The Curbsiders Internal Medicine Podcast

#469 Inpatient Heart Failure

Mon, 03 Feb 2025

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

Mon, 27 Jan 2025

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

Claim CME for this episode at curbsiders.vcuhealth.org!

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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

Mon, 20 Jan 2025

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.

Claim CME for this episode at curbsiders.vcuhealth.org!

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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

Mon, 13 Jan 2025

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

Mon, 06 Jan 2025

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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