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We're taking a short summer break, but we'll be back at the end of August with brand new episodes.

Master common hypertension scenarios in the clinic! Our guest Dr. Jordy Cohen (@jordy_bc) will lead us through the FAQs of outpatient hypertension management, including making a diagnosis of hypertension, managing blood pressure in patients with chronic kidney disease, working up refractory hypertension, and more.

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Credits
● Writer: Matthew Watto, MD, FACP
● Producers: Matthew Watto, MD, FACP and Malini Gandhi
● Show Notes, Infographic, and Cover Art: Malini Gandhi
● Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP
● Reviewer: Emi Okamoto MD
● Executive Producer: Beth Garbitelli
● Showrunner: Matthew Watto MD, FACP
● Editor: Clair Morgan of nodderly.com
● Guest: Jordy Cohen MD

Show Segments
● Intro, disclaimer, guest bio
● Guest one-liner, Picks of the Week*
● Case from Kashlak: New diagnosis of hypertension
● How to make a diagnosis of hypertension
● When to start anti-hypertensive medication
● Initial blood pressure regimen
● Case from Kashlak: White coat hypertension
● Case from Kashlak: Hypertension in chronic kidney disease
● ACEis and ARBs in chronic kidney disease
● Diuretics in chronic kidney disease
● Case from Kashlak: Refractory hypertension
● History and initial workup for refractory hypertension
● Treatment of primary hyperaldosteronism
● Outro

OTP yea you know me

Make methadone a part of your practice. Learn how the methadone system in the US works and how you can play an active role in improving care for people with opioid use disorder treated with methadone. We’re joined by Dr. Ruth Potee @DrRuthPotee (website) and Dr. David Frank @highway_dave 

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By listening to this episode and  completing CME, this can be used to count towards the new DEA 8-hr requirement on substance use disorders education.

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Show Segments

• Intro, disclaimer, guest bio
• 5:00 Guest one-liner
• 10:25 Case from Kashlak; Definitions
• 11:19 Methadone pharmacology and evidence
• 17:08 What an OTP feels like
• 20:25 OTP intake
• 24:45 Talking through methadone with a patient
• 28:15 Personal impact of methadone
• 30:20 Requirements at an OTP
• 33:43 What your patient needs to access an OTP
• 37:25 The line
• 39:06 Dosing/Take homes
• 44:48 Loss of take homes
• 48:39 How to interact with an OTP as a PCP
• 52:50 Methadone at STRs
• 57:03 How to clinicians use their voice to improve things
• 1:00:45 Take home points
• 1:03:00 Plugs
• 1:04:24 Outro

Credits

• Producer, Writer, Show Notes, Infographic, Cover Art: Shawn Cohen MD 
• Hosts: Carolyn Chan, MD. MHS and Shawn Cohen MD
• Reviewer: Payel Jhoom Roy MD, MSc
• Showrunner: Carolyn Chan, MD, MHS
• Technical Production: PodPaste
• Guest:  Ruth Potee MD, David Frank PhD

Get your patients ready to globetrot with our fantastic review of Travel Medicine with the esteemed Dr. Boghuma Titanji (@Boghuma)!  We cover malaria, anti-malarial chemoprophylaxis, basics of treatment and management of traveler’s diarrhea, yellow fever, and vaccination guidance!

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Show Segments

• Intro
• Case 1 - Defining travel medicine
• How to approach a travel clinic visit
• Malaria basics, transmission and burden
• Chemoprophylaxis for malaria
• Basic guidance for mosquito avoidance and travel
• Harm reduction, pregnancy and STI prevention, PrEP and doxyPEP
• Case 2 - Traveler’s diarrhea
• Food safety
• When to treat traveler’s diarrhea
• Case 3 - Yellow fever vaccine
• General vaccination guidance
• Take home points
• Outro

Credits

• Producer, Writer, Show Notes & Graphics: Beth Garbitelli MD
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP, Beth Garbitelli MD
• Reviewer:Emi Okamoto MD
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste
• Guest: Dr. Boghuma Titanji MD, MSc., DTM&H, PhD

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In this episode of The Curbsiders Podcast, the team delves into the recently updated breast cancer screening recommendations from the U.S. Preventive Services Task Force (USPSTF) with Dr. Wanda Nicholson (@wnicholsonobgyn), an expert in preventive medicine, diversity, equity and inclusion, and women's health and the Chair of the Task Force.  Join us as we review the newest screening mammography recommendations, evidence for earlier screening for all women, the challenge of dense breast findings, and more. Importantly, we discuss disparities in breast cancer outcomes and the need to better understand and address them.

