The Curbsiders Internal Medicine Podcast

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.

Expert in outpatient hypertension management, Dr. Jordy Cohen, discusses common scenarios including diagnosing hypertension, managing blood pressure in chronic kidney disease, and refractory hypertension. Topics covered include lifestyle modifications, medication initiation, affordability of generic pills, masked hypertension, ACE inhibitors vs. ARBs, and optimizing blood pressure in CKD patients.

Dr. Ruth Potee and Dr. David Frank discuss methadone treatment for opioid use disorder, emphasizing its benefits and challenges. They explore access issues, intake procedures, dosing, and the role of primary care doctors in supporting patients. The episode covers personal experiences, advocacy efforts, and opportunities for improving methadone programs.

Dr. Boghuma Titanji shares insights on Travel Medicine, covering topics like malaria, traveler's diarrhea, yellow fever, and vaccination guidance. Discussions include mosquito avoidance, food safety, treating diarrhea, and yellow fever vaccine details. The importance of understanding travel history, malaria prevention, and travel health tips are also highlighted.

Dr. Wanda Nicholson, Chair of the USPSTF, discusses updated breast cancer screening recommendations. Topics include starting screenings at age 40, addressing dense breast findings, racial disparities, and research gaps. Insights on balancing benefits, harms, and personalized patient discussions.

Expert allergist Dr. Olajumoke Fadugba discusses distinguishing between allergic and non-allergic rhinitis, allergy skin testing, pathophysiology of allergies, allergy immunotherapy, chronic sinusitis, sinus rinses, and climate change impact on allergies.

Join Dr. Aaron Gluth from Emory University as he discusses managing co-morbid psychiatry conditions on the wards. Topics include multidisciplinary team roles, agitation management, capacity issues, mortality gap, and transitions of care. Learn about lab workup, imaging considerations, and treating agitation in hospitalized patients with psychiatric conditions.