The Curbsiders Internal Medicine Podcast

We recap the top pearls on angina, Stable CAD, Heavy Menstrual Bleeding, and Hypercalcemia. It’s Tales from the Curbside! (TFTC), our monthly series providing a rapid review of recent Curbsiders episodes for your spaced learning. Note: No CME for this mini-episode but visit curbsiders.vcuhealth.org to claim credit for shows #279, #280, and #281.  Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME! Credits Written, Produced, and Hosted by: Matthew Watto MD, FACP; Paul Williams MD, FACP   Infographics by: Beth Garbitelli, Avital O’Glasser, and Nora Taranto Cover Art: Edison Jyang Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com Sponsor: Amercian College of Physicians acponline.org/100curb ACP’s all-new CME 100 video package is now available at acponline.org/100CURB Use code 100CURB. Sponsor: The Jordan Harbinger Show jordanharbinger.com/subscribe CME Partner: VCU Health CEThe Curbsiders are partnering with VCU Health Continuing Education to offer FREE continuing education credits for physicians and other healthcare professionals. Visit curbsiders.vcuhealth.org. Show Segments Intro, disclaimer Angina and Stable CAD Heavy Menstrual Bleeding and Anticoagulation in Menstruating patients Hypercalcemia and primary hyperparathyroidism Outro

Shaken by a shortage of shingles savvy? Vexed by varicella-zoster imposters? Perplexed by post-herpetic neuralgia? Get ready to sharpen your expertise in varicella vaccines, learn how to tell a zoster from a zebra, and administer infection interventions with an eye towards prevention. We are joined today by special guest and returning Curbsiders expert, Dr. Boghuma Kabisen Titanji MD, M.Sc., DTM&H, PhD. (@Boghuma on Twitter!).Unfortunately, CE credit is NOT YET available for this episode : ( Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME! Credits Written and Produced by: Sarah Phoebe Roberts, MPH Show Notes by: Sarah Phoebe Roberts MPH, Kate GrantMBChB MRCGP DipGUMed Cover Art: Kate Grant MBChB MRCGP DipGUMed  Infographic: Sarah Phoebe Roberts  Hosts: Matthew Watto MD, FACP; Sarah Phoebe Roberts MPH   Reviewer: Paul Williams MD, FACP   Editor: Kate Grant MD, Matthew Watto MD (written materials); Clair Morgan of nodderly.com Guest: Dr. Boghuma Titanji, MD, M.Sc., DTM&H, PhD Sponsor: BetterHelp betterhelp.com/curb Special offer for listeners: get 10% off your first month at betterhelp.com/curb Sponsor: Grammarly grammarly.com/curb Get 20% off Grammarly Premium by signing up at Grammarly.com/curb CME Partner: VCU Health CEThe Curbsiders are partnering with VCU Health Continuing Education to offer FREE continuing education credits for physicians and other healthcare professionals. Visit curbsiders.vcuhealth.org . Show Segments Intro, disclaimer Guest bio and one-liner First Kashlak case: Diagnosis of varicella-zoster virus (VZV, aka shingles)  Mimics and atypical presentations Treatment for uncomplicated shingles cases  Second Kashlak case: Post-herpetic neuralgia (PHN) PHN treatment options  Management of complicated shingles cases  VZV prophylaxis and infection control Third Kashlak case: Immunization guidelines for older adults VZV vaccine efficacy, live attenuated vs. recombinant vaccine Varicella (chickenpox) vaccine guidelines Final pearls and Outro 

Dr. Helena Pasieka, Chief of Dermatology at Kashlak, discusses common skin complaints in primary care, including tinea versicolor, skin tags, generalized pruritus, venous insufficiency, and onychomycosis. Also mentioned are treatment options such as creams with steroids, non-steroidal creams, and topical anti-fungal nail lacquers.

