark Burns Apr 09, 2021

Dr. Mark Burns gives an update on COVID-19 by first discussing its history and epidemiology. He then describes the lifecycle of Sars-CoV-2 and the events surrounding the Cytokine Storm. After, he explains the clinical presentation and current commendations for pharmacologic management and finally, the vaccines in phase 3 trials.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.

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Introduction to Abstract Writing for Clinical Vignettes with Dr. Samuel Reynolds Feb 19, 2021

Our Chief Medical Resident for Education, Dr. Samuel Reynolds returns to give an introduction on abstract writing. He begins by describing an abstract and its importance. After, he discusses the general process of abstract writing.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.
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Acid Base Core Lecture with Dr. Nina Vasavada Jan 22, 2021

Dr. Nina Vasavada gives an Acid Base Core Lecture by first reviewing dietary sources of acids and alkali. She then reviews renal and non renal mechanisms of maintaining acid/base equilibrium. After, she discusses practice questions.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.
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Molecular Biology in Cardiovascular Disease with Dr. Samuel Reynolds Jan 22, 2021

Our Chief Medical Resident for Education, Dr. Samuel Reynolds, presents “Basic Science: Molecular Biology in Cardiovascular Disease”. He discusses the basis of Cardiovascular Disease from a molecular standpoint and emphasizes how arrhythmia and cardiac conduction impairment relates to coronary artery disease and how the development of structural heart disease can mean problems for our heart’s ability to conduct electrical signals. Please note: this presentation took place in our Didactics Zoom, so the audio may be harder to hear.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.

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Health Disparities: Food Insecurity and Food Deserts with Dr. Jennifer Olges Sep 18, 2020

Dr. Jennifer Olges presents "Health Disparities: Food Insecurity and Food Deserts" by first defining food insecurity and food deserts. She then compares and contrasts hunger and food insecurity and describes the scope of the issue in Louisville/Jefferson County as well as in the clinic population. After, Dr. Olges describes the clinical implications of food insecurity and finally, reviews the process for accessing the food bank in the AIM clinic.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.
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Sepsis and Septic Shock with Dr. Aaditya Chandramouli Aug 14, 2020

Dr. Aaditya Chandramouli presents Part One of Sepsis and Sepsis Shock. In this Little Lecture, Dr. Chandramouli discusses the definitions and diagnosis of Sepsis and Sepsis Shock. Stay tuned for next time when he presents the Part Two - Management of Sepsis Shock.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.
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Introduction to Mechanical Ventilation with Dr. Christopher Chan Jul 17, 2020

Dr. Christopher Chan presents an Introduction to Mechanical Ventilation by first defining respiratory physiology and indications for mechanical ventilation. He then presents the initial parameters/modes of ventilation as well as supportive care. After, Dr. Chan discusses troubleshooting the vent, weaning, successful liberation from the vent, and finally, the checklist.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.
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Cardiology Boards Review with Dr. Lorrel Brown Jul 06, 2020

Dr. Lorrel E.B. Toft returns to the University of Louisville to deliver a much needed Boards Review on Cardiology.
Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.
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Cardiology Boards Review with Dr. Lorrel Brown Jul 06, 2020

Dr. Lorrel Brown presents a quick Cards Board Review for residents at the University of Louisville.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.

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COVID-19 Series (Part One) with Dr. Laura Bishop Mar 20, 2020

Dr. Laura Bishop presents the COVID-19 Series. In part one, she discusses the background of COVID-19 from virology, to epidemiology and symptoms. Stay tuned for Part Two where she discusses clinical care.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.
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COVID-19 (SARS-CoV-2) Epidemic with Dr. Forest Arnold Feb 28, 2020

Dr. Forest Arnold's focuses on summarizing the extent of human coronaviruses, risk factors, and the clinical presentation of patients with coronavirus to the extent known. He then identifies the current infection prevention and control approach, as well as clinical management and future directions.
Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.
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Critical Care Board Review (Part Two) with Dr. Rodrigo Cavallazzi Feb 21, 2020

Dr. Rodrigo Cavallazzi presents Part Two of his Critical Care Medicine Board Review with the topics below:

- Myxedema Coma
- Thyroid Storm
- Thyroid Function in Non-Thyroidal Illness
- Delirium
- Sepsis
- Protocolized Sedation and Spontaneous Breathing Trial
- ICU-Acquired Weakness
- Post-intensive Care Syndrome
- Chronic Critical Illness
Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.
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Critical Care Medicine Board Review (Part One) with Dr. Rodrigo Cavallazzi Feb 14, 2020

Dr. Rodrigo Cavallazzi presents Part One of his Critical Care Medicine Board Review with the topics below:

- Lactic Acidosis
- Hyponatremia
- Hypernatremia
- Drug Poisoning
- Cyanide Toxicity
- Carbon Monoxide Toxicity
- Methemoglobinemia
- Hypothermia
Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.
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Ebola with Dr. Mark Burns Feb 07, 2020

Dr. Mark Burns presents "Ebola" by first discussing the history and transmission of Ebola. He then explains the term "person under investigation" as well as how to control the spread of Ebola.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.

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Chronic Kidney Disease with Dr. Gunjan Garg Dec 20, 2019

Dr. Gunjan Garg presents an overview on "Chronic Kidney Disease" by first discussing the definition and staging. She then presents the pathophysiology and epidemiology, screening, and clinical manifestations. After, she discusses hypertension, dyslipidemia, management, and so on.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.
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Patterns of Liver Injury Final with Dr. Kushboo Gala Nov 27, 2019

Dr. Khushboo Gala returns with Patterns of Liver Injury and the initial evaluations when encountering them. She first classifies liver disease and after, discusses patterns of liver injury be degree of transaminase elevation. Don't forget to check out part one: Liver Tests! https://youtu.be/jSTtrVSvR00

Behind the scenes at Louisville Lectures, we have been hard at work on a new series: "Little Lectures." Based on feedback from YOU, our loyal viewers, we are excited to present an under ten-minute video series created by residents for learners. These will focus on delivering just-in-time algorithms, practical clinical knowledge and board tips on high-yield topics. These lectures will be provided by the University of Louisville Internal Medicine residents.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.

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Biostats for Internal Medicine with Dr. Jennifer Olges Nov 07, 2019

Dr. Olgres presents a quick overview on “Biostats for Internal Medicine”. In this lecture, Dr. Olges explains how to calculate sensitivity and specificity, as well as how to accurately interpret sensitivity and specificity in regards to test results. She then calculates the likelihood ratios and uses them to determine post test probabilities. After, she discusses the difference between relative and absolute risk.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.

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From Burnout to Joy- Healing the Healers with Dr. Joe Rotella Sep 20, 2019

Dr. Joe Rotella presents "From Burnout to Joy- Healing the Healers " by first describing the consequences and causes of clinician burnout as well as the rise of national initiatives to support clinician well-being. He then uses stories and illustrations to trace one physician's journey from burnout to joy and growth as a medical leader. And finally, Dr. Rotella explores how we can help each other thrive in this difficult and important work.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.
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Sepsis with Dr. Sally Suliman Sep 06, 2019

Dr. Sally Suliman defines Sepsis and its history. She then presents the guidelines for surviving sepsis as well as the updates in literature. After, she discusses the recognition and diagnosis of sepsis as well as treatment. And finally, bundles and compliance.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.
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Liver Function Tests with Dr. Khushboo Gala Aug 07, 2019

Dr. Khushboo Gala presents "Liver Tests" by discussing how liver enzymes can help classify hepatic disease into hepatocellular, obstructive/cholestatic and infiltrative diseases. She then talks about the Degree of Transaminase elevation as well as Alkaline Phosphatase.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.
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Update in Assessment and Treatment of Patients with Psoriasis Vulgaris with Dr. Anthony P. Fernandez Jul 12, 2019

***Apologies for the sound quality! The majority of our future lectures will not have this problem. Thank you for your patience!***

Dr. Anthony Fernandez presents "Update in Assessment and Treatment of Patients with Psoriasis Vulgaris" by first reviewing the general features of psoriasis vulgaris. He then discusses the systemic inflammatory nature of psoriasis and select comorbid diseases, and the key aspects of clinical assessment of patients. After, he provides an update in treatment options for moderate-to-severe psoriasis.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.

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GI Board Review (Part Two) with Dr. Endashaw Omer May 31, 2019

Dr. Omer delivers part two of a GI Board Review. This talk includes various cases as well as questions and answers. Check out part one from last week!

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.

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GI Board Review (Part One) with Dr. Endashaw Omer May 24, 2019

Dr. Omer delivers part one of a GI Board Review. This talk includes various cases as well as questions and answers. Stay tuned for Part Two next week.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.

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HIV Pre-Exposure Prophylaxis (PrEP): A Review with Dr. Anupama Raghuram May 17, 2019

Dr. Anupama Raghuram presents a review of "HIV Pre-Exposure Prophylaxis (PrEP)" by first discussing the HIV global burden of disease and transmission. She then presents the rationale for HIV PrEP as well as the efficacy and indications of HIV PrEP. Finally, she analyzes the initial barriers in prescribing HIV PrEP.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.
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Chronic cough: Is it a symptom or a disease? Dr. Jonathan A. Bernstein Apr 05, 2019

*PLEASE READ BEFORE WATCHING*

We apologize for the poor audio quality. We've had some hiccups with the microphone we use and are currently working to find a solution. Thank you for your patience! And thanks for watching!

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In this Grand Rounds, Dr. Jonathan Bernstein discusses chronic cough by first describing the evaluation and differential diagnosis of a patient presenting with chronic cough. He then determines the pathogenesis of chronic cough and defines the approach to diagnosis and treatment of chronic cough.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.

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Interstitial Lung Disease with Dr. Sally Suliman Mar 15, 2019

Dr. Sally Suliman presents "Interstitial Lung Disease" by first introducing the classification of ILDs. She then defines the micro-anatomy of the lung as well as clinical signs and symptoms of ILDs. After, she discusses testing and finally, IPF diagnosis and treatment.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.

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Advanced Care Planning with Dr. Christine Bridges Feb 22, 2019

Dr. Christine Bridges presents "Advanced Care Planning" by first defining advanced care planning. She then discusses the available documents, billing and coding, as well as clinical pearls.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.
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Tubulointerstitial Disease with Dr. Gunjan Garg Feb 15, 2019

Dr. Gunjan Garg presents "Tubulointerstitial Disease" by first discussing pathophysiology and epidemiology. She then presents its diagnosis and evaluation as well as various causes. After, she discusses management and Ace Board questions. Dr. Garg does this through case based learning.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.
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Acute Kidney Injury with Dr. Liza Cholin Feb 11, 2019

Dr. Liza Cholin defines Acute Kidney Injury and discusses diagnostic tests. She presents prerenal, intrinsic, and postrenal acute kidney injury and after, the indications for urgent dialysis.

Behind the scenes at Louisville Lectures, we have been hard at work on a new series: "Little Lectures." Based on feedback from YOU, our loyal viewers, we are excited to present an under ten-minute video series created by residents for learners. These will focus on delivering just-in-time algorithms, practical clinical knowledge and board tips on high-yield topics. These lectures will be provided by the University of Louisville Internal Medicine residents.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.

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Valvular Heart Disease with Dr. Shahab Ghafghazi Jan 18, 2019

Dr. Shahab Ghafghazi presents "Valvular Heart Disease" and focuses mainly on aortic stenosis through various definitions and case reports.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.
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Hypertensive Crisis with Dr. Travis Huffman Jan 14, 2019

Dr. Travis Huffman gives a quick overview of Hypertensive Crisis, Hypertensive Urgency vs. Hypertensive Emergency and management of both Markedly elevated BP and HTN Emergency/Crisis.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.

