The Curbsiders Internal Medicine Podcast Random Pearls #IM2019 Day 1
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Apr 15, 2019 
Join Renee Dversdal, Chief of POCUS at Cashlack Memorial, as she shares insights from the ACP’s Internal Medicine Meeting in Philadelphia. She dives into the significance of point-of-care ultrasound in diagnosis. The conversation also touches on Lyme disease treatment, management of back pain, and the latest on sexually transmitted infections. Listeners will benefit from invaluable pearls on cardiology, including when it’s safe to resume intimacy after a myocardial infarction and the flip-flop fungal sign in pulmonology. Tune in for a wealth of practical medical knowledge!
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Lyme Rash and Thyroid Insight
- Only 10% of Lyme disease rashes have central clearing, contrary to typical textbook descriptions.
- Seeing full scleral show with lid retraction strongly indicates hyperthyroidism with high likelihood.
Better Questions for Cauda Equina
- Ask patients with back pain if they can urinate or hold their urine to better detect cauda equina syndrome.
- Question if toilet paper sensation differs to assess saddle anesthesia accurately.
Understanding Ankylosing Spondylitis
- Ankylosing spondylitis is more common than expected, often with no early imaging changes.
- Non-radiographic axial spondylitis presents with inflammatory back pain but lacks radiographic findings, yet may warrant biologics.