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The Curbsiders Internal Medicine Podcast

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The Curbsiders Internal Medicine Podcast

#461: Facial Nerve Follies: Understanding Bell's Palsy

Mon, 11 Nov 2024
A Bell-Ringer of a Presentation



Is it a stroke or is it botox? No, it’s Bell’s palsy! Learn how to differentiate facial palsy from other sinister diagnoses. Join us as Dr. Jordan Amar (Assistant Professor of Clinical Neurology at USC Keck School of Medicine) gives us Bell’s palsy pointers (and a great mnemonic, if there is such a thing).



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Show Segments






  • Introduction

  • Rapid fire questions and Reflex Hammers

  • Case #1: Ms. Melanie

  • Framework for Bell's Palsy

  • Bell's Palsy vs Stroke: How to Differentiate 

  • Approach to History and Physical Exam 

  • Case #2: Mr. Lopez

  • Red Flags in Facial Palsy (GROWLS FACE)

  • Workup: From Imaging to Labs and What Not to Do

  • Treatment: The Role of Steroids and Antivirals

  • Supportive Care, Complications and Prognosis

  • Take-Home Points

  • Outro





Credits






  • Producer and Writer: Isabel Valdez, PA-C 

  • Show Notes: Paul Wurtz MD, Ben Furman MPH MS3, Isabel Valdez, PA-C

  • Infographic and Cover Art: Zoya Surani, MS2

  • 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: Jordan Amar, MD





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#460 Heart Failure with Preserved Ejection Fraction

Mon, 04 Nov 2024
Preserve your sanity while treating heart failure with preserved ejection fraction.  Dr Michelle Kittleson @MKittlesonMD (Cedars Sinai) illuminates this confounding cardiac condition.



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Show Segments






  • 00:00 Introduction and Advice for Physicians

  • 02:24 Case Presentation

  • 04:16 Understanding HFpEF

  • 08:11 Differential Diagnosis of Dyspnea and Edema

  • 11:30 Diagnosing HFPEF: H2F-PEF Score and Testing

  • 17:07 Managing Comorbidities in HFpEF

  • 20:54 Non-Pharmacological Interventions: Weight Loss and Exercise

  • 23:16 Understanding the Challenges of HFpEF

  • 25:08 Medications

  • 30:13 Promising Results of GLP-1 Receptor Agonists

  • 36:38 Managing Salt and Water Intake





Credits






  • Writer and Producer: Deborah Gorth MD, PhD

  • Infographic and Cover Art: Zoya Surani

  • Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   

  • Reviewer: Emi Okamoto MD

  • Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

  • Technical Production: PodPaste

  • Guest: Michelle Kittleson MD, PhD





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: Bombas



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Sponsor: Beginly Health



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#459 DIGEST: Finerenone for Heart Failure, PCV21 and the latest Pneumonia Vaccine Recs, 24-hour vs 15-hour Oxygen Therapy, and PREVENT vs PCE for Cardiovascular Risk Estimation

Mon, 28 Oct 2024
Join us as we review recent articles and news featured in The DIGEST issues #56 and #57, including finerenone for heart failure, the skinny on pneumonia vaccines and the latest, PCV21, long-term oxygen therapy (the REDOX trial), and the PREVENT vs PCE cardiovascular risk equations.  Fill your brain hole with a fully digestible meal! Featuring Alex Chaitoff (@alexchaitoff), Rahul Ganatra (@rbganatra), Nora Taranto (@norataranto), and Matt Watto (@doctorwatto). 



Note: **Update on Pneumonia Vaccine from ACIP: After we recorded and just before we published this episode, the CDC updated its vaccine guidance to include pneumonia vaccination for all adults aged 50 years and older to receive either PCV20, PCV21, or the combination of PCV15 followed by PPSV23 one year later (CDC site accessed 24 Oct 2024).**



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Credits






  • Written and Hosted by: Nora Taranto MD; Rahul Ganatra MD, MPH, Alex Chaitoff MD, MPH, Matthew Watto MD, FACP

  • Cover Art: Matthew Watto MD 

  • Reviewer: Emi Okamoto MD 

  • Technical Production: Pod Paste

  • Showrunners: Matthew Watto MD, FACP 





Show Segments






  • Introduction + Pun 

  • Exploring Finerenone in Heart Failure

  • Pneumonia Vaccines: The PCV21 Trial

  • Long-Term Oxygen Therapy: The REDOX Trial

  • Cardiovascular Risk Calculators: The PREVENT Equation





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Sponsor: Beginly Health



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#458 Heart Failure with Reduced Ejection Fraction

Mon, 21 Oct 2024
Kittleson Rules Outpatient Heart Failure Volume 1



Provide superb outpatient care for your patients with HFrEF. Identify underlying causes of heart failure and titrate medications with ease. Dr Michelle Kittleson @MKittlesonMD (Cedars Sinai) breaks down the nuances of treating this common cardiac condition. 



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Show Segments






  • 00:00 Introduction 

  • 03:22 Case Presentation: Newly Diagnosed Heart Failure

  • 07:26 Using Physical Exam Findings to Guide Diuresis

  • 11:58 The Four Pillars of Guideline-Directed Medical Therapy for Heart Failure

  • 15:07 Optimizing Therapy and Follow-Up in Heart Failure Patients

  • 22:10 The Benefits of High-Intensity Initiation and Titration of Guideline-Directed Medical Therapy

  • 28:02 Consideration of Other Medications

  • 40:02 Referral to Advanced Heart Failure Specialist

  • 49:11 Optimizing Therapy and Follow-Up

  • 55:33 Conclusion and Book Recommendation





Credits






  • Writer and Producer: Deborah Gorth MD, PhD

  • Infographic and Cover Art: Zoya Surani

  • Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   

  • Reviewer: Emi Okamoto MD

  • Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

  • Technical Production: PodPaste

  • Guest: Michelle Kittleson MD, PhD





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: Litter Robot



Right now, Whisker is offering $75 off Litter-Robot bundles. AND, as a special offer to listeners, you can get an additional $50 off when you go to stopscooping.com/CURB.



Sponsor: Beginly Health



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#457 Cold and Flu Season: Upper Respiratory Infections

Mon, 14 Oct 2024
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.



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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



Get up to 60% off at Babbel.com/CURB. 



Sponsor: Freed



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CURB50 for $50 off their first month.



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