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Management of Alcohol-Related Hepatitis with Dr. Craig McClain Dec 14, 2018

Dr. Craig McClain presents "Management of Alcohol-Related Hepatitis" through various case studies, as well as an overview and diagnosis. He then discusses research findings related to alcoholic hepatitis and after, Dr. McClain explains the therapies being validated for the treatment of AH, their complications, as well as transplantation.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.

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Point of Care Ultrasound with Dr. Bilal Jalil (Part I) Dec 07, 2018

Dr. Bilal Jalil presents part one of three talks on Point of Care Ultrasound. He first discusses the need to take care of the ultrasound machine by keeping it clean and placing probes onto their side cups. After, Dr. Jalil goes into the history of the ultrasound and then into Point of Care Ultrasound.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.

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Hyperkalemia with Dr. Christian Matar Nov 16, 2018

Dr. Christian Matar is a Medicine and Pediatrics resident at the University of Louisville presenting "Hyperkalemia".

Behind the scenes at Louisville Lectures, we have been hard at work on a new series: "Little Lectures." Based on feedback from YOU, our loyal viewers, we are excited to present an under ten-minute video series created by residents for learners. These will focus on delivering just-in-time algorithms, practical clinical knowledge and board tips on high-yield topics. These lectures will be provided by the University of Louisville Internal Medicine residents.
Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.

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Basics of HIV Infection with Dr. Anupama Raghuram Nov 02, 2018

Dr. Anupama Raghuram presents the "Basics of HIV Infection" by first discussing the epidemiology, pathogenesis and transmission of HIV infection. After, she presents the diagnosis, treatment, and prevention of HIV infection.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.

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Hypertension with Dr. Nina Vasavada Oct 26, 2018

Dr. Nina Vasavada presents Hypertension by first discussing a general approach to ambulatory patients with elevated blood pressure. She then presents primary versus secondary hypertension, and ends her discussion on hypertension management in special populations.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.
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Acute Kidney Injury with Dr. Lina Mackelaite Oct 19, 2018

Dr. Lina Mackelaite presents Acute Kidney Injury by discussing everything that causes AKI and how to treat it. Using multiple cases, Dr. Mackelaite discusses AKI in a way that is applicable to real life circumstances as well as boards.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.

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GI Bleeds Part Two (Lower) with Dr. Jordan Burlen Oct 15, 2018

Dr. Jordan Burlen presents Part Two of GI Bleeds by covering Lower GI Bleeds. Stay tuned for more Little Lectures!

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.

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©2016 LouisvilleLectures.org

Introduction to Writing Case Reports with Dr. Nancy Kubiak Sep 28, 2018

Dr. Nancy Kubiak presents an Introduction to Writing Case Reports by first identifying a clinical case appropriate for presentation. She then discusses learning objectives that emphasize the main teaching points of the case. After, she recognizes a "backwards approach" to writing case reports.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.

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©2016 LouisvilleLectures.org

GI Bleeds Part One (Upper) with Dr. Jordan Burlen Sep 21, 2018

Dr. Jordan Burlen presents Part One of GI Bleeds by first covering Upper GI Bleeds. Stay tuned for his talk on Lower GI Bleeds!

Behind the scenes at Louisville Lectures, we have been hard at work on a new series: "Little Lectures." Based on feedback from YOU, our loyal viewers, we are excited to present an under ten-minute video series created by residents for learners. These will focus on delivering just-in-time algorithms, practical clinical knowledge and board tips on high-yield topics. These lectures will be provided by the University of Louisville Internal Medicine residents.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.

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Positive Pressure Ventilation with Dr. Bilal Jalil Sep 07, 2018

Dr. Bilal Jalil presents "Positive Pressure Ventilation" through the following questions:

1. Why is my patient intubated?

2. What MV modes do I need to know about?

3. How do I set the initial ventilator settings?

4. Am I harming my patient with a ventilator?

5. The ventilator is alarming!!! What do I do?

6. Can I extubate my patient?

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.

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©2016 LouisvilleLectures.org

Oxygen Delivery and Devices with Dr. Bilal Jalil Sep 01, 2018

Dr. Bilal Jalil presents 'Oxygen Delivery and Devices" by first building and narrowing the differential for hypoxemia. He then discusses the factors that affect oxygen delivery as well as the nasal cannula flow and Fi02 relationship. Finally, he finishes with a talk on oxygen beyond nasal cannula.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture.For more information, see our citation page.

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Clinical Research: From Idea to Publication with Dr. Julio Ramirez Aug 24, 2018

Dr. Julio Ramirez presents Clinical Research: From Idea to Publication, by first outlining his discussion on clinical research as definitions and study designs, planning and performing the study, analyzing study results, disseminating study findings, and finally, clinical research infrastructure.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.

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©2016 LouisvilleLectures.org

Transition of Care with Dr. Shanna Barton Aug 17, 2018

Dr. Shanna Barton is in her fourth year of residency for Medicine Pediatrics at the University of Louisville. In this presentation, she discusses the transition of care for patients in pediatrics to medicine as adults and how residents can help during this process. She does this through various cases as examples.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.

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©2016 LouisvilleLectures.org

Hyponatremia with Dr. Liza Cholin Aug 10, 2018

Dr. Liza Cholin presents a quick overview of Hyponatremia as our first installment of Little Lectures in under 10 minutes.

Behind the scenes at Louisville Lectures, we have been hard at work on a new series: "Little Lectures." Based on feedback from YOU, our loyal viewers, we are excited to present an under ten-minute video series created by residents for learners. These will focus on delivering just-in-time algorithms, practical clinical knowledge and board tips on high-yield topics. These lectures will be provided by the University of Louisville Internal Medicine residents.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture.For more information, see our citation page.

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The Internet of Healthy Things with Dr. Joseph Kvedar Jul 27, 2018

Dr. Joseph Kvedar presents his book "The Internet of Healthy Things" for Grand Rounds. The Internet of Healthy Things marks the invention of a radically new way to deliver healthcare and inspire wellness.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.

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©2015 LouisvilleLectures.org

Klinefelter Syndrome with Dr. Stephen Winters Jun 29, 2018

Dr. Stephen Winters presents "Klinefelter Syndrome" through multiple cases. He discusses the diagnoses of patients with Klinfelter Syndrome as well as what to look for in men and women. He then explains the quality of life for someone with KS as well as different treatments offered by various authors.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.

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©2016 LouisvilleLectures.org

Accelerating Innovation in Academic Medicine with Dr. Tao Le Jun 22, 2018

Dr. Tao Le presents "Accelerating Innovation in Academic Medicine" with the help three panelists: Dr. In Kim, Dr. Gerard Rabalais, and Dr. Brad Sutton. Dr. Le discusses various topics like design thinking, team based learning, and the innovation code.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.
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©2016 LouisvilleLectures.org

Hepatitis A: An Update in the Context of an Outgoing Multi-state Outbreak with Dr. Anupama Raghuram Jun 15, 2018

Dr. Anupama Raghuram discusses "Hepatitis A: An Update in the Context of an Outgoing Multi-state Outbreak" by first reviewing the epidemiology and pathogenesis of hepatits A virus (HAV) infections. She then presents the clinical manifestations and management of HAV infections. After, Dr. Raghuram addresses strategies for prevention of transmission in a variety of clinical settings and finally, reviews data on the ongoing multi-state HAV outbreak in the US.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.
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©2016 LouisvilleLectures.org

Endocrine Board Review with Dr. Sathya Krishnasamy Jun 08, 2018

Dr. Sathya Krishnasamy presents an Endocrine Board Review for residents at the University of Louisville through a number of case questions.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.

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©2016 LouisvilleLectures.org

Advance Care Planning and the Medical Orders for Scope of Treatment (MOST) Form with Dr. Furman Jun 01, 2018

Dr. Christian Furman presents Advance Care Planning and the Medical Orders for Scope of Treatment (MOST) Form by first discussing its importance. She the identifies the techniques for a Goals of Care (GOC) Discussion. After, she completes the Medical Orders for Scope and Treatment Form and then documents Advance Care Planning and the MOST form in the EHR.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.

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©2016 LouisvilleLectures.org

The Approach to Chest Pain with Dr. Chris Migliore May 25, 2018

Dr. Chris Migliore presents The Approach to Chest Pain by first discussing the epidemiology of chest pain or cardiac presentations. He then lists and discusses the important symptoms of chest disease. After, he reviews elements of the chest physical exam and finally, he reviews the fundamentals of clinical reasoning concerning chest pain.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.

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©2016 LouisvilleLectures.org

Human Microbiomes and Asthma Phenotype: Next Frontiers with Dr. Yvonne Huang May 18, 2018

Dr. Yvonne J. Huang presents Human Microbiomes and Asthma Phenotype: Next Frontiers by first reviewing evidence linking the microbiome in early life to childhood asthma. She then discusses recent evidence linking the airway microbiome to asthma phenotype in adults. After, she discusses the challenges and new directions to understanding how microbiota influence asthma phenotype.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.

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©2016 LouisvilleLectures.org

Hemophilia in the 21st Century with Dr. Vivek R. Sharma May 11, 2018

Dr. Vivek R. Sharma presents "Hemophilia in the 21st Century: Current Practice and Future Directions" by first discussing the history of hemophilia. He then discusses management throughout the years and finally, the remaining challenges.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.

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NAFLD: An Expanding Problem with Dr. Craig McClain Apr 27, 2018

In this presentation Dr. Craig McClain discusses nonalcoholic fatty liver disease as the #1 cause of liver disease. He then presents various cases and current treatment for patients with NASH as life style modifications, vitamin E, HCC monitoring, and more.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page. Disclaimers ©2016 LouisvilleLectures.org

Nephrology IM Board Review with Dr. Lederer Apr 20, 2018

Dr. Eleanor Lederer presents a Nephrology Board Review for residents at the University of Louisville.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.

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©2016 LouisvilleLectures.org

Interstitial Lung Disease with Dr. Chaaban Apr 13, 2018

Dr. Said Chaaban presents Interstitial Lung Disease by discussing the historical and physical history as well as lung exams. He then discusses risks, causes of death, disease progression and various treatments.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.

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©2016 LouisvilleLectures.org

Introduction to Interventional Radiology with Dr. Missy Potts Apr 06, 2018

Dr. Missy Potts discusses the wide variety of procedures for diagnostic and therapeutic purposes performed by interventional radiologists. She then explains how knowledge of the procedure indications and details can help triage the patient and provide the patient with the best procedural option. Finally, Dr. Potts emphasizes the importance of physicians and radiologists working together to provide the safest and most appropriate treatment.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.
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©2016 LouisvilleLectures.org

Hepatitis with Dr. Michael Wellner Mar 30, 2018

In this presentation, Dr. Michael Wellner discusses Hepatitis by first identifying patients with alcoholic hepatitis who are at high risk for poor outcomes. He then recognizes the different viral hepatitides as well as when and whom should receive treatment. After, he describes autoimmune hepatitis and finally, recognizes acute liver failure and which patients need urgent or emergent GI evaluation.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.

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©2016 LouisvilleLectures.org

CV Prevention for the Internist: Life's Simple 7 with Dr. Lorrel Brown Mar 23, 2018

Dr. Lorrel Brown is here to present something a little different: CV Prevention. Dr. Brown first lists Life's Simple 7 approach to prevention of cardiovascular disease as well as how to apply appropriate screening methods for LS7 in clinic patients. She then discusses how to properly treat conditions associate with LS7 and and finishes by giving examples of simple recommendations for patients to move towards ideal cardiovascular health.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.

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©2016 LouisvilleLectures.org

Patients with Epilepsy and Special Considerations in Women with Dr. Brittany Chapman Mar 16, 2018

Dr. Brittany Chapman begins her discussion with a few definitions like provoked and unprovoked seizures, as well as epilepsy. She then details the work up for seizures along with treatment. After, she reviews special considerations for women with epilepsy.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.

