The Curbsiders Internal Medicine Podcast

Latest Episodes:

#377 Adrenal Incidentalomas, Primary Aldosteronism with Dr. William Young Jan 16, 2023

Show notes

Conquer your fear of adrenal incidentalomas! We’re joined by Dr. William Young, who teaches us pearls for evaluating imaging characteristics of adrenal incidentalomas, tips for assessing and managing functioning adenomas, approaches to follow-up and surgical considerations, and more.
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Show Segments

Intro, disclaimer, guest bio
Case #1 from Kashlak; Definitions
Discussing adrenal incidentalomas with patients
Imaging characteristics of adrenal incidentalomas
Evaluation of hormonal hypersecretion - overview
Subclinical Cushing’s syndrome
Pheochromocytoma
Surgical considerations based on nodule size and imaging phenotype
Follow-up imaging
Case#2 from Kashlak
Primary hyperaldosteronism - work-up and management
Bilateral adrenal nodules
Guest Picks of the Week
Outro

Credits

Producer, Writer, Show Notes, Infographic, and Cover Art: Malini Gandhi
Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP
Reviewer: Leah Witt MD
Showrunner: Matthew Watto MD, FACP; Paul Williams MD, FACP
Technical Production: PodPaste
Guest: William Young MD

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Full Transcript HERE

#376 Hormone Therapy for Primary Prevention of Chronic Conditions in Postmenopausal Persons - a USPSTF update with Dr. Carol Mangione Jan 11, 2023

Show notes

We have better tools for prevention, but let’s talk!
Should we be offering hormone therapy for primary prevention in postmenopausal patients? Dr. Carol Mangione (UCLA) talks us through the potential benefits and harms, and explains how this can be a jumping off point for important conversations about preventive care.
Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME!

Credits

Producers, Hosts: Elena Gibson MD and Paul Williams MD, FACP
Writer, Infographic, and Cover Art: Elena Gibson MD
Show notes: Paul Williams MD, FACP
Reviewer: Molly Heublein MD
Production team: Podpaste
Guest: Carol Mangione MD

Full transcript available HERE

#375 Delirium in the Hospital featuring Dr. Esther Oh Jan 09, 2023

Show notes

In this episode you will learn to master delirium in the hospital! We discuss preventing, recognizing, and managing this common and dangerous condition. We are joined by delirium expert and President of the American Delirium Society, Dr. Esther Oh @EstherOh_MDPhD (Johns Hopkins University)
Claim free CME for this episode at curbsiders.vcuhealth.org!
Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | askcurbsiders@gmail.com | Free CME!

Show Segments

Intro, disclaimer, guest bio
Guest one-liner, Picks of the Week*
Case 1 from Kashlak: hypoactive delirium
Definition of delirium
Delirium vs. encephalopathy vs. dementia
Delirium assessment tools
Prevention of delirium
Discharging patients with delirium
Case 2 from Kashlak: hyperactive delirium
Antipsychotics
Working up etiologies of delirium
Treatment/management pitfalls
Outro

Credits

Produced, Script, Show Notes: Adam Barelski MD
Infographic & Cover Art: Edison Jyang; Sarah Phoebe Roberts
Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP; Adam Barelski MD
Reviewer: Molly Heublein MD
Showrunner: Matthew Watto MD, FACP; Paul Williams MD, FACP
Technical Production: PodPaste
Guest: Esther Oh MD, PhD

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Full transcript HERE

#374 ADHD with Dr. Kevin Simon Jan 02, 2023

Show notes

Don’t get distracted, pay attention to the details, and manage ADHD in your patients!
Dr. Kevin Simon, @DrKMSimon (Boston Children’s Hospital) shows us how to stay focused and diagnose and manage attention deficit hyperactivity disorder (ADHD) in your patients. Learn how to make the right diagnosis, choose an appropriate medication, and modify therapy.
Claim free CME for this episode at curbsiders.vcuhealth.org!
Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | askcurbsiders@gmail.com | Free CME!

