The Curbsiders Internal Medicine Podcast

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#457 Cold and Flu Season: Upper Respiratory Infections aka URIs Oct 14, 2024

Show notes

Treating colds, flu, and more with Dr Amber Bird!
Dive deep into upper respiratory viral infections with Dr Amber Bird, MD (Penn). Feel confident on when to order testing, recommend symptom relieving treatments, and avoid unnecessary antibiotics.
Claim CME for this episode at curbsiders.vcuhealth.org!
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Show Segments

00:00 Introduction and Setting the Agenda
03:07 Getting to Know the Guest and Rapid Fire Questions
05:51 Case from Kashlak: Mateo with Common Cold Symptoms
06:12 Defining and Diagnosing the Common Cold
09:08 Approach to History and Physical Exam
13:23 Viral Respiratory Testing and Its Indications
17:36 Symptomatic Treatment Options for the Common Cold
24:25 Managing Cough and Nasal Congestion
35:03 Home Remedies and natural products
42:16 Prescribing Antivirals for Influenza
46:33 Antibiotics and Counseling Patients
52:07 Contagiousness and Risk to Family Members
54:52 Recurring Colds and Risk Factors
59:38 Vaccination recommendations
01:01:23 Key Takeaways and Conclusion

Credits

Producer: Leah Witt, MD and Molly Heublein, MD
Show Notes/CME: Molly Heublein, MD
Cover Art and Infographic: Leah Witt, MD
Hosts, writers: Leah Witt and Molly Heublein, MD
Reviewer: Fatima Syed, MD
Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
Technical Production: PodPaste
Guest: Amber Bird, MD

Sponsor: Babbel

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Sponsor: Freed

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CURB50 for $50 off their first month.
Sponsor: Panacea Legal
Let Panacea Legal help you today at Panacea.Legal

#456 Outpatient Oxygen Therapy Oct 07, 2024

Show notes

Supplemental oxygen is ubiquitous and yet there is a tremendous amount of uncertainty related to prescription and management in the outpatient setting. Have no fear, we’ve got your back! On this episode of The Curbsiders we host special guest Susan Jacobs, RN, MS who is a bonafide, world-class expert in outpatient oxygen therapy. How to prescribe? What’s out there? What do you do when your patient travels? She joins us to tackle these questions and so much more so make sure to tune in and snag some knowledge food for that old brain hole!
Claim CME for this episode at curbsiders.vcuhealth.org!
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Show Segments

Intro
Getting to know our guest
Basics of oxygen prescribing and devices
Caveats for the patient who only has exertional hypoxemia
How to prepare for travel
Key points & take aways
Outro

Credits

Producer, Writer, Infographic and Cover Art Artist: Leah Witt, MD
Show Notes: Cyrus Askin, MD
Reviewer: Fatima Syed, MD
Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP
Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
Technical Production: PodPaste
Guest: Susan Jacobs, RN, MS

Sponsor: UVA Health
To learn more about UVA Health, visit https://uvahealth.com/

Sponsor: Beginly Health

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Sponsor: Freed AI

You can try Freed for free right now by going to freed.ai. And listeners of Curbsiders can use code CURB50 for $50 off their first month.
View full show notes at thecurbsiders.com

#455 Sports Injuries Part 2: Hip and Knee Sep 30, 2024

Show notes

De-stress your approach to stress fractures (and trochanteric pain syndromes and meniscus tears)!
Follow along as the great Dr. Senter guides us through the diagnosis, workup, and treatment of an all-star lineup of sport injuries. Part 2 covers stress fractures, relative energy deficiency in sports, trochanteric pain, meniscus tears, and the ongoing quest to diagnose Paul’s mysterious hip injury.
Claim CME for this episode at curbsiders.vcuhealth.org!
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Show Segments

Case 1 - Hip stress fracture
Approach to hip injuries in runners
Relative Energy Deficiency in Sports (RED-S)
Imaging consideration for bone stress injuries
Surgical and treatment consideration for hip stress fractures
Osteoporosis evaluation
Case 2 - Greater trochanteric pain syndrome
Hip and trochanter anatomy
Treatment and imaging of trochanteric tendinopathies
Case 3 - Meniscus tear
Knee evaluation and physical exam
Bucket handle tears and surgical considerations
Special physical exam maneuvers
Imaging and further surgical considerations
Outro & Take Home Points

