October 21st, 2016
October 10th, 2016
The use of Inferior Vena Cava (IVC) filters and the length of anticoagulation in unprovoked DVT/PE are considered. A rant about hyper-coagulable panels in provoked DVT/PE is opined.
August 29th, 2016
Understanding what causes hypotension in PE is essential to understanding the severity of the situation. The relevance of the stressed right ventricle is emphasized. Thrombolytic therapy for hypotension and other clinical scenarios resulting from pulmonary embolism are contemplated.
July 24th, 2016
The treatment challenges of subsegmental pulmonary embolism, with emphasis on the 2016 guidelines are reviewed. Ventilation/perfusion (V/Q) scan interpretations in those unable to get a CT scan are considered.
June 3rd, 2016
The topics covered are D-Dimer testing, false positive over-diagnosis of PE on CT scanning, the ADJUST-PE study, and clinical signs and symptoms of a pulmonary embolism.
May 26th, 2016
May 15th, 2016
Various topics regarding intravenous iron are pondered, especially some of the new data available that has not yet seemed to obtain the influence that the information deserves.
April 27th, 2016
This episode mostly centers around oral iron replacement.
March 3rd, 2016
January 14th, 2016
BNP use as a lab and therapeutic are discussed. The episode also explores the PARADIGM-HF trial and Neprilysin inhibition. The novel combination medication sacubitril/valsartan (Entresto) for systolic CHF is evaluated in depth. Clinical tips for avoiding angioedema and other clinical pearls are provided.
December 8th, 2015
If you think the seismic shift in U.S. healthcare is all a result of the Affordable Care Act, you may not be seeing a large part of the picture. This has become an era of "BIG MEDICINE" and that phenomenon is increasing through mergers and acquisitions. Some of these mergers are strategic, while others are defensive. Practical advice on how doctors and companies can improve their chances of merging successfully is provided. The lecture concludes with potential implications of the insurance-industry merger wave on patients and those working in the healthcare industry.
October 1st, 2015
This episode offers some advice in thinking about the very difficult topic of pancreatic pseudocysts. Some philosophical waxing about pain control and some items not addressed in the previous episodes are also discussed.
Acute Pancreatitis (part 2) - Severe Pancreatitis, Pancreatic Necrosis, Antibiotic & Surgical Considerations
August 23rd, 2015
Imaging, fluid resuscitation, fine needle aspiration, determining sterile vs infected necrosis, and suggestions from the guidelines are discussed.
July 29th, 2015
This episode addresses some of the debates regarding nutrition timing in acute pancreatitis. Methods such as nasogastric, nasojejunal, and oral feeding are compared.
June 7th, 2015
Treatments that include hydration, cinacalcet, calcitonin, bisphosphonate, denosumab, and other options are reviewed.
June 6th, 2015
Indications for parathyroidectomy, pre-operative localization issues, diagnosing hyperparathyroidism, and a brief summary of the guidelines are among the topics addressed in this episode.
March 31st, 2015
Special attention is paid to gastrointestinal, bone, and cardiovascular disease as a result of hypercalcemia. Laboratory interpretation of calcium and phosphorus levels is also discussed.
Hypercalcemia etiology - Vitamin D, Calcium Supplements, Diuretics, Malignancy, Sarcoidosis, and other causes
March 10th, 2015
December 29th, 2014
December 20th, 2014
October 31st, 2014
October 30th, 2014
October 29th, 2014
October 5th, 2014
August 14th, 2014
August 3rd, 2014
June 18th, 2014
Pseudomonas aeruginosa and Legionella pneumophila bacterial lower respiratory tract disease are explored in depth.
May 3rd, 2014
Streptococcus pneumoniae is a frequent cause of pneumonia. What makes this organism unique? Listen and find out.
April 26th, 2014
Does the patient really have pneumonia? Differential diagnosis and mimics are considered in this common clinical problem.
April 6th, 2014
Hepatotoxicity from antibiotics, NSAIDs, dietary supplements and other sources are explored. Idiosyncratic drug induced immune related and non-immune related injuries are differentiated, which can change treatment.
January 2nd, 2014
January 1st, 2014
December 30th, 2013
Was H1N1 accidentally released from a laboratory?
December 29th, 2013
Some years the vaccine is better than others - but there is still good reason to get it. Let's discuss those reasons.
October 13th, 2013
August 11th, 2013
August 10th, 2013
May 12th, 2013
Resistance and virulence mechanisms are discussed.
January 14th, 2013
January 1st, 2013
December 3rd, 2012
October 23rd, 2012
September 25th, 2012
August 30th, 2012
August 23rd, 2012
July 14th, 2012
July 2nd, 2012
Lithium Toxicity and Side Effects - Clinical Considerations for Hospitalists and Acute Care Provider
July 2nd, 2012
July 2nd, 2012
The problem with Acute Mitral Regurgitation is that it is frequently fatal unless quickly recognized. The listener will learn about organic and functional etiologies of this precipitator of acute respiratory distress. Lessons from the SHOCK trial are scrutinized to help guide therapy in the setting of myocardial ischemia.