Take a trip down memory lane with top clinical pearls and favorite moments from The Curbsiders in 2018. Welcome to our 2018 Recap Extravaganza!
Since last year, the Curbsiders team has grown substantially and the podcast has undergone several exciting developments. These include our collaboration with ACP that allows us to provide CME and MOC credit for select episodes, our new partnership with Human Dx as featured in our Kashlak Morning Reports, and the launch of our Women in Medicine series. For our 2017 year-end show, we had listeners vote for their favorite episodes from the past year. This year, we’re changing it up a bit and have invited our Curbsider colleagues to share their picks for pearliest pearls and most illuminating episodes of 2018. We hope you’ll enjoy hearing the team’s highlights, and we’ll be back in 2019 with fresh content. Note: No CME-MOC credit for this episode, but stay tuned in 2019 for eligible episodes.
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Credits
Written and produced by: Chris Chiu MD and Sarah Phoebe Roberts, MPH
Hosts: Matthew Watto MD, Paul Williams MD, Stuart Brigham MD, Chris Chiu MD
Edited by: Chris Chiu MD
Time Stamps
00:00 Disclaimer, Intro
06:39 Clinical Reasoning Pearls
12:35 Pulmonary Hypertension Pearls
15:52 Women In Medicine Pearls
20:40 Iron Deficiency Pearls
24:52 Tick-Borne Illness Pearls
28:00 STI Pearls
31:00 Physical Exam Pearls
32:51 “Things we do for no reason” Pearls
36:16 Host Picks
42:38 Paul Wraps-up the Year
43:38 Outro and Curbsider Team sign-offs
Goals and Learning Objectives
Goal
Listeners will review clinical pearls and content highlights from 2018 Curbsiders episodes.
Learning objectives
After listening to this episode listeners will…
Recall important clinical advice from Curbsiders guests and hosts
Identify usable strategies to improve diagnostic and clinical reasoning
Reflect on the value of social media and free open-access medical education
Understand that the Venn diagram of people who are bitten by spiders and people who skip the Curbsiders introductory banter is, in fact, a circle
90% of pulmonary hypertension => due to left heart disease (60%), chronic hypoxic lung disease (20%), or combination of both (10%). To differentiate, “look at the company it keeps”.
Don’t miss Chronic Thromboembolic Pulmonary Hypertension (CTEPH) as it’s the only curable cause with pulmonary endarterectomy.
Pulmonary arterial hypertension (PAH aka Group 1) specific therapies don’t cause systemic vasodilation or postural hypotension.
Don’t use PAH-specific therapies with other PH groups besides Group 1.
Check out this sweet infographic
Pulmonary Hypertension Algorithm and Infographic by Matthew Watto MD
Be more aggressive with IV iron infusions; serious reactions are rare
Oral iron should be dosed every other day (or “Thrice Weekly”)
Soluble transferrin receptor (sTfR) is elevated in iron deficiency (it’s not an acute phase reactant) and can be helpful in differentiating with Anemias of Chronic Inflammation (sTfR not elevated) .
Grandfather clocks (we discovered in episode #88 that Joel Topf’s grandfather clock chimes every 12 minutes. We’ve never gotten a reasonable answer why and suspect we never will).
Other contributors from 2018: Jordana Kozupsky, Chris Thrash, Neela Bhajandas
Chief of Medicine: Dr. “Uncle Bob” Centor
Chief of Nephrology: Dr. Joel “The Salt Whisperer” Topf
Chief of POCUS: Dr. Renee Dversdal
Disclosures
The Curbsiders report no relevant financial disclosures. Financial disclosures for guests mentioned in the 2018 recap can be viewed in the show notes for each specific episode.
“2018 Recap Extravaganza”. The Curbsiders Internal Medicine Podcast http://thecurbsiders.com. December 31, 2018. URL
CME Partner
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.
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