The Curbsiders Internal Medicine Podcast

Take control of celiac disease (CD) with gastroenterologist, Dr. Amy Oxentenko (Chair of Medicine at Mayo Clinic AZ, @AmyOxentenkoMD). Learn how to recognize both classic and non-classical features of CD and  understand diagnostic testing, management and proper follow-up for patients. Claim free CME for this episode at curbsiders.vcuhealth.org! Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME! Credits Production and Script: Matthew Watto MD, FACP Production, Show Notes and Infographics: Edison Jyang Cover Art: Kate Grant MBChB, MRCGP, DipGUMed Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP; Beth Garbitelli    Reviewer: Emi Okamoto MD Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com Guest: Amy Oxentenko MD, FACG Sponsor: ACP’s National Internal Medicine Day Help the American College of Physicians celebrate National Internal Medicine Day on October 28th. Visit https://www.acponline.org/NIMD2021 to learn how you can show your internal medicine pride. Be sure to tag @ACPInternists and use the hashtag #NationalInternalMedicineDay. Sponsor: Grammarly Get 20% off Grammarly Premium by signing up at Grammarly.com/CURB  CME Partner: VCU Health CE The Curbsiders are partnering with VCU Health Continuing Education to offer FREE continuing education credits for physicians and other healthcare professionals. Visit curbsiders.vcuhealth.org and search for this episode to claim credit.  Show Segments Intro, disclaimer, guest bio Guest one-liner, Picks of the Week Case from Kashlak; Definitions Workup for a typical celiac patient Nonclassical features of CD When to do a small bowel biopsy Management of CD Considerations for atypical celiac patient and differentials Non-celiac gluten sensitivity Outro Links Crucial Conversations (book) Gluten-free flour (flour) Pie crust recipe (recipe) What Remains of Edith Finch (game) Doughboys (podcast)

Confidently manage acute pain in the hospital! In this episode listeners will learn  how to develop a multimodal analgesia plan for acute pain in the hospital, as well as how to safely initiate and discharge a patient on opioids. We’re joined by Dr. Melissa Weimer @DrMelissaWeimer  (Yale School of Medicine). Claim free CME for this episode at curbsiders.vcuhealth.org! Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME! Credits Producer and Writer: Carolyn Chan, MD Script: Carolyn Chan, MD, Avi O’Glasser, MD Cover Art and Infographic: Edison Jyang Hosts: Matthew Watto MD, FACP; Carolyn Chan, MD Reviewer: Emi Okamoto, MD Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com Guest: Melissa Weimer DO Sponsor: ACP’s National Internal Medicine Day Help the American College of Physicians celebrate National Internal Medicine Day on October 28th. Visit https://www.acponline.org/NIMD2021 to learn how you can show your internal medicine pride. Be sure to tag @ACPInternists and use the hashtag #NationalInternalMedicineDay. Sponsor: Green Chef Go to GreenChef.com/curb125 and use code curb125 to get $125 off including free shipping! CME Partner: VCU Health CE The Curbsiders are partnering with VCU Health Continuing Education to offer FREE continuing education credits for physicians and other healthcare professionals. Visit curbsiders.vcuhealth.org and search for this episode to claim credit.  Show Segments 01:39 Intro, disclaimer, guest bio 03:20 Guest one-liner, Picks of the Week 09:18 Case from Kashlak; Definitions 11:00 Assessing Acute Pain 12:12 Types of Pain 15:08 Initiating Opioids 22:32 Counseling on Opioid Exit Strategy 25:26  Opioid Dependence vs. Opioid Use Disorder 29:50 Post-Op Pain Management 31:00 Other cool stuff 37:00 PCA 41:00 Opioid Taper 46:50 Acute Pain and Opioid Use Disorder 58:00 Methadone Titration 1:04:00 Outro

Do kidney stones have you saying “this too shall pass?” Our guest Dr. David S. Goldfarb, MD, FASN, FNKF, FACP can help! In this episode he takes us through risk factors as well as treatment and prevention for urinary stone disease.  Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME! Credits Producer: Paul Williams MD Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP, Beth Garbitelli  Show Notes by: Shelagh Browne, Kate GrantMBChB MRCGP DipGUMed,  Cover Art and Infographic: Kate Grant MBChB MRCGP DipGUMed  Reviewer: Molly Heublein, MD Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com Guest: David Goldfarb MD, FSN, FNKF, FACP  Sponsor: ACP’s National Internal Medicine Day 2021 acponline.org/NIMD21 Sponsor: Indeed indeed.com/internalmedicine CME Partner: VCU Health CE The Curbsiders are partnering with VCU Health Continuing Education to offer FREE continuing education credits for physicians and other healthcare professionals. Visit curbsiders.vcuhealth.org . Show Segments Guest book recommendation and advice   Common risk factors for urinary stone disease Differential diagnosis of kidney stones Symptomatology of kidney stones Types of stones  Urine pH Role of physical exam Role of imaging  STONE score Labs to order  Management of urinary stone disease Prevention of urinary stones and approach to lifestyle/diet changes  Outro 