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©2016 LouisvilleLectures.org

Cystic Fibrosis with Dr. Molly Howsare Mar 09, 2018

In this presentation, Dr. Molly Howsare first describes the initial work-up for diagnosing cystic fibrosis. She then discusses the pathophysiology and organ system manifestations of cystic fibrosis and finishes with a discussion on treatment.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.

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©2016 LouisvilleLectures.org

Polypharmacy: The Silent Syndrome with Dr. Demetra Antimisiaris Mar 02, 2018

Dr. Demetra Antimisiaris is discusses polypharmacy, how it can be a geriatric syndrome, and different factors in medication-use practices leading to unintentional medication-related harm. She then presents a systematic approach to management of polypharmacy as well as the potential impact of proactive medication management.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.

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©2016 LouisvilleLectures.org

Heroin in the Hospital Patient with Dr. Martin Huecker Feb 23, 2018

Dr. Martin Huecker presents Heroin in the Hospital Patient by first discussing heroin's impact on public health. He then describes analgesia in opioid-dependent patients and ends his talk with specific clinical presentations.
Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.
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©2016 LouisvilleLectures.org

Cardiac Arrest: Can Education Improve Outcomes? with Dr. Lorrel Brown Feb 16, 2018

Louisville Lectures's most requested lecturer is back! Dr. Lorrel Brown presents Cardiac Arrest and her journey to discover whether education can improve the outcomes. First, she explains the postulated reasons for the variability in survival following out-of-hospital cardiac arrest as well as the gaps between the best practices and real world practices with regards to CPR. She then defines CPR skill retention rates under current methods of instruction and finishes with different ways in which ongoing educational efforts seek to improve outcomes following cardiac arrest.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page

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©2016 LouisvilleLectures.org

Syncope and ECGs with Dr. Brain Ferguson Feb 09, 2018

In this presentation, Dr. Ferguson discusses how to define when Syncope is an issue and needs to be admitted as well as identifying rare manifestations of serious and potentially fatal heart conditions. He does this with the use of many different ECGs.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.

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Malnutrition: Identifying Nutritional Risk and Implications in Patient Care with Dr. Ryan Hurt Feb 02, 2018

In this presentation, Dr. Ryan Hurt discusses malnutrition by first describing the concept of nutritional risk in both hospital and ambulatory patients. He then explains how to recognize the complications associated with sarcopenia in elderly populations as well as different strategies to diagnose and treat patients at high nutritional risk.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.

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©2016 LouisvilleLectures.org

Screening for Depression in Primary Care with Dr. Bishop and Sara Williams Jan 26, 2018

In this presentation, our Director of Digital Media, Dr. Laura Bishop is here to discuss how to screen for depression in primary care with the help of Sara Williams. Dr. Bishop shares screening tools and how to implement them efficiently into your practice while Sara Williams discusses computer-assisted Cognitive Behavior Therapy and the shift for treatment delivery.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.

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Improving Healthcare Quality and Safety with Dr. Nathan Spell Jan 20, 2018

Dr. Nathan Spell discusses Healthcare Quality and Safety by first explaining his perspective as CQO on Emory's improvement journey as well as his perspective as a medical educator on learning improvement (QI) skills. After, he gives multiple examples of QI work to illustrate the learning objectives.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.

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©2016 LouisvilleLectures.org

A Review of Outpatient Internal Medicine with Dr. Patrick McKenzie Jan 12, 2018

Dr. Patrick McKenzie identifies and briefly explains key areas of outpatient medicine. He then highlights aspects of outpatient medicine that are highly testable. Throughout his talk, he discusses statistics, immunizations, screening, cough, dizziness, hearing loss and tinnitus, MSK pain, dyslipidemia, obesity, and depression.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.
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©2016 LouisvilleLectures.org

Ventilation 101 with Dr. Hala Karnib Jan 05, 2018

Dr. Hala Karnib presents Ventilation 101 by defining oxygenation versus ventilation, non-invasive positive pressure ventilation, and mechanical ventilation. With NIPPV, Dr. Karnib discusses indications/ contraindications, equipment, and settings. She then describes indications, modes of mechanical ventilation, and trouble shooting for mechanical ventilation.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.

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©2016 LouisvilleLectures.org

Public Health and Dermatology- From Policy to Pox with Dr. Boris Lushniak Dec 22, 2017

In this Presentation Dr. Boris D. Lushniak discusses the core public health functions: assessment and monitoring of the health of communities and populations at risk, the formulation of public policies, and to assure that all populations have access to appropriate and cost-effective care. Keeping these functions relavent throughout his talk, Dr. Lushniak discusses various skin cancers and conditions. He then concludes his presentation explaining how dermatology fits into the public health model.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.

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Opiate Workshop with Dr. Parker Dec 15, 2017

Dr. Frank Parker discusses Opiates by first conducting a 14 question Controlled Substance Guideline Quiz. After, he gives a quick mini-lecture on Opioid Prescription Discussions with the use of various examples and videos.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page. Disclaimers ©2016 LouisvilleLectures.org

Hypogonadism in Women and Men with Dr. Winters Dec 08, 2017

Dr. Stephen J. Winters discusses "hypogonadism" in women and men through various photos, studies, and cases. He uses many case questions to discuss different scenarios as well as characteristics of hypogonadism that may not be obvious at first glance.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.

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©2016 LouisvilleLectures.org

Allogeneic Transplants with Dr. Hillard M. Lazarus Dec 01, 2017

Dr. Hillard M. Lazarus presents "Allogeneic Transplants: No Such Thing as a Normal Donor" by first explaining how allogeneic blood and marrow donors are not normal patients: they're not patients at all! These donors are altruistic persons who are saving a life as well as putting themselves at risk for incurring problems. Dr. Lazarus goes into great detail about Allogeneic Transplants and the importance of this discussion.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.

LouisvilleLectures.org

Asthma with Dr. Perez Nov 17, 2017

Dr. Hiram Rivas Perez presents Asthma by discussing the definition, prevalence, risk of developing asthma, and diagnosis. He then goes on to discuss the history of asthma as well as diagnostic testing. After, he presents different treatments along with various cases as examples.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.
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©2016 LouisvilleLectures.org

Introduction to OSA with Dr. Karim El-Kersh Nov 10, 2017

In this presentation, Dr. Karim El-Kersh discusses the definition, physiology, and risk factors of Obstructive Sleep Apnea. He then discusses diagnosis, consequences, and lastly, treatment.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.

LouisvilleLectures.org

Opportunistic Infections in HIV with Dr. Raghuram Nov 03, 2017

Dr. Anupama Raghuram discusses OIs in HIV by first reviewing pathogenesis, clinical manifestations, diagnosis, and select opportunistic infections in HIV positive patients. She then discusses challenges in diagnosis and treatment options for select OIs in HIV positive patients.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.

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Upper Variceal Hemorrhage with Dr. Luis Marsano Oct 27, 2017

Dr. Luis S. Marsano presents Variceal Hemorrhage by discussing the classification, management, history, and treatment of variceal bleeding. He then discusses the effects of antibiotics as well as rescue treatments and different forms of drug therapy.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.

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©2016 LouisvilleLectures.org

Axial Aching: Three Different Presentations with Dr. Lyn Shue Oct 20, 2017

In this presentation, Dr. Lyn Shue presents Polymyalgia, Polymyositis, and Fibromyalgia by discussing pathophysioloy, site, weakness, pain, lab and Rx. She does this though the use of scans and medical illustrations. She also discusses treatment approaches, diagnostic approaches, and management.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.

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Syncope with Dr. Charlene K. Mitchell Oct 13, 2017

Dr. Mitchell presents Syncope by first discussing the different types of Syncope as well as cost effective evaluations. She then discusses risk stratification along with management and complications.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.

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The 4 Horsemen and DNAR Discussions with Dr. Staci Mandrola Oct 06, 2017

In this presentation, Dr. Staci Mandrola presents her original "4 Horsemen" concept which gives an idea of when people go from having years to months of time left and how treatments should be taken into consideration when the time frame becomes months or less. She also discusses code status, goals of care and how to approach these treatments.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.

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Personalized Medicine Approach for COPD with Dr. Hiram Perez Sep 29, 2017

Dr. Hiram Rivas Perez presents COPD by first discussing pulmonary function tests, the epidemiology and pathophysiology of COPD, and its diagnosis. He then discusses management from stable COPD to COPD exacerbation as well as additional therapies and lung cancer screening.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.

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Upper Gastrointestinal Hemorrhage with Dr. Luis Marsano Sep 22, 2017

Dr. Luis S. Marsano presents Upper Gastrointestinal Hemorrhage by first discussing acute upper non-variceal bleeding. He then explains the signs and causes of GI bleeding as well as initial management. After, he talks about different endoscopies, medical therapy, and indications for surgery.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.

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Safe and Effective Hospital Discharges with Dr. Charlene Mitchell Sep 15, 2017

In this presentation, Dr. Mitchell discusses discharge-related risks, appropriateness for discharge, and elements of the discharge process. Dr. Mitchell emphasizes that dangerous events happen commonly, involving medications, test results, and poor communication and/or follow-ups. However, with a clear understanding for the process, these are mostly preventable.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.

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Genitourinary Cancers with Dr. Padmini Moffett Sep 08, 2017

In this lecture, Dr. Padmini Moffett presents Genitourinary Cancers with a quick overview on the different types of cancer like prostate cancer, renal cell carcinoma, bladder cancer, and testicular cancer as well as the risk factors for these types of cancers. After, she discusses diagnosis and concludes with treatment and risk factors involved with each treatment method. Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page. Disclaimers ©2016 LouisvilleLectures.org

Hypertensive Crisis with Dr. Lorrel Brown Sep 01, 2017

Dr. Lorrel Brown discusses the Hypertensive Crisis by first defining hypertension. She then defines hypertensive crisis as having severely elevated blood pressure with end-organ damage. After, she discusses the pathophysiology of end organ damage along with the different treatment approaches for hypertensive crisis. Finally, she finishes her presentation with a few case reports. Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page. Disclaimers ©2016 LouisvilleLectures.org

Disorders of the Hypothalamus and Pituitary with Dr. Winters Aug 25, 2017

Dr. Stephen Winters presents the hypothalamus and pituitary by first presenting the clinical manifestations of pituitary disease. He then discusses various cases as well has treatment and management of each disorder. Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page. Disclaimers ©2016 LouisvilleLectures.org

Controversies in the Medical Management of Obesity with Dr. Villafuerte Aug 18, 2017

In this presentation, Dr. Betty Villafuerte discusses complications-based approaches to guide treatment modality of obesity. She them reviews treatment guidelines on lifestyle modifications and the use of pharmacotherapy in managing obesity. Finally, she examines the role of meal frequency, meal timing, lifestyle behavior, and intelligence on obesity. Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page. Disclaimers ©2016 LouisvilleLectures.org

Healthcare Quality and Safety: An Introduction with Dr. Hugh Shoff Aug 11, 2017

In this presentation, Dr. Hugh Shoff presents Healthcare Quality and Safety by first explaining its history and importance. He then discusses the goals of physicians and how they can achieve those goals through patient safety as well as quality improvement and methods. After, he concludes with a case example. Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page. Disclaimers ©2016 LouisvilleLectures.org

MDR Bacteria in the Healthcare Setting with Dr. Forest W. Arnold Jul 14, 2017

"Controlling Multi-Drug Resistant Bacteria in the Healthcare Setting: The Role of the Hospital Epidemiologist" with Dr. Forest W. Arnold. In this presentation, Dr. Arnold covers the MDR control program as well as strategies to prevent and manage MDR. Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page. Disclaimers ©2016 LouisvilleLectures.org

