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Host: Darryl S. Chutka, M.D.
Guest: Stephanie L. Grach, M.D., M.S.
Chronic fatigue syndrome is now known as myalgic encephalomyelitis. Despite this change in terminology, there’s still a great deal that’s not known regarding this health problem. Clinical manifestations can include severe, persistent fatigue, often with a worsening of symptoms following physical exertion. Impaired sleep, potential cognitive impairment, and possible orthostatic intolerance is also commonly seen. The exact cause remains unknown, although several proposed mechanisms have come forward. The diagnosis is based on clinical presentation. Patient management, while less than optimal, is usually limited to symptom control. This condition poses a major challenge to primary care clinicians with both establishing a diagnosis and management. To help sort out this frustrating health problem is my guest, Dr. Stephanie Grach, an internist in the Division of General Internal Medicine at the Mayo Clinic. The topic for today’s podcast is Myalgic Encephalomyelitis/Chronic Fatigue Syndrome.
Connect with us! Mayo Clinic Talks Podcast Season 6 | Mayo Clinic School of Continuous Professional Development
Host: Darryl S. Chutka, M.D.
Guest: Josh P. Wiedermann, M.D.
Neck masses in children are commonly seen in a primary care practice. Fortunately, most are benign, although serious causes, including malignancy, always remain a possibility. Based on medical history, physical examination, and occasionally imaging studies, the cause is usually able to be identified. What are some key elements consistent with a benign neck mass? When does the management consist of watchful waiting and which ones are concerning and should warrant a prompt referral? These are questions I’ll be asking my guest, Dr. Josh Wiedermann, Division Chair of Pediatric Otorhinolaryngology at the Mayo Clinic as we discuss “Pediatric Neck Masses”.
Connect with us! Mayo Clinic Talks Podcast Season 6 | Mayo Clinic School of Continuous Professional Development
Host: Darryl S. Chutka, M.D.
Guest: Karthik Ravi, M.D.
Eosinophilic Esophagitis is often misdiagnosed or undiagnosed in primary care settings, yet it’s a common cause of esophageal symptoms. It’s commonly mistaken for the more common gastroesophageal reflux disease as it can present with symptoms of reflux and dysphagia. How can we differentiate eosinophilic esophagitis from reflux esophagitis? What’s needed to establish a diagnosis? What are the management options and what’s the long-term outlook for those with the condition? These are some of the questions I’ll be asking my guest Dr. Karthik Ravi, a gastroenterologist at the Mayo Clinic as we discuss “Eosinophilic Esophagitis”.
Connect with us! Mayo Clinic Talks Podcast Season 6 | Mayo Clinic School of Continuous Professional Development
Host: Darryl S. Chutka, M.D.
Guest: Dawn Davis, M.D.
Psoriasis is a health condition commonly seen in primary care but one which has evolved significantly in both how we understand the disease as well as how it’s managed. At one time, psoriasis was considered primarily a skin disorder; however, we now know it’s part of a systemic inflammatory disease with potential involvement of multiple organ systems. What do we know about the pathophysiology of psoriasis? How does it change our management when we think of it as a systemic disease? What are some of the new treatment options we now have available? I’ll ask these questions and more of my guest as we discuss “Psoriasis”. My guest for this podcast is Dr. Dawn Davis, Chair of Clinical and Pediatric Dermatology at the Mayo Clinic in Rochester, Minnesota.
Connect with us! Mayo Clinic Talks Podcast Season 6 | Mayo Clinic School of Continuous Professional Development
Host: Darryl S. Chutka, M.D.
Guest: Dawn Davis, M.D.
Acne and rosacea are two very common skin conditions seen in primary care, yet at times both the diagnosis and management can be challenging. While acne most commonly develops in adolescence, it can present in adulthood. Rosacea is often misdiagnosed or at times completely unrecognized. What are the common presenting symptoms of these two conditions? What are the treatment options? What are the latest advances in management and when should a primary care clinician consider referral to dermatology? These are questions I’ll be asking my guest, Dr. Dawn Davis, Chair of Clinical and Pediatric Dermatology at the Mayo Clinic, as we discuss “Acne and Rosacea”.
Connect with us! Mayo Clinic Talks Podcast Season 6 | Mayo Clinic School of Continuous Professional Development
Host: Darryl S. Chutka, M.D.