We recap the top pearls on CRC Screening, Common Skin Complaints, and Antibiotic Pearls. It’s Tales from the Curbside! (TFTC), our monthly series providing a rapid review of recent Curbsiders episodes for your spaced learning. Note: No CME for this mini-episode but visit curbsiders.vcuhealth.org to claim credit for shows #283, #284, and #285 at curbsiders.vcuhealth.org! Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME! Credits Written, Produced, and Hosted by: Matthew Watto MD, FACP; Paul Williams MD, FACP   Infographics by: Beth Garbitelli, and Nora Taranto Cover Art: Edison Jyang Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com Sponsor: ACP acponline.org/telemedicine201 Sponsor: Ten Thousand tenthousand.cc code = CURB CME Partner: VCU Health CE The Curbsiders are partnering with VCU Health Continuing Education to offer FREE continuing education credits for physicians and other healthcare professionals. Visit curbsiders.vcuhealth.org and search for this episode to claim credit.  Show Segments Intro, disclaimer, guest bio CRC Screening Antibiotic Pearls Derm Pearls (Common Skin Complaints) Outro

Stumped by diabetes care? Hungry for tips on diagnosis and management? We’ve got you covered with this high-yield Diabetes FAQ covering type 1 and type 2 diabetes. We’re joined by Dr. Jeff Colburn, a board-certified endocrinologist and clinician educator in San Antonio, Texas as we review initial diagnosis, interrogate insulin resistance versus insulin deficiency,  delve into down-titrating insulin, discuss ‘tricky diabetes,’ and talk through dietary approaches!  Claim free CME for this episode at curbsiders.vcuhealth.org! Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME! Credits Producers and Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP    Writer: Matthew Watto MD, FACP  Show Notes, Infographic & Cover Art: Beth Garbitelli Reviewer: Molly Heublein MD Editor: Molly Heublein MD (written materials); Clair Morgan of nodderly.com Guest: Jeff Colburn, MD Sponsor: BetterHelp betterhelp.com/curb Sponsor: Birch by Helix birchliving.com/curb CME Partner: VCU Health CE The Curbsiders are partnering with VCU Health Continuing Education to offer FREE continuing education credits for physicians and other healthcare professionals. Visit curbsiders.vcuhealth.org and search for this episode to claim credit.  Show Segments Intro, disclaimer, guest bio Guest one-liner, Picks of the Week* Case from Kashlak Initial Presentation of Diabetes Type 1 or Type 2 Initial Labs, Managing new diagnosis Using GLP-1 agonists, SGLT-2 inhibitors How to down titrate insulin  Diabetes in geriatrics Diets for diabetes management Outro

Advance your care planning with tips from our esteemed guest, Dr. Rebecca Sudore, @prepareforcare (UCSF). She helps us up our ACP game by defining advance care planning, and giving clear examples of how it can be incorporated into a busy primary care practice. It’s her life’s mission is to improve advance care planning and medical decision-making for culturally and ethnically diverse older adults. She is the creator of an interactive ACP website called PREPARE For Your Care, (after this episode, we are sure you’ll be sending patients there for advance care planning!) Free CME for this episode at curbsiders.vcuhealth.org! Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME! Credits Written by: Leah Witt, MD Produced by: Leah Witt, MD & Molly Heublein, MD Reviewer: Lingsheng Li, MD Infographic and Cover Art: Leah Witt, MD Hosts:Matthew Watto MD, FACP; Paul Williams MD, FACP, Leah Witt, MD    Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com Guest: Rebecca Sudore, MD Sponsor: Grammarly grammarly.com/curb Get 20% off Grammarly Premium by signing up at grammarly.com/curb Sponsor: Green Chef greenchef.com/curb100 Go to GreenChef.com/curb100 and use code curb100 to get $100 off including free shipping!” CME Partner: VCU Health CE The Curbsiders are partnering with VCU Health Continuing Education to offer FREE continuing education credits for physicians and other healthcare professionals. Visit curbsiders.vcuhealth.org. Show Segments Intro, disclaimer, guest bio Guest one-liner Picks of the Week Case from Kashlak Part 1: General ACP Defining Advance Care Planning Case from Kashlak Part 1: Dementia & ACP Surrogate decision-makers POLST Outro