Procedure Series: Central Line Jun 30, 2017

Dear Friends and Colleagues, We here at Louisville Lectures are excited to share a new project with you that has been nearly two years in the making. When working with our incoming residents on procedure training, we noted that there were no resources that fit our needs precisely. We set about trying to define what the ideal training resource would look like. This included a first person perspective because, as everyone says, there is simply no substitute for seeing (and doing) it for yourself. We have attempted to give learners an opportunity to just this in the first installment of our Procedure Series. The production of this series with a GoPro Dual Hero allows us to also provide an optional 3D experience to allow for the viewer to perceive the depth of field that can be experienced in few other ways. I hope that you will find the Procedure Series as interesting and as much of a learning experience as we have. It could not have been done without the expertise and hard work of our team. We have a great deal more to follow this, as I have dedicated a portion of my Chief year here at Louisville to obtain similar perspectives of several other procedures. As I step back from my role as Managing Director to pursue a fellowship in Pulmonary and Critical Care Medicine, Drs. Laura Bishop and Christopher Migliore will be stepping forward to help manage the long-term growth of Louisville Lectures and continuation of our current projects. I look forward to seeing even more of the impact their leadership will have on Louisville Lectures. Sincerely, Michael J. Burk, M.D. Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page. Disclaimers ©2015 LouisvilleLectures.org

Breaking Bad News and Difficult Decisions with Dr. Michael Burk Jun 16, 2017

Louisville Lectures creator Dr. Michael Burk presents "Breaking Bad News and Difficult Decisions" to emphasize the importance of thinking carefully before delivering "bad news" to patients. With the use of case reports and group discussions, Dr. Burk explains how physicians can use empathy, patience, and planning, be the most effective and kind during these difficult discussions. Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page. Disclaimers ©2016 LouisvilleLectures.org

Introduction to Pulmonary Arterial Hypertension with Dr. Karim El-Kersh Jun 09, 2017

In this lecture, Dr. El-Kersh discusses the classification of Pulmonary Hypertension as well as the definition of Pulmonary Arterial Hypertension. He then discusses the pathophysiology, pathology, diagnosis, treatment and prognosis of Pulmonary Arterial Hypertension. Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page. Disclaimers ©2016 LouisvilleLectures.org

Neuro-Oncology with Dr. Eric Burton Jun 02, 2017

Dr. Eric Burton explains brain tumors in this presentation about CNS tumors, common gliomas, histological classification of tumors and the epidemiolgy of primary brain and CNS tumors. He also discusses the general signs and symptoms of increased intracranial pressure as well as focal cerebral syndromes. After presenting various treatment plans, Dr. Burton talks through survival rates along with how to speak with patients about expected timelines. Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page. Disclaimers ©2016 LouisvilleLectures.org

ALS and Other Motor Neuron Diseases with Dr. Martin Brown May 26, 2017

Dr. Martin Brown presents ALS and other motor neuron diseases by first reviewing their history and clinical course. He then discusses the diagnostic workup and efforts to find anything instead of ALS and finally ends his presentation with a discussion on the standard of care and the multidisciplinary ALS clinic. Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page. Disclaimers ©2016 LouisvilleLectures.org

Acute CVA with Dr. Jignesh Shah May 19, 2017

Dr. Shah presents Acute CVA by first explaining how to evaluate a stroke patient, define a stroke and TIA as well as stroke epidemiology. He then discusses the concept of penumbra along with vascular anatomy and pathogenesis. After talking through the risk factors and classifying Ischemic stroke, Dr. Shah finishes with the signs and symptoms of a stroke. Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page. Disclaimers ©2016 LouisvilleLectures.org

Transparency with Information and Disclosure of Medical Errors with Dr. Nathan Spell May 12, 2017

Dr. Nathan Spell presents "Transparency with Information and Disclosure of Medical Errors" by first explaining the rationale for disclosure of medical errors to patients and/or families along with how to relate the patient's perspective on transparency of information about errors and unexpected events. He then describes the emotions experienced by health care professionals and patients when discussing a medical error. Dr. Spell finished by discussing how to disclose errors in compassionate and patient-centered ways, including effective use of apology where appropriate. Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page. Disclaimers ©2016 LouisvilleLectures.org

Delirium with Dr. Zachary Sager Apr 28, 2017

Dr. Sager presents Delirium and how common it is through various statistics before explaining the Delirium DSM- 5 Criteria. He then discusses the many paths that lead to the development of Delirium and why that makes it so difficult to treat as well as the diagnosis of Delirium and the different risk factors involved like dementia, immobility, sensory impairment, etc. While treatment is hard to come by, Dr. Sager discusses the different treatments available. Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page. Disclaimers ©2016 LouisvilleLectures.org

Lipid Disorders with Dr. Sri Mokshagundam Apr 21, 2017

Dr. Mokshagundam presents Lipid Disorders by going over basic aspects of lipoprotein transport and metabolism and how it can be problematic. He then discusses the recommendations for managing lipid disorders. Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page. Disclaimers ©2016 LouisvilleLectures.org

Bipolar Disorder with Dr. Zachary Sager Apr 14, 2017

In a discussion with listeners, Dr. Sager through Bipolar Disorder by first explaining the DSM Criteria from Manic Episodes to Bipolar Depression. Dr. Sager presents how to diagnose Bipolar Disorder as well as the different treatments and how to make an educated decision for when to begin treatment based on the individual patient. Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page. Disclaimers ©2016 LouisvilleLectures.org

Reflections on "Hearing Voices" with Dr. André Churchwell Mar 31, 2017

Dr. Churchwell takes listeners on a journey through different mentors he has had throughout his life beginning with his childhood to his current career. With each mentor, he provides insight to their character and teaching methods specific to how they learned things themselves. Dr. Churchwell emphasizes the care each of his mentors had to their patients and friends and how their intelligence was translated through their dedication and passion. Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page. Disclaimers ©2016 LouisvilleLectures.org

Movement Disorders 10 1 with Dr. Kathrin LaFaver Mar 31, 2017

Dr. LaFaver presents Movement Disorders by first explaining the spectrum of hyperkinetic movement disorders from myoclonus to dystonia and how their movements differ among them as well as what movements are classified between hypokinetic and hyperkinetic movements. She then explains the phenomenology of movements and how to describe them before going into detail about the differences between Parkinson's Disease and Essential Tremor. Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page. Disclaimers ©2016 LouisvilleLectures.org

Understanding and Preventing Physician Burnout with Eric Baker Mar 24, 2017

Eric Baker presents Physician Burnout by first discussing burnout in terms of psychology from occupational burnout to job burnout. He then explains statistics involved with physician burnout through various graphs and charts comparing different scenarios from med students and residents compared to the general population as well as how burnout differs between physicians. Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page. Disclaimers ©2016 LouisvilleLectures.org

Aortic Stenosis ( and other Decompensated Valves) with Dr. Lorrel Brown Mar 17, 2017

Dr. Lorrel Brown presents Aortic Stenosis by first describing how medicine cannot fix a mechanical problem. She then describes the symptoms of aortic stenosis along with the mainstays of treatment: diuresis, after load reduction, and avoiding hemoydynamic shifts. Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page. Disclaimers ©2016 LouisvilleLectures.org

Vasculitis with Dr. Moore Mar 10, 2017

In this lecture, Dr. Moore presents Vasculitis. He begins by giving a broad and simple definition of vasculitis before moving on to different cases. He then goes on to discuss various types of vasculitis from large-vessel vasculitis to small-vessel vasculitis. Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page. Disclaimers ©2016 LouisvilleLectures.org

Sarcoidosis with Dr. Rafael L. Perez Mar 03, 2017

Dr. Perez presents sarcoidosis by first taking listeners along the case of a healthy 28 year old nonsmoker with two months of having a dry cough, bilateral ankle pain, no fever and no rashes with normal exams. He then begins to explain and compare the different signs for sarcoidosis and how they may instead be a link to other diseases. Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page. Disclaimers ©2016 LouisvilleLectures.org

Nephritic/Nephrotic Syndrome with Dr. Kausar Hamiduzzaman Feb 24, 2017

In this lecture, Dr. Kausar Hamiduzzaman presents Nephritic and Nephrotic Syndrome. She begins explaining when it is appropriate to consider glomerular diseases in the differential diagnosis and finishes by discusses the definition, workup, and management of both nephrotic and nephritic syndromes. Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page. Disclaimers ©2016 LouisvilleLectures.org

Hepatorenal Syndrome with Dr. Kausar Hamiduzzaman Feb 17, 2017

In this lecture, Dr. Kausar Hamiduzzaman covers hepatorenal syndrome. She begins her talk by explaining the pathophysiology of HRS and then uses a series of cases to walk her audience through diagnosing hepatorenal syndrome, finishing up with how to manage HRS. Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page. Disclaimers ©2016 LouisvilleLectures.org

Novel Targeted Therapy for Low-Grade Lymphoid Malignancies in Older Adults by Dr. Krem Feb 10, 2017

Dr. Krem discusses age-related and biological factors for low-grade lymphoma pathogenesis and outcomes. He then explains the mechanisms of action from low-grade lymphoma therapies. He finishes by applying recent efficacy and toxicity data to older patients with low-grade lymphoma.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.

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Patient Evaluation for Advanced Heart Failure Therapies Feb 03, 2017

Dr. Dmitry Abramov presents patient evaluations for advanced heart failure therapies by first discussing the classification system for heart failure severity. He then presents different opinions available for patients with advanced heart failure. After, he explains how to identify end stage heart failure as well as candidacy for advanced failure therapy. Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page. Disclaimers ©2016 LouisvilleLectures.org

Second Wind: Lung Transplantation by Dr. David Nunley Jan 27, 2017

Dr. Nunley presents lung transplantation by taking listeners along the case of a specific patient, his lungs, and the process that occurs before and after lung transplantation. From matching a donor to retrieving the organs, Dr. Nunley explains the ins and outs of organ donors and their road to transplantation.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.

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Inpatient Glucose Management by Dr. Sathya Krishnasamy Jan 20, 2017

Dr. Krishnasamy presents Inpatient Glucose Management by first discussing a case of hospital hyperglycemia. She then reviews current guidelines for glycemic management trends in non-critical care settings. After, she reviews institutional protocols.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.

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Mechanical Ventilation by Dr. Rodrigo Cavallazzi Jan 13, 2017

Dr. Cavallazzi presents mechanical ventilation by first discussing the physiology of respiratory failure. He then describes how to tailor mechanical ventilation to different forms of respiratory failure. He finishes with a discussion of the latest studies defining how to best use mechanical ventilation.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.

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Breast Cancer with Dr. Mandadi Jan 06, 2017

In this lecture, Dr. Mounika Mandadi presents ' Breast Cancer' by discussing epidemiology, screening, risk reduction, DCIS, and staging. She then finishes her talk with treatment, surveillance and survivorship.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.

Incorporating Transgender Care into Every Day Primary Care by Dr. Henry Ng Dec 16, 2016

In this lecture, Dr. Ng discusses cultural and clinical competence. He begins his presentation with cultural competence by explaining Trans 101, how to create a welcoming environment care and comparing a dedicated vs blended setting. During clinical competence, he discusses clinical care protocols and illustrative cases. He then finishes his presentation with a few lessons learned.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.

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Soundbites from the Quarry- Adventures in Stone Disease by Dr. Lederer Dec 09, 2016

Dr. Eleanor Lederer presents stone disease and how stones may be a presenting feature in many systemic diseases. She then discusses diseases and how many are accompanied by stones as well as metabolic evaluation leading to therapies that result in limitation or even cessation of nephrolithiasis.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.

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Taking the Complication out of Chemotherapy by Dr. Maxwell M. Krem Dec 02, 2016

Dr. Krem presents this lecture by first describing chemotherapy indications and which patients should receive chemotherapy. He then explains common toxicities and their treatments along with drug-specific toxicities.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.

