The Curbsiders Internal Medicine Podcast

Orthopedic surgeon Dr. Anthony Mikula from Mayo Clinic shares insights on neck pain evaluation, management, and surgical considerations. Topics include differentiating radiculopathy, myelopathy, and mechanical neck pain, indications for imaging, terminology like DISH and spondylolisthesis, physical examination for radiculopathy, interventions, and recognizing cervical myelopathy. Detailed discussions on diagnostic work-up, treatment options, surgical considerations, and the natural history of myelopathy are included.

Dr. Kellen Choi, The Bladder Teacher from the University of Kentucky, discusses the complexities of urinary tract infections (UTIs), the importance of hydration, non-antibiotic prophylaxis, vaginal estrogen, and pelvic floor physical therapy. She explores managing UTIs in post-menopausal patients with breast cancer and immunocompromised patients. The conversation also covers differential diagnoses for UTI-like symptoms and the role of pelvic floor dysfunction in genitourinary health.

Learn about adjusting diabetes meds to glucose patterns with CGMs, insulin adjustments, hypoglycemia scenarios, post-prandial hyperglycemia, incorporating GLP1 agonists and SGLT2 inhibitors, troubleshoot patterns, managing exercise-induced hypoglycemia, and nocturnal hypoglycemia with sulfonylureas.

Dive into hot topics like E-cigarettes for smoking cessation, Gabapentin for COPD, Lidocaine for neck pain, C diff risk by antibiotic type, and dosing GLP1 agonists. Informative and entertaining medical discussions with a sprinkle of humor!

Exploring pericarditis and myocarditis, they discuss diagnostic criteria and challenges, including EKG changes. They cover management strategies, NSAIDs, steroids, and risk factors. They touch on vaccines, infections, and post-surgical complications as causes.

Learn about obesity medicine skills, patient counseling, weight loss tools, and medications like GLP1 agonists. Discover tips for overcoming barriers and setting realistic goals for weight loss. Hear about low-carb diets and managing side effects of medications. Also, explore recommendations for movies and animated series at the end of the episode.

Exploring the management of metabolic acidosis in CKD, discussing bicarbonate supplementation, alternative options like baking soda and fruits/veggies, dietary modifications, counseling CKD patients, common mistakes, and pitfalls. Dr. Timothy Yau shares insights, focusing on optimizing care and the use of sodium bicarbonate. NephMadness 2024 adds to the excitement with a pod crawl event for internists and intensivists.

Explore managing anxiety with Dr. Jessi Gold, from non-pharmacological to 2nd and 3rd line medications. Learn about cannabis use, diagnosing anxiety in primary care, and medication considerations. Discover self-care strategies, medication challenges, and innovative mental health solutions.

Topics include DVT prophylaxis in cancer patients, anticoagulation in subclinical atrial fibrillation, steroids in COPD exacerbations, genetic testing guidelines for breast cancer, and at-home STI testing. Dive into medical updates and trial discussions with a touch of humor.

Exploring the clinical clues of amyloidosis with Dr. Michelle Kittleson, including diagnostic challenges and treatment options. Delving into the intricacies of cardiac amyloidosis, diagnostic clues, and advancements in therapy. Discussing the challenges of diagnosing and managing medical conditions, emphasizing the importance of clinical suspicion and individualized therapies.