The Curbsiders Internal Medicine Podcast

Join nephrologist Joel Topf, also known as Kidney Boy, as he shares his expertise on managing diabetes and hypertension in chronic kidney disease. He discusses key strategies for controlling blood pressure, the importance of timely referrals, and the latest updates in CKD management guidelines. Delve into innovative treatments like SGLT2 inhibitors and ARNI drugs, and explore the significance of personalized care for elderly patients. Topf also champions the use of AI technology to enhance clinical documentation, making patient care more efficient.

Join Dr. Carlin Senter, a sports injury expert, as he dives into the intricacies of diagnosing and treating sports injuries. Discover effective approaches for managing concussions, including the SCOTE6 assessment tool and the importance of tailored recovery plans. Learn about femoroacetabular impingement (FAI) and the essential examination techniques for hip pain. With valuable insights on imaging and treatment strategies, this discussion aims to enhance understanding for athletes and clinicians alike.

Dr. Elliot Tapper, Chief of Hepatology at the University of Michigan, dives deep into Non-Alcoholic Fatty Liver Disease (NAFLD), offering insights on its complexities and management. He discusses the importance of lifestyle modifications and introduces innovative medications like GLP-1 agonists. The conversation also touches on diagnostic tools such as the Fib4 Score and the vital role of effective communication with patients. With a mix of medical knowledge and relatable anecdotes, Dr. Tapper sheds light on liver health in a lively manner.

In this enlightening discussion, Dr. Sanjeev Francis, a cardiologist from Maine Medical Center, dives deep into acute coronary syndrome management. He explains the nuances of stress test warranties and how to tackle elevated troponins in septic patients. The conversation also covers risk stratification, the intricacies of diagnosing myocardial injury, and approaches to non-ST elevation ACS. Through real-life case studies, listeners gain valuable insights on treatment protocols and the importance of patient communication in cardiac care.

Dr. Sanjeev Francis, a cardiologist at Maine Medical Center, dives deep into acute coronary syndrome. He discusses the vital role of comprehensive patient assessment, emphasizing unique presentations in women. The conversation highlights advancements in high-sensitivity troponin tests, their implications for diagnosis, and the importance of serial ECGs in atypical cases. With insights on risk stratification tools and non-invasive testing options, this insightful dialogue not only educates but also entertains with personal anecdotes and critical case studies.

Join kidney specialist Dr. Joel Topf, known for his nephrology expertise, and heart specialist Dr. Sadiya Khan, who focuses on cardiovascular health, as they dive into the complexities of cardiorenal syndrome. They discuss managing the 'creatinine bump' during treatment, explore the use of SGLT-2 inhibitors, and tackle the challenges of diuretic resistance. Their insights on monitoring cardiac biomarkers in chronic kidney disease patients add depth, emphasizing the intertwined nature of heart and kidney health.

Join Dr. Joel Topf, Chief of Nephrology, as he dives into the intricate world of acute kidney injury (AKI). With humor and expertise, he demystifies common myths around nephrotoxicity, including risks tied to vancomycin and NSAIDs. Learn about the critical factors in diagnosing and managing AKI, particularly in high-risk patients. From understanding urine output to navigating the challenges of acute interstitial nephritis, Dr. Topf shares valuable tips for both clinicians and curious minds alike.

Paul Williams, an expert in internal medicine, joins Matt Watto and Beth Garbitelli to demystify the complexities of lower extremity edema. They tackle the pathophysiology and differential diagnosis through relatable case studies. The conversation digs into chronic vs. acute edema, highlighting diagnostic challenges related to conditions like heart failure and diabetes. Practical management strategies are discussed, including the role of compression garments and medication considerations. Listeners are reassured that understanding edema can significantly improve patient care.

Dr. Marie McDonnell, a leading expert in diabetes advancements, discusses the evolving landscape of diabetes care. The conversation covers the personalized approach to managing type 2 diabetes, emphasizing real-life strategies over numerical guidelines. New medications like GLP-1 agonists are highlighted for their effectiveness, along with the importance of lifestyle changes. The role of extended-release medications and optimizing metformin dosing for patient adherence are also explored, showcasing innovative strategies for better diabetes management.

Exploring the relationship between IBS and functional dyspepsia, the podcast covers treatment approaches, natural remedies, and medication options. They discuss management strategies for fatigue, the TV show 'Yellow Jackets,' and Stoic philosophy. The episode wraps up with insights on a Stoicism book for self-improvement.