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Basics of HIV Medications with Dr. Raghuram Nov 18, 2016

Dr. Raghuram presents and reviews the main classes of HIV medications and their mechanisms of action. She the explains the principles of HIV combination therapy and discusses some of the main side effects of the most commonly used HIV medications.

Clinical Decision Making with Dr. Eleanor Lederer Nov 11, 2016

In this presentation, one of our master educators, Dr. Eleanor Lederer, is put to the test by our Curriculum Director, Christopher Migliore. As a "Clinician's Clinician," she takes listeners along through her diagnostic process where she discusses how she thinks about making the diagnosis: listening to the patient, considering the presentation, understanding the natural progression of different pathologies, and developing an organized and consistent approach to obtaining data.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.

Statistical Methods in Quality Improvement with Stephen Furmanek Nov 07, 2016

In this lecture, Stephen Furmanek discusses Quality Improvement projects. This video examines different methods for displaying the results and how to determine which method is best.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.

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Diagnostic Tests with Annuradha Persaud Nov 04, 2016

In this lecture, Annuradha Persaud discusses various aspects of Diagnostic Tests. More specifically, this video will discuss how to calculate the measures of diagnostic accuracy, how to utilize the calculations clinically, and how to interpret RUC curves and AUC curves.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.

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Measures of Association with Brian Guinn Oct 31, 2016

Brian Guinn discusses different ways to interpret Categorical Data. This lecture specifically looks at risk ratios, odds ratios, and Chi squared.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.

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Statistical Thinking and Significance with Stephen Furmanek Oct 28, 2016

In this lecture, Stephen Furmanek discusses the difference between clinical thinking and statistical thinking. Topics also covered are p-values, effect sizes, and confidence intervals.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.

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Using REDCap with Annuradha Persaud Oct 27, 2016

In this lecture, Annuradha Persaud discussesthe uses of REDCap (Research Electronic Data Capture). REDCap is a browser-based, metadata-driven EDC software solution and workflow methodology for designing clinical and translational research databases.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.

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Undone in the ICU: Understanding the Long-Term Consequences of Critical Illness with Dr. Brummel Oct 21, 2016

Dr. Brummel is a Pulmonary and Critical Care physician on faculty at Vanderbilt University and is an expert in delirium and the patient experience in ICU outcomes with a focus on debility or post-ICU syndrome. Dr. Brummel begins his presentation by reviewing long-term cognitive impairment and disability associated with survival from critical illness. He then explains the vulnerability hypothesis his team uses to understand risk factors for the development of these poor outcomes after critical illness. After, he describes preliminary trials of rehabilitation for long-term cognitive impairment after critical illness. Dr. Brummel is a Pulmonary and Critical Care physician on faculty at Vanderbilt University and is an expert in delirium and the patient experience in ICU outcomes with a focus on debility or post-ICU syndrome. Dr. Brummel begins his presentation by reviewing long-term cognitive impairment and disability associated with survival from critical illness. He then explains the vulnerability hypothesis his team uses to understand risk factors for the development of these poor outcomes after critical illness. After, he describes preliminary trials of rehabilitation for long-term cognitive impairment after critical illness.

Acute Decompensated Heart Failure - Physiology and Treatment with Dr. Abramov Oct 14, 2016

Dr. Abramov presents “Acute Decompensated Heart Failure” with a review of the underlying pathophysiology and treatment. He dives into the the roles of diuretics and beta blockers in acute exacerbation. Finally, he discusses indications for referring a patient to a heart failure specialist along with primary prevention measures.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.

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Performing the Study: Pretesting, Data Collection, & Data Quality by Dr. Peyrani Oct 07, 2016

In this lecture, Dr. Paula Peyrani discusses the process of clinical research. Some of the topics examined are Data Collection, Pretesting, Data Entry, and Data Quality.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.

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Patient-Centered Care for LGBT Individuals with Dr. Potter Sep 23, 2016

In this video, Dr. Jennifer Potter talks about why questions on patient social history should include patient identities, adverse life experiences, and coping strategies. She then identifies questions one may ask to learn about these areas. Afterwards she outlines the 10 "P' methods, and ends by describing how to perform a pelvic exam.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.

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Common Intern Issues by Dr. Moffett Sep 16, 2016

In this video, Dr. Bryan Moffett examines common issues interns may face. He begins by discussing how to approach calls. He then examines areas like Diabetes, Insulin therapy, Pain management, Patient Controlled Analgesia (PCA), Chest Pain, Hypotension, HTN Blood Pressure, Dsyphea/Hypoxia, Agitation, Diarrhea, and Insomnia

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.

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Research Ethics and Regulatory Considerations by Dr. Peyrani Sep 12, 2016

In this lecture, Dr. Paula Peyrani discusses the IRB (Institutional Review Board) review process, and how to determine which type of review (exempt, expedited, or full) a study needs. This video also examines the regulatory documentation process.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.

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Statistical Issues During Planning by Dr. Furmanek Sep 12, 2016

In this lecture, Dr. Stephen Furmanek discusses how issues could arise in a study. He covers important areas that can impact your results, such as Sample Size, Effect Size, and Variance.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.

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Study Designs: Quality/Performance Improvement by Dr. Carrico Aug 31, 2016

In this lecture, Dr. Ruth Carrico discusses Quality and Performance Improvement as a research topic. She covers design approaches specific to QI projects, specifically in comparison to clinical research. She then discusses how to interpret the results and make changes that result in performance improvement.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.

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Planning the Study: Research Question and Study Designs by Dr. Peyrani Aug 29, 2016

In this lecture, Dr. Paula Peyrani discusses where research questions come from and what makes a good research question. She covers designing a study including selecting the appropriate type of study for your research question.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.

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Research in a University Setting with Dr. Ramirez Aug 29, 2016

This is the first lecture in a research lecture series (initially provided as a symposium by the University of Louisville Division of Infectious Diseases). He then covers important principles regarding conducting research in a university setting from the initial clinical question to publication and establishing a database for continuing research.

Minimizing Complications in Cirrhosis with Dr. Marsano Aug 12, 2016

In an update of his popular lecture, Dr. Luis Marsano delves into providing adequate nutrition for patients with cirrhosis to prevent hepatic encephalopathy and alcoholic hepatitis. He also addresses minimizing morbidity; including preventing refractory ascites and hepatorenal syndrome and spontaneous bacterial peritonitis prevention.

Treating Depression in the Primary Care Setting with Dr. Sager Jul 29, 2016

Dr. Zachary Sager takes the time to discuss when (and how) to screen for depression including various tools. He then delves into how to assess risk and proposes a practical algorithm-approach to treatment options.

100th Lecture! Changing the Face of Medicine Jul 15, 2016

As we celebrate our 100th lecture and the certification of many of our lectures as worthy of CME, we want to ask our viewers and listeners to take a step back with us and reflect on what is possible if we forget to imagine the impossible. Dr. Roman takes us on a journey exploring the life of a man who changed pulmonary medicine in the 20th century. A story of an ordinary man, with extraordinary drive and a passion for medicine. Dr. Roman challenges us all to dream and to believe in our own ability to reshape our profession in the 21st century as we "stay ahead of the game!"

To improve is to change, to be perfect is to change often. - Winston Churchill

Overview of Alcoholic Liver Disease with Dr. McClain Jun 17, 2016

In this lecture, Dr. Craig McClain discusses the pathogenesis of alcoholic liver disease, treatment, and patient cases. Dr. McClain uses his expertise in nutrition to discuss risk factors and advanced pathophysiology that predispose patients to excess harm from alcohol. He closes with a focus on where the research on treatment is and what the most recent evidence tells us about how we might improve clinical management.

Fever of Unknown Origin (FUO) with Dr. Raghuram Jun 03, 2016

In this lecture Dr. Raghuram takes a look at traditional and new definitions of FUOs as well as a practical algorithm for their workup. She takes a comprehensive look at common non-infectious causes including often used drugs that can produce fevers in patients. Dr. Raghuram finishes with several cases presented in a board review style and walks through her thought process with evaluating the questions.

Novel Therapies in Diabetes with Dr. Krishnasamy May 21, 2016

In this case-based lecture, Dr. Krishansamy walks through several real-life examples of patients and their indications for novel treatments for diabetes with a focus on mechanisms of action. Included in this lecture is an overview and update on the American Diabetes Association (ADA) guidelines and European Association for the Study of Diabetes (EASD). Finally, she takes a look at new technology to treat type one diabetes.

Pulmonary Cases with Dr. Rosenblum May 13, 2016

Dr. Frederick Rosenblum covers a series of pulmonology cases from basic pulmonary diagnoses to cases masquerading as pulmonary and pulmonary cerebral syndromes. This is a fast-paced, clinically-relevant lecture!

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see ourcitation page.

You may see our blog archive for more lectures.

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©2015 LouisvilleLectures.org

Mechanical Circulatory Support: IABP, VADs & ECMO with Dr. Brown Apr 29, 2016

In this lecture, Dr. Lorrel Brown takes time to discuss the indications, mechanics, and physiology of mechanical circulatory support. She provides a great introduction for internists to some of the most advanced ICU therapies. Dr. Lorrel Brown covers evidence and indications for various modalities like IABP (intra-aortic balloon pump), ECMO (extracorporeal membrane oxygenation), and percutaneous VAD (ventricular assist device).

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.

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©2016 LouisvilleLectures.org

Epilepsy for the Internist with Dr. Chapman Apr 22, 2016

In this case-based lecture, Dr. Brittany Chapman discusses differential diagnosis for seizure-like events, diagnostic workup, seizure classification and epilepsy treatments. She also delves into comorbidities and long term epilepsy prognosis.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.

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©2015 LouisvilleLectures.org

Resistant Hypertension Apr 15, 2016

In this concise talk, Dr. Jan Basile covers resistant hypertension including 24-hour ambulatory measurements, workup for secondary causes and evidence for pharmacologic treatments.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.

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The Evaluation of Syncope with Dr. Mitchell Apr 08, 2016

In this lecture, Dr. Mitchell discusses the etiology, evaluation, and workup of syncope in different age groups. She goes on to further discuss a guidelines based approach to diagnosis and pursuit of treatment options (including discharge to home, when appropriate).

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.

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GI Cancers for the Internist Apr 01, 2016

Rebecca Redman presents GI cancers from the perspective of a general internist. She covers workup of gastrointestinal cancers, the differences between curative and palliative treatment, and types of treatment. She spends a great deal of time on colorectal cancer then discusses esophageal and gastric cancers, hepatocellular carcinoma, pancreatic cancer and GI neuroendocrine tumors.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.

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©2015 LouisvilleLectures.org

Discussing DNR Orders With Dr. Earnshaw Mar 18, 2016

Dr. Lori Earnshaw covers how to conduct a clear, effective discussion of DNR including indications and outcomes of CPR and how to approach conflicts about code status in a case-based method.

Clips during this lecture are used with the express permission of HBO and HBO Films, we are appreciative of their generosity in allowing their use for educational purposes. Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.

Colon Cancer with Dr. Farmer Mar 04, 2016

Dr. Russ Farmer uses MS Paint to cover basic concepts of colon cancer including epidemiology and clinical decision making (chemo and surgery options). He cements the topics by emphasizing visual points.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.

You may see our blog archive for more lectures.

Coordinating Safe Discharges with Dr. Mitchell Feb 26, 2016

In this lecture, Dr. Mitchell discusses the process of discharge and the surprising complexities that surround getting a patient home safely and with information that they and their primary care physician can understand. She addresses the overall Medicare re-admission statistics in the US and ways that systems based medicine projects could be undertaken to improve patient care.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.