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Show Segments

• Intro and Guest Background
• Case
• Updated Breast Cancer Screening Recommendations
• Rationale for screening age
• Considerations for findings of dense breasts
• Balancing benefits and harms
• Racial disparities
• Research Gaps
• Outro

Credits

• Producer, writer, show notes, infographic, and cover art: Fatima Syed MD
• Hosts: Paul Williams MD, FACP and Fatima Syed MD   
• Reviewer: Emi Okamoto MD
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste
• Guest: Wanda Nicholson MD, MBA, MPH

Elevate your rhinitis management!

Learn from expert allergist Dr. Olajumoke Fadugba about rhinitis and environmental allergies. You’ll review how to distinguish between allergic and non-allergic rhinitis, and how to decode the drugstore allergy aisle for your patients!

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Show Segments

• Intro
• Rapid Fire Questions
• Case Part 1
• Allergic vs Non-Allergic Rhinitis
• The Rhinitis History and Physical
• Allergy skin testing
• The Pathophysiology of Allergies
• Oral, intranasal and ocular treatments
• Case Part 2
• Allergy immunotherapy
• Chronic sinusitis
• Sinus rinses
• Climate Change and Allergies
• Outro

Credits

• Producer: Leah Witt, MD & Matthew Watto MD
• Writer, Show Notes, Infographic, and Cover Art:  Leah Witt, MD
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
• Reviewer: Sai S Achi, MD MBA
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste
• Guest:  Olajumoke Fadugba MD

Sponsor: Sponsor: Freed
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Anxious about psychiatry on the wards? Don’t be! Join us with guest Dr. Aaron Gluth (Emory University) as we learn about the role the hospitalist plays in managing co-morbid psychiatry conditions on the wards. 

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Show Segments

• Intro
• Rapid fire questions/picks of the week
• Case
• Pertinent history
• Physical Exam including Mental Status Exam
• Role of the multidisciplinary team
• Work-up for reversible causes
• Agitation management
• Framework for capacity and challenging ethical scenarios
• Mortality gap
• Transitions of Care
• Outro

Credits

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

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Join us as we review recent practice-changing articles on preventive PCI, andexanet alfa for ICH, aspirin for fatty liver, naltrexone in cirrhosis, pivmecillinam for UTI, cefepime vs pip-tazo, MDRO decolonization, microplastics and MACE, and more! Fill your brain hole with a delicious stack of hotcakes! Featuring Paul Williams (@PaulNWilliamz), Rahul Ganatra (@rbganatra), Nora Taranto (@norataranto) and Matt Watto (@doctorwatto).

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Credits

• Written and Hosted by: Rahul Ganatra MD, MPH; Nora Taranto MD; Paul Williams, MD, FACP, Matthew Watto MD, FACP
• Cover Art: Matthew Watto MD, FACP
• Reviewer: Rahul Ganatra MD, MPH; Emi Okamoto MD
• Technical Production: Pod Paste
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

Show Segments

• Intro, disclaimer
• Preventive PCI
• Andexanet alfa for ICH
• Aspirin for MASLD
• Naltrexone for AUD in cirrhosis
• Pivmecillinam for UTI
• MDRO decolonization
• Cefepime vs pip/tazo
• Microplastics
• Pax-NO-vid
• Outro

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CURB50 for $50 off their first month.


Sponsor: ACP MKSAP


Learn more about ACP MKSAP at acponline.org/acpmksap 

Sponsor: Litter Robot 

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Recorded LIVE! At Johns Hopkins Internal Medicine Grand Rounds

Step up your anemia game as we explore the causes and diagnostic approach for macrocytic anemia, what to do with a reticulocyte count, the differential diagnosis for hemolytic anemia, the significance of the direct antiglobulin test, and diagnosis and management pearls for autoimmune hemolytic anemia (AIHA) and myelodysplastic syndrome (MDS). Plus, common questions and concerns regarding folate supplementation and the use of bone marrow biopsies. We’re joined by hematologist and pun enthusiast Dr. Rakhi Naik MD, MHS, @redcell_doc @hopkinsheme. 