Join us as we take a six-minute walk through the definition, presenting symptoms, and diagnosis of pulmonary hypertension with our esteemed guest Dr. Estefania Oliveros, @EstefaniaOS (Temple University). She helps us get on the right side of hypertension on the right side of the heart! Free CME for this episode at curbsiders.vcuhealth.org! Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME! Credits Writer and producer: Deborah Gorth MD, PhD Infographic and Cover Art: Edison Jyang Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP    Reviewer: Leah Witt, MD Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com Guest: Estefania Oliveros MD  Sponsor: Indeed indeed.com/internalmedicine Get a $75 sponsored job credit to upgrade your job post at Indeed.com/internalmedicine. Sponsor: The American College of Physicians Telemedicine 201 ACP invites you to attend its free 4-part webinar series, Telemedicine 201. Episode one, “Video Visits Beyond the Simple Cases,” is on September 28th. Register today at acponline.org/telemedicine201. CME Partner: VCU Health CE The Curbsiders are partnering with VCU Health Continuing Education to offer FREE continuing education credits for physicians and other healthcare professionals. Visit curbsiders.vcuhealth.org and search for this episode to claim credit. See info sheet for further directions. Note: A free VCU Health CloudCME account is required in order to seek credit. Show Segments Intro, disclaimer, guest bio Guest one-liner Picks of the Week* Case from Kashlak Definitions Discussion of testing for pulmonary hypertension CTEPH diagnosis and management Rundown of therapies for pulmonary hypertension Outro

Take a walk through Liver Land with Dr. Elliot Tapper (@ebtapper on Twitter) as we stroll through the best of liver tests. Once differentiating a hepatocellular versus cholestatic injury picture, Dr. Tapper shares some targeted labs to help with etiology, as well as what to do with those pesky isolated lab abnormalities. On top of that, we review common causes of severe acute liver disease and issues in pregnancy. Join us, and you’ll be writing more accurate notes as Dr. Tapper schools us on what “liver function tests” really mean!       Claim CE credit at curbsiders.vcuhealth.org. It's free for all healthcare professionals! Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME! Credits Written and Produced by: Elena Gibson MD  Cover Art and Infographic: Kate Grant MD; Elena Gibson MD  Hosts: Stuart Brigham MD; Matthew Watto MD, FACP; Paul Williams MD, FACP   Editor: Emi Okamoto MD  (written materials); Clair Morgan of nodderly.com Guest: Elliot Tapper MD  Sponsor: BetterHelp betterhelp.com/curb Sponsor: Panacea Financial panaceafinancial.com CME Partner: VCU Health CE The Curbsiders are partnering with VCU Health Continuing Education to offer FREE continuing education credits for physicians and other healthcare professionals. Visit curbsiders.vcuhealth.org and search for this episode to claim credit.  Show Segments Intro, disclaimer, guest bio Guest one-liner Definitions of liver enzymes, liver function tests   Patterns of acute liver injury Drug-induced liver injury     Isolated alkaline phosphatase elevation  Isolated total bilirubin elevation  Livery Injury During Pregnancy  Acute liver failure Outro

Enjoy this rapid clinical overview of heart failure based on Episode #230 Kittleson Rules Acute Heart Failure Featuring Dr. Michelle Kittleson @MKittlesonMD (Cedars Sinai)!  This triple distilled episode is not available for CME, but claim CME for #230 Kittleson Rules Acute Heart Failure at curbsiders.vcuhealth.org! Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | CME! Credits Written, Produced, and Hosted by: Matthew Watto MD, FACP; Paul Williams MD, FACP; Beth Garbitelli Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com Sponsor: Locumstory locumstory.com Visit Locumstory.com to see if a locum tenens assignment is right for you. Show Segments Intro, disclaimer, guest bio The History, Failure mnemonic CHF exam CHF Labs, Swan (RHC) Management of ADHF Outro

Dr. Michelle Kittleson shares insights on managing acute decompensated heart failure, discussing jugular venous pressure exams, diuresis, and hospital discharge. Other topics include book recommendations, evaluation and diagnosis of heart failure, diuretic dosing, and interventions in heart failure prevention.