Credits

Producer and Show Notes: Peter Wikoff MD
Writer, Infographic and Cover art: Edison Jyang MD
Reviewer: Sai S Achi MD MBA FACP
Hosts and Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
Technical Production: PodPaste
Guest: Dr. Carlin Senter MD

Sponsor: ClinicalKey AI

To learn more about ClinicalKey AI, visit Elsevier.health/AI

Sponsor: Beginly Health

Ready to take control of your job search? Visit beginlyhealth.com/curbsiders to get started.
Sponsor: Freed AI

You can try Freed for free right now by going to freed.ai. And listeners of Curbsiders can use code CURB50 for $50 off their first month.

#454 Kidney Boy on Managing Diabetes and Hypertension in CKD Sep 23, 2024

Show notes

Written and Produced by: Fatima Syed, MD, MSc
Infographic and Cover Art: Zoya Surani, MD
Show Notes: Fatima Syed, MD, MSc
Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP
Reviewer: Sai S Achi, MD, MBA, FACP
Showrunners: Matthew Watto MD, FACP and Paul Williams MD, FACP
Technical Production: Pod Paste
Guest: Joel Topf, MD

Sponsor: Mint Mobile

To get this new customer offer and your new 3-month premium wireless plan for just 15 bucks a month, go to mintmobile.com/CURB.

Sponsor: ClinicalKey AI

ClinicalKey AI is an award-winning solution that combines trusted, evidence-based clinical content with conversational search powered by generative AI. To unlock the power of AI in clinical decision-making with ClinicalKey AI, visit Elsevier.health/AI”

Sponsor: Freed

You can try Freed for free right now by going to freed.ai. And listeners of Curbsiders can use code CURB50 for $50 off their first month.

#453 Sports Injuries Part 1: Concussion and Hip Pain Sep 16, 2024

Show notes

Follow along as the great Dr. Senter guides us through the diagnosis, workup, and treatment of an all-star lineup of sport injuries. Part 1 covers concussions, femoroacetabular impingement (FAI), and the ongoing quest to diagnose Paul’s mysterious hip injury.
Claim CME for this episode at curbsiders.vcuhealth.org!
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Show Segments

00:00 Introduction
08:43 Case 1 - Concussion
9:39 Approach and Workup of Concussions
18:08 Treatment of Concussions (Return to Activity)
24:10 Consideration of Head Imaging
33:20 Case 2 - Hip Pain (FAI)
34:15 Hip Anatomy and Differential Diagnosis
38:41 Hip Physical Exam
45:41 Hip Imaging
47:28 Treatment of FAI
Outro & Take Home Points

Credits

Producer and Show Notes: Peter Wikoff MD
Writer, Infographic and Cover art: Edison Jyang MD
Reviewer: Sai S Achi MD MBA FACP
Hosts and Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
Technical Production: PodPaste
Guest: Dr. Carlin Senter MD

Sponsor: ClinicalKey AI

ClinicalKey AI is an award-winning solution that combines trusted, evidence-based clinical content with conversational search powered by generative AI. To unlock the power of AI in clinical decision-making with ClinicalKey AI, visit Elsevier.health/AI

Sponsor: Freed

You can try Freed for free right now by going to freed.ai. And listeners of Curbsiders can use code CURB50 for $50 off their first month.
Sponsor: Babbel

Get up to 60% off your Babbel subscription - but only for our listeners at Babbel.com/CURB.

#452 MASLD aka NAFLD aka Fatty Liver aka Hepatic Steatosis with Dr. Elliot Tapper Sep 09, 2024

Show notes

Intro
Rapid Fire Segment
Case 1 Part 1
NAFLD/MASLD terminology and differential diagnoses
PEth testing
Diagnostic tools for NAFLD/MASLD: Fib4 Score
Imaging
When to Refer to a Hepatologist?
Treatment options
Lifestyle modifications
Role of GLP-1 agonists
Role of new FDA approved medications
Outro

Credits

Producer: Sai S Achi, MD, MBA, FACP; Matthew Watto MD, FACP
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. Elliot Tapper MD

Sponsor: Freed

You can try Freed for free right now by going to freed.ai. And listeners of Curbsiders can use code CURB50 for $50 off their first month.