Acute Coronary Syndromes 101 with Dr. Brown Feb 19, 2016

In this action-packed lecture, Dr. Lorrel Brown covers ACS basics: coronary perfusion, types of myocardial infarction, and how to diagnose MI using history exam and EKG findings. She reviews ACS risk scores, acute treatment of ACS and some common pitfalls.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.

Non-Invasive Ventilation with Dr. Rosenblum Feb 13, 2016

In this lecture, Dr. Rosenblum discusses the evidence, indications, and contraindications for non-invasive ventilatory support.

Dr. Rosenblum is an Assistant Professor in the Department of Medicine. He works at the Louisville VA Medical Center in the department of Pulmonology and Critical Care.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.

You may see our blog archive for more lectures.

Rickettsial Disease Review with Dr. Raghuram Jan 22, 2016

Dr. Raghuram review common rickettsial diseases (Rocky Mountain Spotted Fever, Typhus, Mediterranean Spotted Fever, African Tick Bite Fever, and less common species) with a focus on board review. She delves into geography, vectors and pathophysiology of these diseases as well as discussing common look-a-like diseases.

Non-Malignant Pleural Effusions - Part Two With Dr. Gauhar Jan 15, 2016

In this lecture, Dr. Umair Gauhar reviews pleural anatomy, normal characteristics of pleural effusion and epidemiology of pleural effusions. He then delves into a thorough discussion of parapneumonic effusions (including various classification schemas) as well as treatment options both empiric antibiotic regimens and a comprehensive discussion thoracentesis. This is a must watch lecture for pulmonologists, intensivists, and internists!

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.

You may see our blog archive for more lectures.

Non-Malignant Pleural Effusions - Part One With Dr. Gauhar Jan 08, 2016

Dr. Umair Gauhar discusses pleural fluid pressure, characteristics, epidemiology and pathophysiology of effusion. He spends a great deal of time teaching the approach to pleural effusion anatomy. This talk is background for Part Two which covers more of the clinical causes of non-malignant pleural effusion.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.

You may see our blog archive for more lectures.

Basics of Inpatient Geriatrics with Dr. Neamtu Dec 11, 2015

Dr. Daniela Neamtu covers the main principles of geriatrics including polypharmacy: she reviews differences in pharmacology in older adults, demystifies the Beers criteria, discusses the ACOVE project and common sources of medical errors.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.

You may see our blog archive for more lectures.

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Rhinosinusitis by Dr. Lee Nov 20, 2015

Dr. Gerry Lee highlights important differences between allergic and non-allergic rhinosinusitis and emphasizes how to evaluate and treat the presentation of rhinitis. He discusses when to refer patients with rhinitis to allergists and how to recognize relationships between upper and lower airway diseases.

Sepsis Guidelines and Evidence with Dr. Cavallazzi Nov 13, 2015

Dr. Rodrigo Cavallazzi discusses the bundles of care that have come out of the Surviving Sepsis guidelines as well as the recent evidence concerning "Early Goal Directed Therapy" pioneered by Dr. Rivers. He also discusses recent updates to the Surviving Sepsis guidelines and some nuances for patients not responding to initial therapies.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.

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Weaning Mechanical Ventilation with Dr. Cavallazzi Nov 06, 2015

Dr. Rodrigo Cavallazzi discusses steps toward ventilator liberation including spontaneous breathing trial and other parameters to indicate readiness to wean. He then discusses strategies for weaning: optimizing fluid status, weaning protocols, sedation weaning, rehabilitation therapy.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.

You may see our blog archive for more lectures.

Disclaimers

Tracheostomy Care with Dr. El Kersh Nov 06, 2015

Dr. Karem El Kersh describes basics of anatomy, components and indications for tracheostomy. Then he spends time covering when and how to change a trach as well as suggestions for troubleshooting common problems involving tracheostomies.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.

You may see our blog archive for more lectures.

Disclaimers

Treating Alcoholism with Chris Stewart Oct 30, 2015

Dr. Chris Stewart reviews the basics of alcoholism including definitions, alcohol elimination rate, leading causes of death. He spends time on time and presentation of withdrawal as well as complications. Dr. Stewart finishes by outlining medication assisted and supportive detoxification.

Cirrotic Ascites and its Complications with Dr. Beauerle Oct 23, 2015

Dr. Brian Beauerle covers the basics of cirrhosis including pathophysiology, symptoms and survival of patients with survival. He covers when and how to perform a paracentesis including interpretation of results. He discusses pharmacologic and dietary treatment of ascites and refractory ascites. He closes with complications of ascites including spontaneous bacterial peritonitis and hepatic hydrothorax.
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©2015 LouisvilleLectures.org

Ocular Manifestations of Systemic Disease with Dr. Apenbrinck Oct 16, 2015

Dr. Eddie Apenbrinck dissects those ophthalmology notes that you can never decipher. He also covers retinal complications of diabetes including treatments including laser photocoagulopathy. Other systemic causes of retinal disease are covered including sickle cell anemia and hypertension. Among the other topics covered are thyroid eye disease, inflammatory ocular involvement of rheumatoid conditions, ocular malignancies and infections.

Grand Rounds: Management of C.difficile and Fecal Microbiota Transplant With Dr. Krueger Oct 09, 2015

Dr. Kris Krueger reviews the epidemiology and pathogenesis of C.difficile in the U.S. Then, she gives an update on current medical treatments including antibiotic, probiotic and surgical treatment before covering the evidence behind fecal microbial transplant. She also addresses prevention strategies and emerging C.difficile therapies such as immunotherapy and vaccines.

Islet Cell Autotransplantation with Dr. Hughes. Oct 02, 2015

Dr. Mike Hughes discusses innovative medical care of chronic pancreatitis with ground-breaking work on auto-islet cell transplantation. He covers differences in auto vs. allo transplantation, indications of transplantation, evaluation of prospective transplant patients, peri-operative and outpatient management, and observed outcomes post-surgery. The lecture spends time reviewing several ongoing research projects at University of Louisville by several labs researching facets of this topic.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.

Drug induced Rash with Dr. Owen Sep 25, 2015

Dr. Cindy Owen gives an overview of cutaneous drug reactions and an approach to diagnosis and treatment in this image-driven lecture. She spends time on urticaria, fixed drug eruption, serum-sickness reaction, hypersensitivity vasculitis, morbilliform rash, drug reaction with eosinophilia and systemic symptoms, erythema multiforme, toxic epidermal necrolysis and less familiar drug reactions (acute generalized exanthematous pustulosis, symmetric drug related intertriginous and flexural exanthem).

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.

Clinical Assessment of Volume Status with Dr. Cavallazzi Sep 18, 2015

Dr. Rodrigo Cavallazzi covers the assessment of volume responsiveness including the static exam as well as dynamic markers to aid with treatment of shock without administration of excessive fluids. He spends some time on shock definition and physiologic compensation before discussing physical exam and laboratory findings consistent with tissue ischemia. Then, he delves into methods of determining pre-load responsiveness.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.

Cardiac Tamponade And Miscellaneous Cardiomyopathies Aug 28, 2015

Dr. Lorrel Brown returns to discuss tamponade cardiac physiology (including demystifying pulsus pardoxus). She continues to cover the differentiation of constrictive and restrictive cardiomyopathies. This action-packed lecture concludes with stress cardiomyopathy and HFpEF (heart failure with preserved ejection fraction).

Grand Rounds: Idiopathic Interstitial Pneumonias with Dr. Roman Aug 21, 2015

Grand Rounds given by Internal Medicine Chairman, Dr. Jesse Roman. He covers the definition of interstitial lung disease as well as it's evaluation and management. He also spends time on idiopathic interstitial pneumonia and idiopathic pulmonary fibrosis.

Pharmacogenetics with Kristen Reynolds Aug 14, 2015

Kristen takes a look at adverse drug reactions occurring secondary to identifiable genetic risk factors. She looks at the evidence supporting genetic testing, common mutations (Cyp phenotypes), and how to decide whom to test.

Thyroid Disease with Dr. Krishnasamy Aug 07, 2015

Dr. Sathya Krishnasamy presents cases to illuminate the physiology of thyroid disease including hypothyroidism, hyperthyroidism and thyroid nodules.

Complications of Myocardial Infarctions with Dr. Brown Jul 31, 2015

Dr. Lorrel Brown covers the common (and less common) results of MI using cases. She includes papillary muscle rupture and mitral regurgitation, free wall rupture, ventricular septal defects, right ventricular infarct, pseudoaneurysm, aneurysm, pericarditis and bradyarrhythmias.

Dr. Brown is an Assistant Professor at the University of Louisville and is the Associate Director of the Cardiovascular Medicine fellowship. Her medical training was completed at Johns Hopkins University. Although a new faculty member, she recently won the Clinical Faculty Teaching Award from the residents. Her areas of interest in cardiac critical care, post-graduate medical education, and in-hospital cardiac arrest.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.

Primary Immunodeficiencies with Dr. Lee Jul 24, 2015

Dr. Gerald Lee discusses common primary immunodeficiencies using a case-based approach. He introduces the topic of immunodeficiencies by creating broad categories of clinical presentation to assist with pattern recognition. He spends more time on Selective IgA Deficiency and then covers Common Variable Immunodeficiency in depth.

Acute Respiratory Distress Syndrome with Dr. Cavallazzi Jul 17, 2015

Dr, Rodrigo Cavallazzi gives a comprehensive review of ARDS; he includes the definition, pathophysiology, risk factors, prognosis and differential. He spends time discussing the ARDS Network trial including fluid and ventilation strategies as well as advanced treatments (prone positioning, ECMO, neurally adjusted ventilation.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.

A Review of ANA Testing and Rheumatology Pharmacology With Dr. Charles Moore Jul 10, 2015

Dr. Charles Moore demystifies ANA testing and medications used for rheumatologic disorders including common side effects and screening for adverse effects.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page. Disclaimers ©2015 LouisvilleLectures.org

Shock and Hemodynamics in the CCU with Dr. Brown Jul 03, 2015

Dr. Lorrel Brown covers the basics of shock including how to recognize cardiac shock from history, physical exam and invasive monitoring. She discusses physiology and interpretation of pulmonary artery catheterization and then covers choice of vasopressors for therapy.

Dr. Brown is an Assistant Professor at the University of Louisville and is the Associate Director of the Cardiovascular Medicine fellowship. Her medical training was completed at Johns Hopkins University. Her areas of interest in cardiac critical care, post-graduate medical education, and in-hospital cardiac arrest.

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.

Ultrasound Physics with Dr. Nunley Jun 26, 2015

For internists not inclined towards cardiology or critical care, an ultrasound mightÂ be merely a diagnostic test to be ordered. Research and expertise in this field are expanding rapidly, however, and an affordable handheld ultrasound that can easily be carried in a white coat is likely not many years away. In this lecture, Dr. Nunley discusses the basic principles,Â physics, and ideas behindÂ ultrasound to give a baseline for moving forward with additional training.

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Dr. Nunley is a Professor of Medicine on faculty at the University of Louisville. He is the Clinical Director of the Lung Transplant Program at Louisville and is a teaching attending in the MICU. He has received multiple awards from national organizations including UNOS, American CollegeÂ of Chest Physicians and American College of Critical Care Medicine.Â His faculty profile can be found here.

Spondyloarthropathies Part Two with Dr. Moore Jun 19, 2015

Dr. Charles Moore covers more rheumatology topics including treatment of gout, psoriatic arthritis, and the clinical presentation of SjÃ¶gren's syndrome and sicca syndrome.

Dr. Moore is an assistant professor of Medicine at University of Louisville in the department of Rheumatology. He trained in Internal Medicine and Pediatrics at University of Louisville then completed a fellowship in Rheumatology at Vanderbilt University.

He staffs the adolescent transition clinic for pediatric rheumatology, the lupus clinic, and the faculty practice clinic.