Show Segments

Intro, disclaimer, guest bio
Case from Kashlak; Definitions and diagnosis of ADHD
Stimulant medications for ADHD
Non-stimulant medications for ADHD
Mitigating diversion of medications for ADHD
Managing ADHD in patients with substance use disorder
Lightning round and picks of the week
Outro

Credits

Written and Produced by: Paul Williams, MD, FACP
Show Notes: Paul Williams, MD, FACP
Infographic and Cover Art: Paul Williams, MD, FACP
Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP
Reviewer: Fatima Syed, MD
Showrunner: Matthew Watto MD, FACP; Paul Williams MD, FACP
Technical Production: PodPaste
Guest: Kevin Simon, MD

Sponsor: Better Help

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Sponsor: Birch Living

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Full Transcript HERE

#373 Recap Extravaganza 2022 Dec 26, 2022

Show notes

Celebrate the holiday season with top pearls on constipation, palpitations, hypertension, meds for obesity, cardiorenal syndrome, hepatitis C, staging the liver, vitamin supplementation and more! Plus, Watto and Paul share their reflections on seven years of podcasting, give their picks of the year, and tease upcoming episodes for 2023!
Note No CME for this episode but visit curbsiders.vcuhealth.org to claim credit for shows from 2022!
Episodes | Subscribe | Spotify | Swag! | Mailing List | askcurbsiders@gmail.com | Free CME!

Show Segments

Intro, disclaimer,
Reflections on 2022
Constipation,
Palpitations,
Hypertension,
Obesity medications,
Cardiorenal syndrome,
Hepatitis C,
Vitamin supplementation
Picks of the Year
Outro

Credits

Written, Produced, and Hosted by: Matthew Watto MD, FACP; Paul Williams MD, FACP
Show Notes: Matthew Watto MD, FACP
Cover Art design: Matthew Watto MD, FACP
Technical Production: Pod Paste

Full transcript HERE

#372 Endocrine Emergencies featuring Dr. Sara Markley Webster Dec 19, 2022

Show notes

In this episode, we discuss an overview of inpatient management of can’t miss endo emergencies. Our esteemed guest, Dr. Sara Markley Webster (Emory University, @smarkleywebster) walks us through identification, workup and management of adrenal crisis, myxedema coma, and thyroid storm.
Free CME for this episode at curbsiders.vcuhealth.org
Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME!

Show Segments

● Intro, disclaimer, guest bio
● Guest one-liner, Picks of the Week*
● Case 1 from Kashlak
● Adrenal crisis identification, workup and management
● Case 2 from Kashlak
● Myxedema identification, workup and management
● Case 3 from Kashlak
● Thyroid storm identification, workup and management
● Outro

Credits

● Written, Produced, and Hosted by: Monee Amin, MD and Meredith Trubitt, MD
● Show Notes, Infographic and Cover Art: Caroline Coleman, MD
● Reviewer: Emi Okamoto, MD
● Showrunner: Matthew Watto MD, FACP; Paul Williams MD, FACP
● Technical Production: PodPaste
● Guest: Sara Markley Webster, MD

Sponsor: Locumstory

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Sponsor: Pattern

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Full Transcript HERE

#371 Prostate Cancer: Screening, Advanced Testing, and Survivorship Dec 12, 2022

Show notes

Navigating guidelines, parsing through the PSA, Survivorship, & More!
Become a pro when addressing prostate cancer! We tackle the nuances surrounding screening for this all-to-common cancer and discuss important considerations in survivorship with our guest Dr. Petar Bajic (Twitter: @PBajicMD, Instagram: @the.sexdoc) of Cleveland Clinic! You’re IN for a good time listening to this episode!
Claim free CME for this episode at curbsiders.vcuhealth.org!
Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | askcurbsiders@gmail.com | Free CME!

Show Segments

● Intro, disclaimer, guest bio
● Guest one-liner
● Case from Kashlak
● Epidemiology of Prostate Cancer
● Screening Basics
● What is the PSA?
● Next Steps After Elevated PSA
● Thresholds and techniques for biopsy
● Free PSA, Other testing modalities, Prostate MRI
● Active Surveillance Nuts and Bolts
● Survivorship
● Take home points, Outro
Credits

● Producer,Writer, Show Notes, Infographic, Cover Art: Beth Garbitelli MD
● Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP, Beth Garbitelli MD
● Reviewer: Sai S Achi, MD MBA
● Showrunner: Matthew Watto MD, FACP; Paul Williams MD, FACP
● Technical Production: PodPaste
● Guest: Dr. Petar Bajic MD

Sponsor: Better Help

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Sponsor: Birch Living

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Sponsor: Hello Fresh

Go to hellofresh.com/curb18 and use code curb18 for 18 free meals plus free shipping.

