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    Health & Fitness

    Primary Care Update

    Four healthily skeptical primary care physicians discuss the latest in primary care medicine. Join Essential Evidence Editor Mark Ebell MD, Rush University’s Kate Rowland MD, MSU Professor of Medicine Gary Ferenchick MD, and POEMs co-founder Henry Barry MD, MS for this fast-paced weekly update on evidence-based primary care.

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    Copyright: © Mark Ebell and friends

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    Latest Episodes:
    Episode 158: dequalinium for BV, mammography, weight loss drugs, and tirzepatide for OSA Jul 03, 2024
    Show notes

    Happy 4th of July! This week Kate, Gary, Henry and Mark celebrate by talking about dequalinium for bacterial vaginosis, the comparative effectiveness of weight loss drugs, the new USPSTF mammography recommendation, and tirzepatide for adults with sleep apnea.



    Episode 157: Bleeding risk with AF, treating minor ischemic stroke, and beta-blockers after AMI Jun 19, 2024
    Show notes

    It's cardiovascular day at Primary Care Update as Kate, Mark and Henry discuss bleeding risk with diltiazem in treatment for atrial fibrillation, whether alteplase improves outcomes in patients with minor ischemic stroke, and whether to continue beta-blockers long-term after acute MI with preserved ejection fraction.



    Episode 156: APAP in pregnancy, AI for AOM, current use of Paxlovid, and CGM for T2DM Jun 05, 2024
    Show notes

    This week, Kate, Gary, Mark and Henry discuss 4 new studies that answer some important questions: Does acetaminophen in pregnancy and neurodevelopmental outcomes in offspring? Can AI accurately diagnose otitis media in children? Is nirmatrelvir-ritonavir (Paxlovid) still an effective treatment for outpatients with mild to moderate COVID? And finally, what are the benefits and harms of continuous glucose monitoring in patients with type 2 diabetes.



    Episode 155: wrist imaging, opioids post-op, rate vs rhythm control, and updated Cologuard, May 22, 2024
    Show notes

    This week, Kate, Gary, Henry and Mark discuss 4 new studies: a decision support tool for imaging wrist injuries, how many opioids should be dispensed after ACL reconstruction, an updated fecal DNA + FIT test for colon cancer screening, and rate vs. rhythm control and the risk of dementia/cognitive decline. And a quiz about...cicadas! Bzzzz.



    Episode 154: triptans and CV risk, urate levels and flares, tests for acute diverticulitis, and APOE4 May 08, 2024
    Show notes

    Quite a diversity of topics this week, as Gary, Henry, Kate and Mark talk about: CV risk with triptans, baseline urate levels and risk of acute flairs in adults with gout, primary care feasible tests for acute diverticulitis, and how APOE4 homozygosity represents a distinct genetic form of Alzheimer’s disease.



    Episode 153: gabapentinoids and COPD, shoulder dislocations, and older Alzheimer's drugs Apr 24, 2024
    Show notes

    This week, Mark is taking a break so Kate, Henry and Gary will discuss gabapentinoids and the risk of severe COPD, rehab after an initial anterior shoulder dislocation, and cognitive enhancers for patients with Alzheimer’s dementia



    Episode 152: SGLT2's for heart failure, bariatric surgery outcomes, UTI in kids, and lung screening outcomes. Apr 10, 2024
    Show notes

    Join Kate, Gary, Mark and Henry (who went to the eclipse!) as they discuss SGLT2 inhibitors for older adults and frail adults with heart failure, the long term outcomes of bariatric surgery in adults with T2DM, the best duration of antibiotics for febrile UTI in kids, and real world outcomes of lung cancer screening.



    Episode 151: SSRIs and mania, oseltamivir, exercise and BP, and HPV vaccine preventing cancer. Mar 25, 2024
    Show notes

    Join us today as Gary, Kate, Mark and Henry discuss risks of SSRIs provoking mania in adolescents, real world effectiveness of HPV vaccination for preventing cervical cancer, whether tamiflu reduces hospitalization in adults with flu, and the effects of exercise on BP.



    Episode 150: EXXUA for depression, ubrogepant for migraine, PCI for stable angina, and a simple way to communications Mar 11, 2024
    Show notes

    This week, Gary, Kate, Henry and Mark discuss a newly approved medication for major depression in adults, initiation of abortive therapy using ubrogepantduring migraine prodrome, the value of PCI for patients with stable angina, and a simple intervention to improve communication with hospitalized patients. And a quiz!



    Episode 149: afib risk scores, tai chi and cognition, flu vax, and managing gallstones Feb 26, 2024
    Show notes

    This week join us as Kate, Mark, Henry and Gary discuss clinical prediction tool for patients using DOACs for atrial fibrillation, the benefits of cognitively enhanced tai chi, whether high dose recombinant flu vaccine is useful in adults 50-64, and watching patients with symptomatic gallstone disease.



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