Sponsor: The University of Virginia

Visit uvahealth.com website to explore this exceptional opportunity and submit your application today.

Sponsor: Beginly Health

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#451 Acute Coronary Syndrome with Dr. Sanjeev Francis - Part 2 Sep 02, 2024

Show notes

Quit playing games with my heart
Yet another beat no to skip here with part 2 of our conversation with cardiologist Dr. Sanjeev Francis (@, Maine Medical Center)for acute coronary syndrome. Learn about the warranty on stress tests, initial management of ACS and how to deal with those pesky elevated troponins from patients with sepsis.
Claim CME for this episode at curbsiders.vcuhealth.org!
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Show Segments

Start Part 1
Intro
Rapid fire questions/Picks of the Week
Case 1
History and Physical
ECGs
Definitions
Risk Stratification Tools
Non-invasive Testing Options
End Part 1
Start Part 2
Case 2
Warranty on Non-invasive Testing
Invasive Management of non ST elevation ACS
Medical Management of non ST elevation ACS
Case 3
Myocardial Injury Definitions
Diagnostics to Consider for Myocardial Injury
Transitions of Care
Outro
End Part 2

Credits

Producer, Writer, Show Notes, Hosts: Meredith Trubitt, MD, MPH, Monee Amin MD
Infographic, Cover Art: Caroline Coleman, MD
Reviewer: Rahul Ganatra, MD, MPH
Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
Technical Production: PodPaste
Guest: Sanjeev Francis, MD

Sponsor: Babbel

Get up to 60% off your Babbel subscription - but only for our listeners at Babbel.com/CURB.

Sponsor: Freed

You can try Freed for free right now by going to freed.ai. And listeners of Curbsiders can use code CURB50 for $50 off their first month.

Sponsor: Panacea Financial

If you’re ready to join the thousands of doctors who have declared independence from traditional banks, visit panaceafinancial.com today.

#450 Acute Coronary Syndrome with Dr. Sanjeev Francis - Part 1 Aug 26, 2024

Show notes

Quit playing games with my heart
Don’t skip a beat and join us in part 1 of our conversation with cardiologist Dr. Sanjeev Francis (@, Maine Medical Center)for acute coronary syndrome. First up, the basics on physical exam, how to interpret high-sensitivity troponin and how to think through the spectrum of acute coronary syndrome.
Claim CME for this episode at curbsiders.vcuhealth.org!

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Show Segments

Start Part 1
Intro
Rapid fire questions/Picks of the Week
Case 1
History and Physical
ECGs
Definitions
Risk Stratification Tools
Non-invasive Testing Options
End Part 1
Start Part 2
Case 2
Warranty on Non-invasive Testing
Invasive Management of non ST elevation ACS
Medical Management of non ST elevation ACS
Case 3
Myocardial Injury Definitions
Diagnostics to Consider for Myocardial Injury
Transitions of Care
Outro
End Part 2

Credits

Producer, Writer, Show Notes, Hosts: Meredith Trubitt, MD, MPH, Monee Amin MD
Infographic, Cover Art: Caroline Coleman, MD
Reviewer: Rahul Ganatra, MD, MPH
Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
Technical Production: PodPaste
Guest: Sanjeev Francis, MD

Sponsor: Mint Mobile

To get your new 3-month premium wireless plan for just 15 bucks a month, go to mintmobile.com/CURB.

Sponsor: Freed

You can try Freed for free right now by going to freed.ai. And listeners of Curbsiders can use code CURB50 for $50 off your first month.

Sponsor: American College of Physicians

Preorder ACP MKSAP to receive discounted pricing plus free MKSAP 19 premium content you can use now at acponline.org/acpmksap

REBOOT #326 NephMadness 2022: Cardiorenal Syndrome Aug 19, 2024

Show notes

We're taking a short summer break, but we'll be back at the end of August with brand new episodes.
Lose your heart to NephMadness 2022! Dr. Joel Topf (@kidney_boy) and Dr. Sadiya Khan (@HeartDocSadiya) tackle the NephMadness 2022 Cardiorenal Syndrome region, leading us through the pathophysiology of cardiorenal syndrome, how to approach the creatinine “bump” with diuresis, managing patients with diuretic resistance, and more.
Claim CME for this episode at curbsiders.vcuhealth.org!
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Show Segments