Guests: Jake Eide, M.D. & Rijul Kshirsagar, M.D.
Skull base tumors are not commonly seen in a primary care practice, yet it’s important for us to recognize them when they do present. These tumors can be either benign or malignant, however because of their proximity to important structures in the brain, even benign tumors can cause serious complications. Their presentation can be subtle, and they are frequently mistaken for other more commonly seen health problems. Which presenting symptoms should give us concern? What are some common physical exam findings associated with these tumors, and what’s the best initial imaging study to order? These are some of the questions I’ll be asking my guests, Dr. Jake Eide and Dr. Rijul Kshirsagar, both surgeons in the Department of Otorhinolaryngology at the Mayo Clinic as we tackle “Skull Base Tumors.”
Connect with us! Mayo Clinic Talks Podcast Season 6 | Mayo Clinic School of Continuous Professional Development
Host: Darryl S. Chutka, M.D.
Guest: Regis Fernandes, M.D.
We’ve known for some time that patients who have hypertension and diabetes are at increased risk for developing subsequent cardiovascular disease and chronic kidney disease. It’s now being thought that these health problems are related and interconnected, representing Kidney-Cardiovascular Metabolic Syndrome. They form a pathophysiologic triad driven by shared mechanisms where disease in one system accelerates dysfunction in the others. So, what does this mean for primary care clinicians? Traditionally, we’ve managed hypertension, diabetes, cardiovascular disease, and chronic kidney disease as separate health conditions. It’s now felt that there may be a better approach. The topic for this podcast is “Kidney-Cardiovascular Metabolic Syndrome”, and my guest is Dr. Regis Fernandes, a preventive cardiologist at the Arizona campus of the Mayo Clinic. We’ll discuss the science, clinical implications, and recommended management strategies for this health condition.
Connect with us! Mayo Clinic Talks Podcast Season 6 | Mayo Clinic School of Continuous Professional Development
Host: Darryl S. Chutka, M.D.
Guest: Joshua M. Romero, M.D.
Pickleball has become one of the fastest growing sports in the U.S., especially among older adults. This rapid rise in popularity has also resulted in a significant number and variety of sports-related injuries. It’s important for primary care clinicians to recognize the most common injuries and their risk factors. We should also discuss preventive strategies with our patients to reduce their risk of injury. Is pickleball so dangerous or do the many injuries result from the popularity of the sport? What health conditions often seen in older individuals place them at increased risk of injury? What are some practical preventive strategies we can recommend to our patients who are planning to start playing the sport? I’ll get answers to these questions from my guest, Dr. Joshua Romero, a sports medicine physician in the Department of Physical Medicine and Rehabilitation at the Mayo Clinic.
Connect with us! Mayo Clinic Talks Podcast Season 6 | Mayo Clinic School of Continuous Professional Development
Host: Darryl S. Chutka, M.D.
Guest: Stacey Rizza, M.D.
Although vector-borne illnesses can be acquired by travel to distant parts of the world, some can be acquired here in the U.S. As a result, these infections become pertinent to primary care clinicians as they can produce serious complications. When should we suspect a vector-borne illness in a patient? How do we distinguish it from other viral syndromes? What are some of the serious complications that can occur? In today’s podcast, we’ll be discussing three vector-borne illnesses including Zika virus, West Nile virus, and Dengue Fever. My guest is an infectious disease specialist, Dr. Stacey Rizza from the Mayo Clinic as we discuss “Vector-Borne Illnesses”.
Connect with us! Mayo Clinic Talks Podcast Season 6 | Mayo Clinic School of Continuous Professional Development
Host: Darryl S. Chutka, M.D.
Guest: Stacey Rizza, M.D.
Lyme Disease is a tick-borne illness commonly seen in various parts of the country. Despite its common occurrence in the primary care practice, it’s associated with confusion and controversy. From the presenting symptoms, occasional ambiguous serologic results, to managing patients with persistent symptoms following treatment, primary care clinicians are often frustrated with the management of patients who have or are concerned they have Lyme Disease. In today’s podcast, we’ll discuss what we know about Lyme Disease, what’s still uncertain, and how we should approach this health problem in our patients. Joining me for this podcast is Dr. Stacey Rizza, an infectious disease specialist at the Mayo Clinic.
Connect with us! Mayo Clinic Talks Podcast Season 6 | Mayo Clinic School of Continuous Professional Development
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