The Curbsiders Internal Medicine Podcast

Latest Episodes:

#473 Rapid Response Series: Narrow Complex Tachyarrhythmias with Dr. Noble Maleque Mar 03, 2025

Show notes

Intro
Case 1, part 1: Unstable narrow tachyarrhythmias
Case 1, part 2: Stable, narrow tachyarrhythmias – regular rhythm
Vagal tone: Valsalva, Modified Valsalva, or Carotid Massage?
Adenosine
2nd line AV nodal blockade: metoprolol, diltiazem
Case 2: Stable, narrow tachyarrhythmias – irregular rhythm
AV nodal blockade
Amiodarone and diltiazem
Rapid fire questions/Picks of the Week
Outro

Credits

Please consolidate if performing multiple jobs (e.g. Written and Produced by: Cyrus Askin MD; cover art and infographic by Kate Grant)

Producer, writer, Infographic, cover art, and show notes by: Caroline Coleman, MD
Hosts: Meredith Trubitt, MD and Monee Amin, MD
Reviewer: Rahul Ganatra, MD MPH
Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
Technical Production: PodPaste
Guest: Noble Maleque, MD

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#472 DIGEST: cfDNA & cancer in Pregnancy, Vitamin K2 for Leg Cramps, PRN anti-hypertensives, GLP-1 Agonists for AUD, Short-Course Antibiotics Feb 24, 2025

Show notes

Join us as we review recent articles and news featured in The DIGEST issues #59-61, including cfDNA and incidental detection of cancer in pregnancy, vitamin K2 for nocturnal leg cramps, the danger of as-needed anti-hypertensive medications in the hospital, GLP-1 agonists for alcohol use disorder, short-course (7 vs 14 days) antibiotics for bacteremia, and patient-collected HPV testing for cervical cancer screening. Fill your brain hole with a fully digestible meal! Featuring Laura Glick MD, Nora Taranto (@norataranto), Paul Williams (@paulnwilliamz), and Matt Watto (@doctorwatto).
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Show Segments

00:00 Introduction and Overview
02:57 The IDENTIFY study: Non-Invasive Prenatal Testing and Cancer Detection with cfDNA
05:54 Implications of Non-Reportable Results in Prenatal Testing
08:51 Vitamin K2: A New Approach to Managing Nocturnal Leg Cramps
12:07 Practicality and Future of Vitamin K2 in Clinical Practice
23:21 The Dangers of As-Needed Antihypertensives in the hospital
32:21 Exploring GLP-1 Agonists for Alcohol Use Disorder
40:24 Shorter Antibiotic Courses in Sepsis
46:09 Advancements in Patient-Collected HPV Screening for cervical cancer

Credits

Written and Produced by: Nora Taranto MD, Laura Glick MD, Matthew Watto MD, FACP; Paul Williams MD, FACP
Show Notes: Nora Taranto MD
Cover Art: Matthew Watto MD, FACP
Hosts: Nora Taranto MD, Laura Glick MD, Matthew Watto MD, FACP; Paul Williams MD, FACP
Reviewer: Emi Okamoto MD
Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
Technical Production: PodPaste

Disclosures

The Curbsiders report no relevant financial disclosures.

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#471 Iron Deficiency Anemia with Dr. Tom DeLoughery Feb 17, 2025

Show notes

Intro
Rapid fire questions/Picks of the Week
Case
History and Physical
Laboratory Findings
Management of Iron Deficiency Anemia
Diet
Oral Supplementation
Unexplained Iron Deficiency
Case 2
IV Iron Supplementation
IV iron reactions
Case 3
Laboratory Follow Up Post Supplementation
When to Refer to a Hematology/Oncology specialist?
Outro

Credits

Producer,Writer, Show Notes, Cover Art, and Infographics: Sai S Achi MD MBA FACP
Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP
Reviewer: Leah Witt, MD
Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
Technical Production: PodPaste
Guest: Dr. Tom DeLoughery MD, MACP, FAWM

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#470 Thyroid Nodules and Thyroid Cancer for Primary Care Feb 10, 2025

Show notes

Management and Ongoing Monitoring of Thyroid Neoplasms
Join us as we dive deep into the approach for thyroid nodules with our two fantastic guests, Dr. Kaniksha Desai (Stanford Medicine) and Dr. Ana Chindris (Mayo Clinic)! Learn how to stratify these nodules for cancer risk and walk alongside our patients during treatment for thyroid cancer.
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Show Segments

Intro, guest bios
Case From Kashlak
Thyroid nodule evaluation and management
Thyroid cancer diagnosis and treatment
GLP-1s relationship to thyroid nodules and cancer
Outro

Credits

Writer, producer, show notes, infographic, cover art: Alise Burke, MD
Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP
Reviewer: Emi Okamoto MD
Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
Technical Production: PodPaste
Guest: Kaniksha Desai MD and Ana Chindris MD

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#469 Inpatient Heart Failure Feb 03, 2025

Show notes

Diuresing ‘til the heart's content
Master inpatient heart failure management! Learn key tips for initiating guideline-directed medical therapy, diuretic therapy pearls, and ensuring smooth transitions of care. We are joined by Dr. Gurusher Panjrath @PanjrathG (GW School of Medicine and Health Sciences-Dr. Panjrath)
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Show Segments