This antibiotics primer will break down the (cell) walls of antibiotic knowledge. Stop feeling silly when you deal with penicillins! We discuss antibiotic classes, common uses, the pathophysiology behind antibiotic mechanisms, and so much more with infectious disease expert, Dr. Adi Shah MBBS (@IDdocAdi)!  Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME! Credits Producer, Script and Show Notes: Nora Taranto MD Infographic, Cover Art, Show Notes: Beth Garbitelli Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP    Editor: Matthew Watto (written materials): Clair Morgan of nodderly.com Reviewer: Victor Kovac MD Guest: Adi Shah MBBS Sponsor: Panacea Financial panaceafinancial.com Panacea Financial is a division of Primis, member FDIC Sponsor: Provider Solutions and Development info.PSDConnect.org/curbsiders CME Partner: VCU Health CE 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 to claim credit.  Show Segments Intro, disclaimer, guest bio Guest one-liner Picks of the Week* How to approach antibiotics Choosing antibiotics / Framework Dr. Shah’s favorite antibiotics Pneumonia Diabetic Foot Infections Take-home points Outro

Review the 2021 USPSTF Guidelines on Colorectal Cancer (CRC) screening with our guest, Dr. Michael Barry (vice-chair of the U.S. Preventive Services Task Force). Topics include a breakdown of testing modalities (stool tests versus direct visualization), screening ages, what to do for patients older than 75, and more!        Claim CE credit at curbsiders.vcuhealth.org. It's free for all healthcare professionals! Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME! Credits Written and Produced by: Elena Gibson MD  Cover Art and Infographic: Elena Gibson MD Hosts: Stuart Brigham MD; Matthew Watto MD, FACP; Paul Williams MD, FACP  Reviewer: Matthew Watto MD  Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com Guest: Michael Barry MD  Sponsor: Indeed indeed.com/internalmedicine CME Partner: VCU Health CEThe 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.  Show Segments Intro, disclaimer, guest bio Guest one-liner Benefits of CRC screening How to choose a testing modality Testing in adults over 75 years old Health disparities in CRC screening Outro

We recap the top pearls from our SGIM & ACP 2021 highlight shows (including gabapentin for pain, LGBTQ  and Women’s health pearls, CCBs and edema, MRSA swabs, IPMNs, DILI, and more!) plus recent interviews on bariatric surgery and osteoporosis. It’s Tales from the Curbside! (TFTC #6), our monthly series providing a rapid review of recent Curbsiders episodes for your spaced learning. Note: No CME for this mini-episode but visit curbsiders.vcuhealth.org to claim credit for #275 Bariatric Surgery and #277 Bone Up on Osteoporosis.  Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME! Credits Written, Produced, and Hosted by: Matthew Watto MD, FACP; Paul Williams MD, FACP   Infographics by: Sarah Roberts, Edison Jyang, and Isabel Valdez Cover Art: Edison Jyang Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com Sponsor: Qalo qalo.com/curb Head to qalo.com/curb to get 20% off. CME Partner: VCU Health CEThe 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.  Show Segments Intro, disclaimer LGBTQ health, Gabapentin, Care of the Muslim Patient, MRSA swabs IPMNs, DILI, CCB and Prescribing Cascades Bariatric Surgery  Osteoporosis Outro

Dr. Carl Pallais discusses the management of hypercalcemia in this entertaining podcast. Topics covered include the importance of assessing lab results for calcium levels, interpreting calcium levels in the ambulatory setting, causes and effects of hypercalcemia, and the treatment of hypercalcemia including the use of medications and specific therapies. Stay tuned for interesting insights!