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Show Segments

• 00:00 Intro and Guest intro
• 05:53 Case 1: Elise - Macrocytic Anemia
• 14:59 Case 2: Jane - Hemolytic Anemia
• 23:24 Testing for Underlying Causes of Autoimmune Hemolytic Anemia
• 24:40 Association of Autoimmune Hemolytic Anemia with Lymphomas
• 25:10 Autoimmune Hemolytic Anemia: Diagnosis and Treatment
• 26:06 Management Approach for Autoimmune Hemolytic Anemia
• 27:30 Considerations for Outpatient Treatment of Autoimmune Hemolytic Anemia
• 28:18 Clotting Risk in Autoimmune Hemolytic Anemia
• 29:20 Treatment Options for Autoimmune Hemolytic Anemia
• 30:42 Long-Term Prognosis and Recurrence of Autoimmune Hemolytic Anemia
• 33:32 Diagnostic Challenges in Myelodysplastic Syndrome
• 35:00 Considerations for Folate Supplementation
• 36:24 Factors to Consider in the Management of Myelodysplastic Syndrome
• 39:30 When to Perform a Bone Marrow Biopsy in Myelodysplastic Syndrome
• 41:25 Shared Decision-Making in the Treatment of Myelodysplastic Syndrome

Credits

• Writer and Producer: Matthew Watto MD, FACP
• Show Notes: Matthew Watto MD, FACP
• Cover Art and Infographic: Matthew Watto MD, FACP
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
• Reviewer: Fatima Syed MD, MSc
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste
• Guest: Rakhi P. Naik MD, MHS

Sponsor: Beginly Health

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Don’t just sit on that borderline calcium!  Learn how to approach hypercalcemia and work up primary hyperparathyroidism.  In this episode, we learn who goes to surgery, how to work them up, and some variants of typical primary hyperparathyroidism. We’re joined by Dr. Lindsay Kuo @lindsaykuo (Temple University Hospital)

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Show Segments

• 00:00 Intro
• 03:31 Understanding Primary Hyperparathyroidism
• 09:03 Handling Mistakes and Complications in Surgery
• 11:44 Case Discussion: Hypercalcemia and Elevated PTH Levels
• 22:41 Symptoms of Primary Hyperparathyroidism
• 25:06 The Role of Vitamin D in Primary Hyperparathyroidism
• 28:07 Testing Considerations for Parathyroid Hormone (PTH) Levels
• 46:02 Considerations for Parathyroid Carcinoma
• 49:19 Parathyroid Imaging in Primary Hyperparathyroidism
• 52:23 The Surgical Procedure for Primary Hyperparathyroidism
• 57:45 Intraoperative Parathyroid Hormone Monitoring
• 01:00:15 Post-Operative Monitoring for Hypocalcemia
• 01:04:38 Normocalcemic Primary Hypoparathyroidism and Normohormonal Primary Hyperparathyroidism

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
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste
• Guest: Lindsay Kuo, MD

Sponsor: Freed

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Don’t pass up on passing out!

Stand up to syncope as Dr. Dan Dressler (Emory University) guides us to confidently manage cases! We review a framework for understanding different types of syncope, and strategies for determining which low-risk patients can be safely discharged, and appropriate next steps to work up those high-risk and in-between cases. 

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Show Segments

• Intro
• Picks of the Week
• Case 1: Tamara
• What is syncope?
• Categorizing Syncope
• Initial workup
• Risk scores
• Pulmonary embolism 
• Case 2: Travis
• Cardiac evaluation
• Take-home points
• Outro

Credits

• Producer, Script and Show Notes: Emi Okamoto MD 
• Infographic and Cover Art: Caroline Coleman MD
• Hosts: Monee Amin MD and Meredith Trubitt MD
• Reviewer: Rahul Ganatra MD, MPH
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste
• Guest: Daniel D. Dressler, MD, MSc, MHM, FACP

Sponsor: Freed

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