Intro
Rapid Fire Questions/Picks of the Week
Case Aliquot 1
Defining Heart Failure
POCUS in Heart Failure
Timing/Indications for Echocardiography
Initiating Diuretic Therapy
Adjusting Diuretic Therapy/Drip vs Bolus
Adjunct Diuretic Therapy
Afterload Reduction
Monitoring Diuretic Response
Inpatient Sodium and Fluid Restriction
Case Aliquot 2
Classifying Heart Failure
Pharmacotherapy for HFrEF
Pharmacotherapy for HFpEF
Ischemic Evaluation
Interval Summary/Highlights
Case Aliquot 3
Considerations for Initial Care of Cardiogenic Shock
Choosing Inotrope/Vasopressor
Right Heart Catheterization
Case Aliquot 4
Discharge Medications for Heart Failure
Titration of Goal Directed Medical Therapy
Post Discharge Follow Up
Washout Period for ACEi/ARB
Cost/Barriers of ARNI
Patient Education
Take Home Points
Outro

Credits

Writer, Producer, and Show Notes by: Reaford Blackburn, Jr., MD
Infographic & Cover Art: Caroline Coleman MD
Hosts: Monee Amin, MD and Meredith Trubitt, MD
Reviewer: Rahul Ganatra MD
Technical Production: PodPaste
Guest: Gurusher Panjrath, MD

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#468: Asthma Update with Cyrus Askin Jan 27, 2025

Show notes

2024 GINA Strategy, peak expiratory flow insights, SMART therapy, and other asthma pearls that will leave you breathless
Master the art of diagnosing and managing asthma with practical, evidence-based strategies. Learn how to approach the initial interview, gain comfort with key diagnostic tools like spirometry and PEF, and optimize therapy using the latest GINA report. We’re joined by Dr. Cyrus Askin, a longtime Curbsiders member returning as our guest expert to share his insights as a pulmonologist.
X profile (formerly twitter): @Askins_Razor
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Show Segments

Intro
Case
Topic
Rapid fire questions/Picks of the Week
Outro

Credits

Written and produced by Paul Wurtz MD. Show notes, cover art, and infographic also created by Paul Wurtz MD.

Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP
Reviewer: Sai S Achi MD, MBA, FACP
Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
Technical Production: PodPaste
Guest: Cyrus Askin MD

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#467 Unintentional Weight Loss with Dr. Eva Szymanski Jan 20, 2025

Show notes

Become a mini geriatrician in our new Geriatrics series!
Geriatricize your knowledge of caring for older adults with unintentional weight loss! You’ll round out your history taking and weight gain plan by harnessing the age-friendly “5Ms”. We’re joined by Dr. Eva Szymanski (@eva_szy), expert geriatrician at Penn Medicine.
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Show Segments

Intro
Rapid fire questions
Case
Defining Unintentional Weight Loss
Applying the Geriatric 5Ms Framework
Diagnostic Work-Up
Addressing Ageism in Medical Decisions
Defining Geriatric Syndromes
Weight Loss Treatments
Outro

Credits

Producer: Leah Witt, MD, Rachel Miller, MD, MSEd
Writers: Abigail Schmucker, MD, Joseph Young, MD, Margaret Heller, MD, Alyson Michener, MD, Leah Witt, MD
Show Notes, Infographic and Cover Art: Leah Witt, MD
Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP
Reviewer: Molly Heublein, MD
Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
Technical Production: PodPaste
Guest: Eva Szymanski, MD

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#466 Cirrhosis Update with Scott Matherly Jan 13, 2025

Show notes

Intro, disclaimer, guest bio
Case from Kashlak; Definitions
Cirrhosis Diagnosis and Initial Evaluation
Cirrhosis Physical Examination
Decompensated Cirrhosis Management
Ascites and TIPS
MELD and transplant consideration
Outro

Credits

Written and Produced by: Elena Gibson MD
Infographic and Cover Art: Edison Jyang MD
Hosts: Paul Williams MD, FACP; Elena Gibson MD
Reviewer: Emi Okamoto MD
Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
Technical Production: PodPaste
Guest: Scott Matherly MD

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REBOOT #421 Antiphospholipid Syndrome with Dr. Arielle Langer Jan 06, 2025

Show notes

We're taking a short winter break, but we’ll be back with new shows in time for Christmas and New Years! Can’t wait for more new episodes? Sign up for our Patreon with 15% off an annual membership at patreon.com/curbsiders (https://www.patreon.com/c/curbsiders) and get instant access to 40 plus bonus episodes!
Conquer your fear of antiphospholipid syndrome! Dr. Arielle Langer leads us through what clinical features raise suspicion for antiphospholipid syndrome, how to interpret laboratory testing, and the nuances of antiphospholipid syndrome management.
Claim CME for this episode at curbsiders.vcuhealth.org!

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#465 Hospital Medicine Recap Extravaganza: Diabetic Foot, Sepsis, Syncope, Acute Coronary Syndrome, and more! Dec 30, 2024

Show notes

Join us as Monee and Meredith with the rest of the hospital medicine team reflect on the past year, discussing some favorite insights gained covering a range of topics, including diabetic foot infections, sepsis, sickle cell inpatient management, syncope, psychiatry for the hospitalist, and acute coronary syndrome.
No CME for this episode, but claim CME for past shows at curbsiders.vcuhealth.org!
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Show Segments

Introduction
Picks of the Year
Diabetic Foot Infections
Sepsis
Sickle Cell Inpatient Management
Psychiatry Primer
Syncope
Acute Coronary Syndrome
Reflections from the Year

Credits

Written, Produced, and hosted by: Meredith Trubitt MD; Monee Amin MD
Script Written: Caroline Coleman, MD, RJ Blackburn, MD
Cover Art: Caroline Coleman, MD
Reviewer: Rahul Ganatra MD
Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
Technical Production: PodPaste

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