Intro, disclaimer, guest bios
Guest one-liners, Introduction to Nephmadness 2022
Case #1 from Kashlak: acute decompensated heart failure with elevated creatinine
Definition and pathophysiology of cardiorenal syndrome
Use of home ACE-is/ARBs and SGLT-2 inhibitors in cardiorenal syndrome
Case #2 from Kashlak: the creatinine bump with diuresis
Approach to the creatinine bump with diuresis
Tips for the volume exam
Interpreting cardiac biomarkers in patients with chronic kidney disease
Case #3 from Kashlak: diuretic resistance
Maximizing loop diuretic efficacy
Sequential nephron blockade
Use of hypertonic saline
Outro

Credits

Producer, Writer, Show Notes, Infographics: Malini Gandhi
Cover Art: Beth Garbitelli
Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP
Reviewer: Emi Okamoto MD, FACP
Executive Producer: Beth Garbitelli
Showrunner: Matthew Watto MD, FACP
Editor: Clair Morgan of nodderly.com
Guest: Dr. Joel Topf MD, Dr. Sadiya Khan MD

Sponsor: Beginly Health
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Sponsor: Locumstory
Tune in to The Locumstory Podcast on Spotify, Apple, or Google podcasts.
Sponsor: Freed
You can try Freed for free right now by going to freed.ai. And listeners of Curbsiders can use code CURB50 for $50 off their first month.

REBOOT #226 Kidney Boy on Acute Kidney Injury: Myths & Musings Aug 12, 2024

Show notes

We're taking a short summer break, but we'll be back at the end of August with brand new episodes.
AKI Tips and Tricks from Joel Topf MD, Kashlak’s Chief of Nephrology
Get a grip on acute kidney injury (AKI) with Dr. Joel Topf (AKA @kidney_boy), Kashlak’s Chief of Nephrology! We’ve put together an AKI highlight reel - focusing on practical tips and tricks to help you identify, diagnose and manage AKI, plus how to recognize AIN and random myths and musings on vancomycin, NSAIDS, contrast nephropathy, and the risk of NSF from gadolinium.
Listeners can claim Free CE credit through VCU Health at http://curbsiders.vcuhealth.org/ (CME goes live at 0900 ET on the episode’s release date).
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Show Notes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME!

Credits

Written (including CME questions) and Produced by: Cyrus Askin, MD
Infographic by: Cyrus Askin, MD
Cover Art: Kate Grant MBChb, MRCGP
Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP
Editor: Matthew Watto MD, FACP (written materials); Clair Morgan of nodderly.com
Guest: Joel Topf, MD

Time Stamps

00:00 Sponsors - VCU Health CE and Pediatrics On Call podcast by APP
00:30 Intro, disclaimer, guest bio
03:00 Guest one-liner, Picks of the Week*: Zoe Keating albums (Cellist); Mrs. America (TV series) on FX; The Last of Us (Videogame);
08:45 Sponsor - Pediatrics On Call podcast by APP
09:15 Definition of acute kidney injury (AKI) and fundamentals
11:00 Cardiorenal syndrome
12:24 Schema for AKI
17:30 Establish an etiology, determine urine output and address electrolyte abnormalities
21:22 AKI in the otherwise-healthy patient;
32:20 Rhabdomyolysis 38:21 Vancomycin
41:43 Acute interstitial nephritis (AIN)
44:52 Contrast induced nephropathy (CIN)
50:37 Gadolinium in AKI and/or CKD
52:53 Timing of dialysis
56:37 AKI in the out-patient setting and how to handle home meds e.g. TMP-SMX, RAAS inhibitors;
62:01 Is Ultrasound necessary in AKI
64:58 Dr. Topf’s take home points and Plug for Seminars in Nephrology
68:45 Outro and Sponsor - VCU Health CE

Sponsor: Freed

You can try Freed for free right now by going to freed.ai. And listeners of Curbsiders can use code CURB50 for $50 off their first month.

Sponsor: Panacea Financial

If you’re ready to join the thousands of doctors who have declared independence from traditional banks, visit panaceafinancial.com today.
Sponsor: Locumstory

Tune in to The Locumstory Podcast on Spotify, Apple, or Google podcasts.

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