Sponsor: Pattern Life

Visit patternlife.com/curbsiders to request your free physician disability insurance quote.
Full Transcript HERE

#370 Parkinson’s Disease for Primary Care with Dr. Albert Hung Dec 05, 2022

Show notes

Master the ins-and-outs of Parkinson’s Disease! We’re joined by Dr. Albert Hung, who teaches us pearls for the initial history and physical exam in a patient with undiagnosed Parkinson’s, a framework for management of early and advanced motor symptoms, tips for treating autonomic symptoms and cognitive / psychiatric features, and more.
Claim free CME for this episode at curbsiders.vcuhealth.org!
Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | askcurbsiders@gmail.com | Free CME!

Show Segments

Intro, disclaimer, guest bio
Guest one-liner
Case from Kashlak
Initial history in a patient with undiagnosed Parkinson’s
“Pre-motor” symptoms of Parkinson’s disease
Physical exam in Parkinson’s disease
Drug-induced Parkinsonism
“Red flags” suggesting atypical parkinsonian syndromes
Role of imaging in diagnosis
Typical discussion with patient at initial diagnosis
Initial management of motor symptoms
Management of autonomic symptoms
Management of advanced motor symptoms
Management of cognitive and psychiatric symptoms
Outro

Credits

Producer, Writer, Show Notes, and Infographic: Malini Gandhi
Cover Art: Kate Grant
Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP
Reviewer: Emi Okamoto MD
Showrunner: Matthew Watto MD, FACP; Paul Williams MD, FACP
Technical Production: PodPaste
Guest: Albert Hung MD, PhD
Full transcript HERE

#369 Hand, Foot, Wrist and Ankle Pain, Myositis and Myopathy: A Rapid Review (TFTC) Nov 30, 2022

Show notes

Recap and review the top pearls from recent episodes #339 Hand and Wrist Pain, #348 Foot and Ankle Pain, and #351 Myopathy and Myositis with Watto and Paul. It’s Tales from the Curbside! (TFTC), our monthly series providing a rapid review of recent Curbsiders episodes for your spaced learning.
Note No CME for this mini-episode but visit curbsiders.vcuhealth.org to claim credit for shows #339, #348 and #351!
Episodes | Subscribe | Spotify | Swag! | Mailing List | askcurbsiders@gmail.com | Free CME!

Show Segments

Intro, disclaimer, guest bio
Hand and Wrist pain: CMC joint arthritis, tenosynovitis, carpal tunnel syndrome, trigger finger
Foot and Ankle pain: Ankle sprains, Achilles tendon injuries, Posterior tibial tendon dysfunction
Myopathy and Myositis pearls
Outro

Credits

Written, Produced, and Hosted by: Matthew Watto MD, FACP; Paul Williams MD, FACP
Show Notes: Matthew Watto MD, FACP
TFTC Cover Art design: Edison Jyang
Technical Production: Pod Paste

Full transcript HERE

#368 Back Pain Update with Dr. Austin Baraki Nov 28, 2022

Show notes

A Rational Approach: Who to Image, How to Treat, and More!
Back pain is one of the most common concerns our patients bring to us in the outpatient setting. It’s a lot more complicated than rest, ice, and NSAIDs! Fortunately, we have pain expert, strength coach, and academic internist Dr. Austin Baraki (Austin Baraki, MD (@AustinBaraki) / Twitter) to help us develop a comprehensive, patient centered approach to help our patients manage their pain and lead healthier lives. Take control of your patients’ back pain!
Claim free CME for this episode at curbsiders.vcuhealth.org!
Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | askcurbsiders@gmail.com | Free CME!

Show Segments

Intro, disclaimer, guest bio
Guest one-liner, Picks of the Week
Case from Kashlak
Introduction to Back Pain
Eliciting the Patient’s Story
Risk Stratification, Intro to Red Flags, and and the STarT Back Tool
The Importance of Language and Patient-Centered Outcomes
A Deeper Dive into Red Flags
Setting Expectations for Care
Therapeutics for Back Pain - Does anything work?
The Exercise Prescription

Credits

Producers: Isabel Valdez, PA-C & Cyrus Askin, MD
Writer, Cover Art and Infographics: Isabel Valdez, PA-C
Show Notes: Cyrus Askin, MD
Hosts: Matthew Watto MD, FACP; Isabel Valdez, PA-C
Reviewer: Molly Heublein, MD
Showrunner: Matthew Watto MD, FACP
Technical Production: PodPaste
Guest: Austin Baraki, MD

Sponsor: Grammarly

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Full transcript HERE

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