The Curbsiders Internal Medicine Podcast

Helping you diagnose a common cause of hypertension!
Hypertension is a growing disease globally, affecting millions of individuals and increasing the risk of heart disease and stroke. Along with the expert help of Dr. Vaidya (Brigham and Women’s Hospital), we help reimagine the approach of clinicians in terms of hypertension and help them navigate common diagnostic dilemmas! @AnandVaidya17 (Bluesky) @AnandVaidya17 (X)
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Show Segments

Introduction and Personal Interests

Advice and Wisdom in Medicine 

Case 1

Defining Primary Aldosteronism

Screening for Primary Aldosteronism

How common is Primary Aldosteronism

Challenges in Diagnosis and Testing

Medication Management and Testing Protocols

Managing indeterminate cases

Aldosterone Suppression Testing and its role

Discussing treatment options with patients

Case 2

Considering genetic causes of Primary Aldosteronism

The need for AVS for lateralization

Upcoming imaging modalities for Primary Aldosteronism

Case 3

Medical Management of Primary Aldosteronism

Future Directions in Treatment

Credits

Producer, Writer, Show Notes:Mobeen Ahmad MBBS 

Infographic:Kate Grant MBChB MRCGP

Cover Art:Kate Grant MBChB MRCGP

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:  Anand Vaidya MD, MMSc

Disclosures

Dr. Vaidya has disclosed the following: 
Financial Relationships: Astra Zeneca-Consulting Fee and Corcept-Consulting Fee, relationships have not ended. 
The Curbsiders report no relevant financial disclosures. 

Sponsor: The Sanford Guide

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Join us as we review and appraise recent practice-changing articles on oral semaglutide for obesity, fish oil in ESRD, IV iron during infection, the new US Dietary Guidelines, & anticoagulation after ablation in AFib. Fill your brain hole with a delicious stack of hotcakes! Featuring Paul Williams (@PaulNWilliamz), Rahul Ganatra (@rbganatra), Josh Gilman, & Matt Watto (@doctorwatto).
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Credits

Written and Hosted by: Rahul Ganatra MD, MPH; Paul Williams, MD, FACP, Joshua Gilman, MD, & Matthew Watto MD, FACP

Cover Art: Rahul Ganatra, MD MPH

Reviewer: Emi Okamoto, MD

Technical Production: Pod Paste

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

Show Segments

Intro, disclaimer

Oral Semaglutide for obesity

Fish Oil for CV risk reduction in hemodialysis patients

IV Iron for iron deficiency anemia during infection

New USA Dietary Guidelines

Anticoagulation after catheter ablation for AF

Outro

Sponsor: FIGS

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Sponsor: Continuing Education Company

Visit CMEmeeting.org/curbsiders and use promo code Curb30 for 30% off all online courses and webcasts.  
Sponsor: Gusto

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Sponsor: MDProgress 

For our listeners, enjoy your first month free at mdprogress.ca/promo/curbsiders

We have another classic episode for you. 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

Sponsor: MDProgress

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Sponsor: Quince

Go to Quince.com/curb for free shipping on your order and 365-day returns. Now available in Canada, too.
Sponsor: Sanford Guide 

Curbsiders listeners can get 20% off the already very moderately priced yearly subscriptions directly at sanfordguide.com.
Sponsor: Babbel  

Here's a special, (limited time) deal for our listeners. Right now get up to 55% off your Babbel subscription – at Babbel.com/CURB.

Dr. Fleseriu schools us on managing the unexpected
Become a master of pituitary incidentalomas. Learn about the hormonal workup and management of pituitary microadenomas, macroadenomas and empty sella syndrome and when surgery may be needed. We’re joined by Dr. Maria Fleseriu, @MariaFleseriu (Oregon Health and Science University)
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Show Segments

Intro

Rapid fire questions/Picks of the Week

Case 1

Defining Pituitary Incidentalomas

What is the difference between micro adenoma, macroadenoma and functional vs non-functional adenomas

Hormonal workup of microadenoma (assessing for hypopituitarism and hormonal excess)

Decided when to reimage patients and long term follow up of microadenomas

Case 2

Hormonal workup for pituitary macroadenoma

Deciding when surgery should be considered

Discussing the role of visual field testing

Case 3

Defining empty sella syndrome

Discussing hormonal assessment of empty sella syndrome

Treatment options for hyperprolactinemia caused by empty sella syndrome

Outro

Credits

Producer, writer, show notes, and CME: Mobeen Ahmad MD

Infographic and cover art: Kate Grant MBChb, MRCGP

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: Dr. Maria Fleseriu

Disclosures

Dr. Fleseriu reports no relevant financial disclosures. The Curbsiders report no relevant financial disclosures. 
Sponsor: Continuing Education Company

Curbsiders listeners, there’s a special offer: use promo code Curb30 for 30% off all online courses and webcasts. Visit CMEmeeting.org/curbsiders to learn more.

Sponsor: Mint Mobile

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Sponsor: Locumstory

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Sponsor: FIGS

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We have a classic episode for you. Master male hypogonadism diagnosis and management. Discover when and how to test, how to tackle confounding conditions, and why lifestyle changes may be more effective than testosterone therapy in certain patients. We are joined by Dr. Brad Anawalt, an expert in endocrine care, to guide us through the essentials.
Claim CME for this episode at curbsiders.vcuhealth.org!

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Show Segments

Intro

Case 1

History and Physical 

Laboratory Testing 

Effect of Lifestyle on Testosterone

Case 2

Prostate and Cardiovascular risk

Treatment Options and Considerations

Secondary Causes of Hypogonadism

Case 3

Testicular Size and Klinefelter Syndrome

hCG and Clomiphene

Monitoring and Follow-Up

Take-Home Points

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: Bradley D. Anawalt MD

Sponsor: Gusto

Try Gusto today at gusto.com/CURB, and get three months free when you run your first payroll.

Sponsor: Locumstory

Locumstory.com is literally just a free, unbiased resource dedicated to educating physicians about locums. 

Sponsor: MedStudy

MedStudy Qbank+ Study less. Remember more. Pass confidently. Medstudy.com/Curbsiders CURB15 for 15% off

Sponsor: The Sanford Guide

Curbsiders listeners can get 20% off the already very moderately priced yearly subscriptions directly at sanfordguide.com. Go to sanfordguide.com and use the code, CURB at checkout.