Dr Moore's clinical research interests in health services include early detection in both RA and SLE and interventions aimed at enhanced follow-up rates in both these illness and in adolescents.

Analyzing the Accuracy of Cardiovascular Risk Calculators with Dr. Defilippis Jun 16, 2015

Dr. AndrewÂ Defilippis discusses his very practical research into the data behind cardiovascular risk scores. His findings on variations between different cohort studies have been published and debated the Annals of Internal Medicine this spring. As a set of tools we use daily in our outpatient primary care practice, a deeper dive into cardiovascular risk calculations fits our criteria for being both a Grand Rounds and Louisville Lectures talk.

Dr. Andrew Defilippis is an Assistant ProfessorÂ on facultyÂ the University of Louisville's division of Cardiology. In addition to this, he is a researcher and is the clinical director for the University of Louisville's Cardiac ICU.

Solitary Pulmonary Nodules with Dr. Wiese Jun 12, 2015

Dr. Tanya Wiese gives an overview of lung cancer screening then discusses solitary pulmonary nodules in detail; she covers their definition and workup in addition to the use of endobronchial ultrasound and navigational biopsy in diagnosis.
Dr. Wiese is an Assistant Professor with the University of Louisville and is the Director of the Interventional Pulmonology program. In this lecture, Dr. Wiese describes an approach to solitary pulmonary nodules. Her faculty profile can be found here:http://louisville.edu/medicine/depart...
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Â©2015 LouisvilleLectures.org

Acetaminophen & Salicylate Toxicity with Dr. Bosse Jun 05, 2015

Dr. George Bosse gives a thorough review of acetaminophen and salicylic acid pharmacokinetics followed by presenting symptoms, pathology and treatments for toxicity.

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Spondyloarthropathies Part One with Dr. Charles Moore May 29, 2015

In this first of a two part series, Dr. Charles Moore discusses ankylosing spondylitis, polymyositis/dermatomyositis, inclusion body myositis, anti-synthetase syndrome and scleroderma including epidemiology, clinical manifestations, diagnostic criteria and treatments.

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Bradyarrythmias with L Brown May 22, 2015

Dr. Lorrel Brown recaps the electrical system of the heart then uses cases to discuss AV blocks, and interprets many EKGs! Â Here is your chance to get inside the brain of a cardiologist!

UTIs with Dr. Gnoni May 15, 2015

Dr. Martin Gnoni presents on urinary tract infections using the Infectious Disease Society of America's guidelines. He covers acute, uncomplicated cystitis and pyelonephritis in both pregnant and non-pregnant women. He then discusses complicated UTIs including those in men. Finally, he addresses catheter associated UTIs. Dr. Gnoni was an Infectious Disease fellow at the University of Louisville.

Allergic Rhinitis with Dr. Le May 08, 2015

Yes, that Tao Le. Here he discusses types of rhinitis (infectious, allergic, non-infectious and non-allergic rhinitis, chronic rhinitis with and without polyps). Then he delves into epidemiology, complications, and treatment options (including environmental control, antihistamines, nasal steroids, surgery. He touches on chronic sinusitis as well as when to refer to an allergist or ENT.

Dr. Tao Le is an Associate Professor and head of the Allergy and Immunology division at Louisville. His faculty profile can be found here.

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Calcium Homeostasis with Dr. Lederer May 01, 2015

Dr. Eleanor Lederer reviews the balance of calcium in the body and mechanisms of homeostasis in the kidneys and bones. She then covers hypocalcemia and hypercalcemia in a case-based approach.

Dr. Lederer is an Associate Professor of Medicine at the University of Lousiville. She is the Chief of the Division of Nephrology and the Program Director for the Nephrology and Kidney Disease Fellowship. Her faculty profile can be found here: http://www.uoflphysicians.com/1952380917-eleanor-lederer

Sodium, Potassium, Diuretics with Dr. Lederer Apr 24, 2015

Dr. Eleanor Lederer addresses sodium and potassium regulation including mechanisms of diuretics. Â She presents a basic approach to addressing cases and analyzing serum and urine electrolytes in the context of presentation.

Dr. Lederer is an Associate Professor of Medicine at the University of Lousiville. She is the Chief of the Division of Nephrology and the Program Director for the Nephrology and Kidney Disease Fellowship. Her faculty profile can be found here.

Diabetes Complications with Dr. Villafuerte Apr 17, 2015

In this lecture Dr. Villafuerte speaks from experience and research on the myriad complications that can occur with diabetes. Dr. Betty Villafuerte is an Associate Professor at the University of Louisville. Her clinical interests are obesity, diabetes, and hypoglycemia.

Accessibility Issues in the Clinic with Dr. Stillman Apr 10, 2015

Dr. Stillman is part of the medicine faculty at the University of Louisville. He is well known for his focus on the human aspect of medicine and as an advocate for patients. This talk discusses barriers to care that are rarely addressed in usual discussions on the issue, physical barriers to care for those living with disabilities. His faculty profile can be found here: https://stage.louisville.edu/medschool/medicine/doctors/stillman.html.

Somatoform Disorders with Dr. Tamas Apr 03, 2015

Dr. Tamas is an Assistant Professor at the University of Louisville in the Department of Psychiatry and Behavioral Sciences and holds the Auerbach Endowed Chair of Psycho-Oncology. In this lecture she discusses an approach to somatoform disorders. Her faculty profile can be found here: http://www.uoflphysicians.com/1679625610-rebecca-tamas

PFTs with Dr. Perez Mar 27, 2015

Dr. Rafael Perez is a Professor of Medicine on faculty at the University of Louisville and is the Chief of Medicine at the Louisville VA Hospital. In this lecture, Dr. Perez discusses PFTs. His faculty profile can be found here: http://louisville.edu/medicine/departments/medicine/doctors/perez_r

A-Fib and A-Flutter Concepts with Dr. Espinosa Mar 20, 2015

Dr. Martin Espinosa gave this lecture during his Cardiology fellowship at the University of Louisville. He is currently completing a fellowship in Electrophysiology. Here, he discusses atrial fibrillation and atrial flutter.

Disclaimer: Some images from this lecture may have been pulled from a Google search to improve the quality of the teaching images. The credit for these images falls to the original online publisher of the images.

Approach to Anemia with Dr Moffett Mar 13, 2015

Dr. Bryan Moffett presents a lecture on his approach to the differential and assessment of various types of anemia. He begins with some of his algorithms for determining testing and ends with his own set of cases to provide clinical vignettes on common presentations.

Acute and Chronic Diarrhea with Dr. Moffett Mar 13, 2015

Dr. Bryan Moffett is on faculty at the University of Louisville as an Assistant Professor of Internal Medicine. He practices primarily at the VA Hospital and is known for his ability to simplify and organize complex pathology. Here, he gives one of his well known lectures on acute and chronic diarrhea.

Minimizing Complications in Cirrhosis with Dr. Marsano Mar 06, 2015

Dr. Marsano is a professor of medicine at the University of Louisville and holds a Distinguished Chair in Hepatology in the department of Gastroenterology and Hepatology. Here he discusses how to minimize complications from cirrhosis. His faculty profile can be found here: https://louisville.edu/bucksforbrains/faculty/marsano

Syncope with Dr. Mitchell Mar 01, 2015

In this lecture, Dr. Charlene Mitchell discusses the etiology, evaluation, and workup of syncope in different age groups. She goes on to further discuss a guidelines based approach to diagnosis and pursuit of treatment options (including discharge to home, when appropriate).

Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.

Disclaimers

Systemic Inflammatory Illnesses with Dr. Roberts Feb 20, 2015

Dr. Neal Roberts is a Professor of Medicine and is the Chair of Rheumatology at the University of Louisville. In this lecture, Dr. Roberts discusses lupus, vasculitis, and their mimics. His faculty profile can be found here: http://louisville.edu/medicine/departments/medicine/doctors/roberts_n

Therapies for Diabetes with Dr. Villafuerte Feb 13, 2015

Dr. Betty Villafuerte is an Associate Professor at the University of Louisville. In this lecture, she covers the basics of diabetes treatments including oral agents, subcutaneous insulins and newer drugs. Her faculty profile can be found here: http://louisville.edu/medicine/departments/medicine/doctors/villafuerte-betty.

Aortic Stenosis and General Valvular Principles with Dr. Brown Feb 06, 2015

Dr. Brown is an Assistant Professor at the University of Louisville and is the Associate Director of the Cardiovascular Medicine fellowship. In this lecture, she covers the basics aortic stenosis assessment and management as well as general principles for other valvular diseases. Â Her faculty profile can be found here: http://louisville.edu/medicine/departments/medicine/doctors/brown-lorrel

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The Basics of Immunotherapy with Dr. Lee Jan 30, 2015

Dr. Gerald Lee is an Assistant Professor on faculty at the University of Louisville. He is the Division Chief of both the adult and pediatrics department of Allergy and Immunology. In this lecture, Dr. Lee discusses immunotherapy. His faculty profile can be found here: http://www.uoflphysicians.com/1942474648-gerald-lee

Cystic Fibrosis with Dr. O'Hagan Jan 16, 2015

Dr. O'Hagan is an Assistant Professor with joint appointments with Pediatrics and Pulmonary and Critical Care Medicine. Dr. O'Hagan has specific interest in early CF therapy and transition from pediatric to adult medicine in CF. In this lecture, he discusses CF for the internist as life expectancy for CF patients increases. His faculty profile can be found here; http://louisville.edu/hsc/compliance/medschool-pulmonary/about-us/faculty-fellows-staff/adrian-r.-ohagan-md

Bacteremia and Intravascular Infections with Dr. Ramirez Jan 09, 2015

Dr. Ramirez is a Professor of Medicine at the University of Louisville and is the Division Chief for Infectious Disease. Here, he discusses bacteremia and intravascular infections. His faculty profile can be found here: http://www.uoflphysicians.com/1225016983-julio-ramirez

Pulmonary and Critical Care Review (Comprehensive) with Dr. El-Kersh Jan 09, 2015

Dr. Karim El-Kersh is currently a Sleep Medicine fellow at the University of Louisville. He completed his Pulmonary and Critical Care fellowship at Louisville in 2014 and is very active in both education and research. Here, we have a four part lecture series he presented reviewing pulmonary and critical care medicine for the internist. His profile can be found on the fellowship website here: https://louisville.edu/hsc/compliance/medschool-pulmonary/about-us/fellows/karim-el-kersh

Part 2 46:30

Part 3 1:32:56

Part 4 2:17:57

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Acute Pancreatitis: Medicine vs Surgery with Dr. Roberts Dec 13, 2014

Dr. Jason Roberts is an Assistant Professor of Medicine and the Director of Endoscopy in the Department of Gastroenterology at the University of Louisville. In this lecture, he discusses the management of Acute Pancreatitis and his perspectives on whether is is a primarily surgical or medical diagnosis. His faculty profile can be found here: http://louisville.edu/medicine/departments/medicine/doctors/roberts-jason

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Glomerulonephritis with Dr. Caster Dec 05, 2014

Dr. Caster is an Assistant Professor with the University of Louisville in the division of Nephrology. In this lecture she discusses glomerulonephritis. Her faculty profile can be found here: http://www.uoflphysicians.com/1659402287-dawn-caster

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Nephrotic Syndrome with Dr. Caster Nov 28, 2014

Dr. Caster is an Assistant Professor with the University of Louisville in the division of Nephrology. In this lecture she discusses the nephrotic syndromes. Her faculty profile can be found here http://www.uoflphysicians.com/1659402287-dawn-caster

Antibiotics Review 2 with Julie Harting Pharm.D. Nov 21, 2014

This is the second half of a two part series reviewing antibiotics. This lecture focuses primarily on basic antimicrobial principles including penicillins, cephalosporins, . Julie Harting is a Pharm D. who is a member of the University of Louisville Infectious Disease Bone and Joint Team. Her faculty profile can be found here: http://www.iduofl.us/profile.php?email=jharting@sullivan.edu.