Explore the intersection of hematology and women’s health as we discuss heavy menstrual bleeding (HMB), gynecologic risks of therapeutic anticoagulation, and prescribing contraception in the setting of venous thromboembolic disease.  Wondering how to expand your women’s health knowledge as an internist? Listen as our insightful guest Dr. Bethany Samuelson Bannow @bsamuelson_md (Oregon Health & Science University) helps us navigate the intersections between non-malignant hematology and menstrual health. This episode will empower you to tackle the stigma and overcome knowledge gaps with regard to abnormal menstrual bleeding, as well as learn treatment, and management pearls.  We also explore the intersection between therapeutic anticoagulation, heavy menstrual bleeding, and thromboembolic disease of different contraceptive options.  Finally, we face the themes of overcoming sexism, and even misogyny, in women’s health head-on throughout this episode. After all, half the population has a uterus. Claim Free CE credit for this episode through VCU Health CE at http://curbsiders.vcuhealth.org/ Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME! Credits Written and Produced by: Avital O’Glasser MD, FACP, FHM Infographic: Avital O’Glasser MD, FACP, FHM Cover Art : Kate Grant MBChB MRCGP DipGUMed Show Notes: Kate Grant MBChB MRCGP DipGUMed, Maddie Morgan, and Avital O’Glasser MD, FACP, FHM Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP; Avital O’Glasser MD, FACP, FHM Reviewer: Carolyn Chan, MD Editor: Matthew Watto MD, FACP (written materials); Clair Morgan of nodderly.com Guest: Bethany Samuelson Bannow, MD Sponsor: Birch by Helix birchliving.com/curb Sponsor: Green Chef GreenChef.com/curb100 CME Partner: VCU Health CE 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. See info sheet for further directions. Note: A free VCU Health CloudCME account is required in order to seek credit. Show Segments Intro, disclaimer, guest bio Guest one-liner Case 1 from Kashlak Definitions related to menstrual health Quantifying/defining heavy menstrual bleeding Overcoming stigma of asking about menstrual history/health Clinical evaluation/management of the patient with heavy menstrual bleeding Case 2 from Kashlak Risk of heavy menstrual bleeding (HMB) in the setting of therapeutic anticoagulation Hormonal and nonhormonal therapy options for HMB while anticoagulated Contraception options for someone who develops VTE Case 3 from Kashlak Counseling about VTE risk of different contraception options Take Home Points; Outro; Bonus clip

Learn how to dominate stable angina. Coronary artery disease with stable angina is a different beast than acute coronary syndrome.  We deconstruct it’s pathophysiology, diagnosis, and management with Drs. Dan Ambinder and Rick Ferraro. Topics: When to order coronary CT vs Stress testing; An approach to non-obstructive coronary disease; What treatments are life prolonging; Medical therapy vs Stenting; An approach to antianginal therapy; and how to partner with each patient. Listen as we dive deep into the recent literature and recommendations to dominate stable angina. Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME! Credits Producer: Molly Heublein, MD Writer: Molly Heublein, MD, Michael Sternberg MD Show Notes: Molly Heublein, MD, Beth Garbitelli Infographic, Cover Art: Beth Garbitelli Hosts: Molly Heublein, MD; Paul Williams MD, FACP    Editor: (written materials); Cyrus Askin MD, Clair Morgan of nodderly.com Guest: Daniel Ambinder, MD; Rick Ferraro, MD Sponsor: Panacea Financial panaceafinancial.com Panacea Financial a nationwide digital bank built for doctors by doctors. Panacea offers loans just for physicians and medical students with low rates, free checking with no ATM fees nationwide, and 24/7 live customer service. Visit panaceafinancial.com.Panacea Financial is a division of Primis, member FDIC Sponsor: Provider Solutions and Development info.PSDConnect.org/curbsiders Start the conversation or reach out to one of their career navigators today at info.PSDConnect.org/curbsiders. Sponsor: Audible Audible.com/curb New members can always try Audible Plus free for 30 days. Visit Audible.com/curb or text curb to 500-500. CME Partner: VCU Health CEThe 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.  Show Segments Intro, disclaimer, guest bio Guest one-liner Picks of the Week* Case from Kashlak Definitions of stable angina, unstable angina INOCA Assessing risk Treatment - life prolonging vs symptom relief Diagnosis- stress testing vs anatomical studies Angioplasty/stenting- ISCHEMIA trial Take home points Outro

Delve into the neuro Ddx with expert diagnosticians the @CPSolvers, Drs. Reza Manesh (@DrRxEdu) and Rabih Geha (@rabihmgeha). Play along as they solve a neurology mystery case, and give us a tour of the neuraxis.  No CME for this episode, but claim it for past episodes at curbsiders.vcuhealth.org! Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME! Credits Producer: Matthew Watto MD, FACP Writer (case): Daniel Minter MD (@dminter89) Show Notes: Matthew Watto, MD, FACP Cover Art: Sawyer Watto Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP    Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com Guests: Reza Manesh MD and Rabih Geha MD Sponsor: Panacea Financial panaceafinancial.com Sponsor: Provider Solutions and Development info.PSDConnect.org/curbsiders CME Partner: VCU Health CEThe 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.  Show Segments Intro, disclaimer, guest bio Weakness and Falls Localization on the neuraxis NM junction Lung Mass Cognitive Autopsy Outro