#248 Top Pearls of 2020: Recap Extravaganza

December 28, 2020 | By Chris Chiu

Summary

Our team shares the top pearls of 2020 in our annual recap extravaganza featuring guest host, Chris “The Chiu Man” Chiu @cjchiu. Check out the video version at YouTube. Topics: hypothyroidism, women in medicine, hypothermia, diuretics, heart failure, AKI, lipids, post-op fever, refugee health, SGLT2 inhibitors, euglycemic DKA, UTIs, bat bites, rabies, ILD, statins in NAFLD, framework for hair loss, and more! Plus: Our picks of the year and the Curbsiders gift guide!

Note: This episode is not available for CME but #208 through #247 are available for CME/MOC at curbsiders.vcuhealth.org for free!

Credits

• Producer: Chris Chiu MD, FACP, FAAP
• Written by: The Curbsiders Team
• Show Notes: Matthew Watto MD, FACP
• Cover Art: Chris Chiu MD, FACP, FAAP
• Hosts: Chris Chiu MD, FACP, FAAP, Stuart Brigham MD; Matthew Watto MD, FACP; Paul Williams MD, FACP   
• Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com

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Sponsor: Panacea Financial

This episode is supported by Panacea Financial, digital banking built for doctors, by doctors. At Panacea Financial you can have your own free personal banker and a support team that works around the clock- just like you do. Open your free checking account today at panaceafinancial.com

Panacea Financial, a Division of Sonabank, Member FDIC

Brief Show Notes and Time Stamps*

*Note: Time Stamps refer to ad free version. 

• 00:00 Intro, disclaimer
• 05:45 Gift guide and picks of the year*
• 15:00 #225 Women in Medicine COVID edition – Women often experience an extra “cognitive load”. Partners need to help out more! http://thecurbsiders.com/podcast/225 
• 17:10 #191 Lipid Updates with Erin Michos – Lpa (LP little A) and ApoB. CardioNerds on CAC scoring http://thecurbsiders.com/podcast/191-lipids 
• 20:27 #208 Hypothyroidism with Susan Mandel – Symptoms lag behind the euthyroid state. Examine the thyroid with your thumbs. Hold biotin for 48 hours prior to thyroid testing http://thecurbsiders.com/podcast/208; Also discussed in #228 Hyperthyroid with Dr. Eve Bloomgarden http://thecurbsiders.com/podcast/228 
• 24:00 #219 Post-Op Care and Complications with Avi O’Glasser – Don’t miss urinary retention as a cause of delirium & hypertension. Atelectasis doesn’t cause fever! (@tylerlarsonMD Tweetorial) http://thecurbsiders.com/podcast/219 
• 25:47 #226 Kidney Boy on Acute Kidney Injury – The majority of AKI can be fixed by “a bag of LR & a Foley Catheter”. Contrast induced AKI might not be real (@kidney_boy Tweetorial). http://thecurbsiders.com/podcast/226 
• 30:00 #196 LIVE! Refugee Health with Tanuja Devaraj – All refugees should be screened for trauma with a 2-question screening tool. Be aware of how different cultures understand chronic disease. http://thecurbsiders.com/podcast/196-refugee 
• 33:36 #243 Diabetes Triple Distilled – Use caution when starting SGLT2 inhibitors in folks with uncontrolled hyperglycemia (especially if signs of catabolic state e.g. wt loss, polyuria/polyphagia/polydipsia). They’re at risk for DKA. http://thecurbsiders.com/podcast/243
• 36:53 #236 Approach to Shortness of Breath with Brian Garibaldi – “Cheat” on the physical exam e.g. listen for an S3 and feel for a displaced PMI in a patient with heart failure symptoms. http://thecurbsiders.com/podcast/236 
• 38:30 #230 Kittleson Rules Heart Failure (@mkittlesonMD) – Give diuretics during the daytime! Don’t wait 6 hours to redose. Wait 30 minutes then double the dose if needed. http://thecurbsiders.com/podcast/230 
• 44:10 #231 UTIs with Boghuma Titanji (@boghuma) – Not all UTIs in men are complicated. Upper tract and/or systemic symptoms suggest complications. Nitrates take four hours to convert to nitrites. http://thecurbsiders.com/podcast/231
• #221 Interstitial Lung Disease with Erin Narewski (@erinnarewski) – Four buckets of ILD:  connective tissue related diseases, sarcoidosis, hypersensitivity, and idiopathic (e.g. NSIP, IPF, UIP, etc.) http://thecurbsiders.com/podcast/221
• 49:00 #227 Baffled by NAFLD? With Scott Matherly @liverprof – Statins are safe to use in liver disease (especially if enzymes are under 3x upper limit) and important to reduce CV risk http://thecurbsiders.com/podcast/227
• 50:45 #242 Wilderness Medicine with Tom DeLoughery (@bloodman and @aoglasser) – Wash bat bites/scratches with soap and water to decrease risk of rabies! Don’t stand patients with severe hypothermia (the BICO Cold Card)! http://thecurbsiders.com/podcast/242 
• 54:40 #232 Skinternship: Scalp & Face – Non-scarring alopecia includes androgenic (male pattern), alopecia areata (patches) and telogen effluvium (benign, stress related) http://thecurbsiders.com/podcast/232
• 56:00 Check out @bethgarbitelli’s picks #213 Fatigue for Primary Care and #216 Homeless Healthcare
• 58:30 Outro

Links*

1. Check out the video for this episode on YouTube
2. The Curbsiders Gift Guide for 2020 
3. Cats (film)
4. The Expanse (Amazon tv series)
5. Watto’s runner’s Headlamp

*The Curbsiders participates in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising commissions by linking to Amazon. Simply put, if you click on our Amazon.com links and buy something we earn a (very) small commission, yet you don’t pay any extra.

Goals

Listeners will review the top learning pearls from Curbsiders episodes from 2020. 

Learning objectives

After listening to this episode listeners will…

1. Determine which products are highly endorsed by The Curbsiders and how to use affiliate links to buy them.
2. Learn the secrets of a horrible pun and how to release them to unsuspecting colleagues.
3. Appreciate good movies even if they make you feel terrible inside.
4. Yummy.
5. Attempt spaced learning in the midst of chronic distraction.

Disclosures

The Curbsiders report no relevant financial disclosures. 

Citation

Chiu, C, Williams PN, Brigham SK, Watto MF. “#248 Top Pearls of 2020: Recap Extravaganza”. The Curbsiders Internal Medicine Podcast. http://thecurbsiders.com/episode-list Final publishing date, December 28, 2020.