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Antibiotics Review 1 with Julie Harting Pharm.D. Nov 15, 2014

This is the first of a two part series reviewing antibiotics. This lecture focuses primarily on basic antimicrobial principles including pharmacokinetics and other fundamental principles. Julie Harting is a Pharm D. who is a member of the University of Louisville Infectious Disease Bone and Joint Team. Her faculty profile can be found here: http://www.iduofl.us/profile.php?email=jharting@sullivan.edu.

Pneumonia in Many Forms (CAP,HCAP,HAP,VAP) with Dr. Peyrani Nov 07, 2014

Dr. Peyrani is on faculty with the University of Louisville under the division of Infectious Diseases. She is also the director of the HIV Clinic at the University. In this lecture, Dr. Peyrani reviews Pneumonia and its many manifestations. Her faculty profile can be found here: http://www.iduofl.us/profile.php?email=p0peyr01@louisville.edu

Quality Improvement (QI) with Dr. Kubiak Oct 31, 2014

Dr. Kubiak is an Associate Professor of Medicine at the University of Louisville. She is an Associate Program Director for the Internal Medicine Residency and is a managing clinician at the outpatient practices. Here, she discusses basics and walks through an approach to Quality Improvement in medicine. Her faculty profile can be found here: https://louisville.edu/hsc/compliance/DeptOfMedicine/doctors/kubiak.html

Electrolyte Emergencies with Dr. Lederer Oct 24, 2014

Dr. Lederer is an Associate Professor of Medicine at the University of Lousiville. She is the Chief of the Division of Nephrology and the Program Director for the Nephrology and Kidney Disease Fellowship. Her faculty profile can be found here: http://www.uoflphysicians.com/1952380917-eleanor-lederer

Renal Transplant with Dr. Mackelaite Oct 17, 2014

Dr. Mackelaite is on faculty at the University of Louisville and does a significant amount of work with renal transplantation. She is one of the teaching faculty for the renal elective rotation which includes the transplant center at Jewish Hospital. This is a practical lecture on the topic of transplant with a focus on evaluation, qualification, benefits, and management. You can find her faculty profile here: http://louisville.edu/medicine/departments/medicine/doctors/mackelaite

Preoperative Cardiac Evaluation with Dr. Stillman Oct 10, 2014

Dr. Stillman is part of the medicine faculty at the University of Louisville. He is well known for his focus on the human aspect of medicine and as an advocate for patients. Here, Dr. Stillman discusses the history and practical aspects of performing a pre-op evaluation. His faculty profile can be found here: https://stage.louisville.edu/medschool/medicine/doctors/stillman.html.

Acute Mental Status Changes with Dr. Mitchell Oct 03, 2014

Dr. Charlene Mitchell is a member of the University of Louisville faculty with a dual appointment in internal medicine and pediatrics. She is one of the teaching faculty for the internal medicine inpatient service at University of Louisville Hospital. In this lecture she discusses her approach to assessment and diagnosis acute mental status changes. Dr. Mitchell's faculty profile can be found here: http://louisville.edu/medicine/departments/medicine/doctors/mitchell

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Approach to Low Back Pain with Dr. Burke Sep 26, 2014

Dr. Anna Burke presented this talk at the University of Louisville as she neared the end of her residency with us. Dr. Burke is trained in Osteopathic Medicine and her approach to low back pain is outstanding in a world that, as she says, often seems to use narcotics as a first line therapy. She has since been hired to the Internal Medicine faculty at the University of Michigan. Her faculty profile can be found here: http://www.uofmhealth.org/profile/3461/anna-marie-burke-do

Emergency Stroke Care with Dr. Remmel Sep 19, 2014

Dr. Kerri Remmel is the Chief of Vascular Neurology at the University of Louisville. She has been recognized both at the state and national levels for her work in creating the first stroke center in Kentucky as well as the quality of care provided for patients with stroke. In this lecture, Dr. Remmel addresses emergency care of patients with stroke. Her faculty profile can be found here: http://louisville.edu/medicine/departments/neurology/faculty/remmel

The Seriously Ill Patient with Dr. Nunley Sep 19, 2014

Dr. Nunley is a Professor of Medicine on faculty at the University of Louisville. He is the Clinical Director of the Lung Transplant Program at Louisville and is a teaching attending in the MICU. Here, Dr. Nunley discusses the approach to a critically ill patient. His faculty profile can be found here: http://louisville.edu/medicine/departments/medicine/doctors/nunley

Arrhythmia Concepts,Tachy with Dr. Espinosa Sep 12, 2014

Dr. Martin Espinosa gave this lecture during his Cardiology fellowship at the University of Louisville. He is currently completing a fellowship in Electrophysiology. Here, he discusses concepts in analyzing and approaching treatment in arrhythmias.

Disclaimer: Some images from this lecture may have been pulled from a Google search to improve the quality of the teaching images. The credit for these images falls to the original online publisher of the images.

Acute Kidney Injury with Dr. Aronoff Aug 25, 2014

Dr. George Aronoff presented this lecture while on faculty at the University of Louisville and held professorships with medicine as well as pharmacology. Dr. Aronoff is currently an Assistant CMO at Renal Ventures Management in Colorado. In this lecture, Dr. Aronoff discusses acute kidney injury.

Adrenal Disorders with Dr. Winters Aug 25, 2014

Dr. Stephen Winters is a Professor of Medicine and head of the Division of Endocrinology and Metabolism at the University of Louisville. In this lecture he discusses various adrenal disorders. His faculty profile can be found here: http://www.uoflphysicians.com/1104818517-stephen-winters

Anaphylaxis and Urticaria with Dr. Lee Aug 25, 2014

Dr. Gerald Lee is an Assistant Professor on faculty at the University of Louisville. He is the Division Chief of both the adult and pediatrics department of Allergy and Immunology. In this lecture, Dr. Lee discusses anaphylaxis and urticaria. His faculty profile can be found here: http://www.uoflphysicians.com/1942474648-gerald-lee

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A Practical Approach to Acid Base with Dr Aronoff Aug 25, 2014

Dr. George Aronoff presented this lecture while on faculty at the University of Louisville and held professorships with medicine as well as pharmacology. Dr. Aronoff is currently an Assistant CMO at Renal Ventures Management in Colorado. In this lecture, Dr. Aronoff discusses his approach to acid and base disorders.

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Bleeding Disorders with Dr. Sharma Aug 25, 2014

Dr. Sharma is an Assistant Professor on faculty at the University of Louisville with an appointment in the division of Hematology and Oncology. In this lecture, Dr. Sharma discusses his approach to bleeding disorders. His faculty profile page can be found here: http://louisville.edu/medicine/departments/medicine/doctors/sharma

Calcium Metabolism with Dr. Krishnasamy Aug 25, 2014

Dr. Krishnasamy a faculty member at the University of Louisville. She is an associate professor with Endocrinology and specializes in diabetes management and metabolism. In this lecture, Dr. Krishnasamy discusses calcium metabolism using a practical, case-based approach. Her faculty profile can be found here: http://www.uoflphysicians.com/1295835577-sathya-krishnasamy

Community Acquired Pneumonia with Dr. Guardiola Aug 25, 2014

Dr. Guardiola is an Associate Professor at the University of Louisville and the Chief of Pulmonary and Critical Care Medicine at the Louisville VA hospital. In this lecture, Dr. Guardiola discusses community acquired pneumonia. His faculty profile can be found here: https://louisville.edu/hsc/compliance/medschool-pulmonary/about-us/faculty-fellows-staff/juan-guardiola-md

Trends in COPD with Dr. Perez Aug 25, 2014

Dr. Rafael Perez is a Professor of Medicine on faculty at the University of Louisville and is the Chief of Medicine at the Louisville VA Hospital. In this lecture, Dr. Perez discusses COPD. His faculty profile can be found here: http://louisville.edu/medicine/departments/medicine/doctors/perez_r

DKA and HHS with Dr. Mokshagundam Aug 25, 2014

Dr. Sri Mokshagundam is an Associate Professor on faculty with the University of Louisville in the department of Endocrinology, Metabolism, and Diabetes. Here he discusses an in-depth approach to DKA and HHS. His faculty profile can be found here: http://louisville.edu/medicine/departments/medicine/divisions/endocrinology/faculty/mokshagundam

EKG Concepts with Dr. Espinosa Aug 25, 2014

Dr. Martin Espinosa is currently completing a fellowship in Electrophysiology at the University of Louisville. Here, he discusses concepts in EKGs for the medical resident.

Emergency Arrhythmias 101 with Dr. Brown Aug 25, 2014

Dr. Brown is an Assistant Professor at the University of Louisville and is the Associate Director of the Cardiovascular Medicine fellowship. In this lecture, she covers the basics of emergent arrhythmias for interns and residents. Her faculty profile can be found here: http://louisville.edu/medicine/departments/medicine/doctors/brown-lorrel

Fulminant Hepatic Failure with Dr. Marsano Aug 25, 2014

Dr. Marsano is a professor of medicine at the University of Louisville and holds a Distinguished Chair in Hepatology in the department of Gastroenterology and Hepatology. Here he discusses evidence regarding fulminant hepatic failure. His faculty profile can be found here: https://louisville.edu/bucksforbrains/faculty/marsano

Intro to Peripheral Vascular Disease with Dr. Dwivedi Aug 25, 2014

Dr. Dwivedi is an associate professor and Chief of the Vascular Surgery Division at the University of Louisville. In this lecture, Dr. Dwivedi discusses perspectives on PVD tailored towards internal medicine providers. His faculty profile can be found here: http://louisvillesurgery.com/vascFaculty.html

Paraproteinemias with Dr. Sharma Aug 25, 2014

Dr. Sharma is an Assistant Professor on faculty at the University of Louisville with an appointment in the division of Hematology and Oncology. Here, Dr. Sharma discusses paraproteinemias. His faculty profile page can be found here: http://louisville.edu/medicine/departments/medicine/doctors/sharma

Psychiatry with Dr. Spurgeon Aug 25, 2014

Dr. Spurgeon is a faculty member at the University of Louisville and program director of the Psychiatry and Behavioral Sciences residency program. In this talk, Dr. Spurgeon discusses a range of practical psychiatric medicine geared towards internal medicine practitioners. You can find her faculty profile here: http://www.uoflphysicians.com/1043282197-joyce-spurgeon

The Acute Abdomen with Dr Farmer Aug 25, 2014

Dr. Farmer is on faculty with the University of Louisville with the Department of Surgery as a Colorectal and General Surgeon. Here, he discusses his approach to the acute abdomen for the internist. His faculty profile can be found here: http://louisvillesurgery.com/drBios/farmer.html

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Mood Disorders with Dr. Casey Aug 25, 2014

Dr. Casey is an Associate Professor at the University of Louisville in the division of Psychiatry. In this lecture Dr. Casey reviews mood disorders for the internal medicine physician. His faculty profile can be found here: http://www.uoflphysicians.com/1699747451-david-casey

Acute Pancreatitis with Dr. Parajuli Aug 25, 2014

Dr. Parajuli is an Assistant Professor and Director of the Gastroenterology, Hepatology, and Nutrition Fellowship. Here he discusses an approach to pancreatitis. His faculty profile can be found here: http://louisville.edu/medicine

Acute Aortic Syndromes with Dr. Hirsch Aug 25, 2014

Dr. Glenn Hirsch is an Associate Professor at the University of Louisville. He is the Clinical Director and Fellowship Director for the Cardiology Division. In this lecture, Dr. Hirsch discusses assessment and initial management of acute aortic syndromes. His faculty profile can be found here: http://louisville.edu/medicine/departments/medicine/doctors/hirsch-glenn

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