Podcasts about clinical pearls

From mast cells and microplastics to bile acids and B1 - this episode is a clinical deep dive you won't want to miss. If you're a wellness practitioner who loves learning the why behind what's happening in your patients' bodies, you're going to love this one. In this solo episode, I'm recapping some of the most cutting-edge insights I gathered at a recent CellCore clinical conference - and trust me, this one's packed.   We're talking about:

Summary In this session from the 2024 SF Derm Society Annual Meeting, Dr. Lindy Fox discusses the critical topic of angioinvasive fungal infections, particularly in immunosuppressed patients. This truncated session covers the clinical presentation, diagnostic challenges, and emerging resistance patterns in fungal infections. Dr. Fox emphasizes the importance of recognizing the signs of invasive fungal infections and the need for broad coverage in treatment, especially given the rising rates of antifungal resistance. The episode concludes with key takeaways for dermatologists and a reminder of the podcast's educational purpose. Takeaways - Angioinvasive fungal infections are a significant concern for immunosuppressed patients. - Acute respiratory infections can increase the risk of invasive fungal infections. - Candida auris is a new resistant strain to be aware of. - Differentiating fungal organisms on H and E is unreliable; cultures are essential. - Antifungal resistance is on the rise, impacting treatment options. - Voreconazole does not treat mucor, leading to potential breakthrough infections. - L. prolificans is pan-resistant and often fatal. - Morphology is crucial in guiding the differential diagnosis of fungal infections. - Sweet syndrome can mimic other conditions histologically. - The podcast aims to educate and is not a substitute for medical advice. Chapters 00:00 - Introduction to the Future of Dermatology Podcast 00:53 - Understanding Angioinvasive Fungal Infections 03:49 - Clinical Pearls for Diagnosing Fungal Infections 08:02 - Diagnostic Considerations in Fungal Infections 10:06 - Therapeutic Considerations and Resistance Patterns

Brace yourself! This week, we're learning about cerebral palsy from Dr. Matthew MacCarthy, who is both a pediatric physical medicine and rehabilitation (PM&R) specialist at Prisma Health in South Carolina AND a person with cerebral palsy. We're talking NICU, Botox, and puberty, so get ready to stretch your knowledge with a thoughtful approach to CP diagnosis and management.

In this episode, Diogo Gomes interviews internationally renowned physiotherapist and researcher Dr. Alison Grimaldi for a focused discussion on gluteal tendinopathy. They explore common myths and misconceptions surrounding the condition, clarify the current evidence base, and share valuable clinical insights for effective assessment and management. With a clear and practical approach, Dr. Grimaldi offers take-home messages that clinicians can immediately apply in practice. Whether you manage this condition regularly or are looking to refine your approach, this episode is a must-listen.

In this episode, we discuss the appropriate use of benzodiazepines, focusing on evidence-based indications and optimal medication selection. Did you know that alprazolam has unique properties that make it more addictive than other benzodiazepines? Faculty: Alexis Ritvo, M.D. Host: Richard Seeber, M.D. Learn more about our memberships here Earn 1 CME: Understanding Benzodiazepine Prescribing: A Clinician's Guide Appropriate Benzodiazepine Use: Indications and Optimal Selection

In this episode, Dr. Christine Schaffner shares key insights from her recent experience at the Desbio conference, highlighting the growing field of Quantum Coherence Medicine. She explores how homeopathy functions as an electromagnetic signature, the importance of integrating emotional and spiritual layers into healing, and offers clinical pearls from leading practitioners. Tune in to hear how community, seasonal rhythms, and innovative approaches are shaping the future of integrative medicine.   For the full show notes please visit my website: www.drchristineschaffner.com/Episode283  

We discuss the injuries sustained from smoke inhalation. Hosts: Sarah Fetterolf, MD Brian Gilberti, MD https://media.blubrry.com/coreem/content.blubrry.com/coreem/Smoke_Inhalation.mp3 Download Leave a Comment Tags: Environmental, Toxicology Show Notes Table of Contents 00:37 – Overview of Smoke Inhalation Injury 00:55 – Three Key Pathophysiologic Processes 01:41 – Physical Exam Findings to Watch For 02:12 – Airway Management and Early Intervention 03:23 – Carbon Monoxide Toxicity 04:24 – Workup and Initial Treatment of CO Poisoning 06:14 – Cyanide Toxicity 07:19 – Treatment Options for Cyanide Poisoning 09:12 – Take-Home Points and Clinical Pearls Physiological Effects of Smoke Inhalation: Thermal Injury: Direct upper airway damage from heated air or steam. Leads to swelling, inflammation, and possible airway obstruction. Chemical Irritation: Causes bronchospasm, mucus plugging, and inflammation in the lower airways. Increases capillary permeability, potentially causing pulmonary edema. Systemic Toxicity: Primarily involves carbon monoxide and cyanide poisoning.

Fresh off the heels of our immediate last episode, we bring you a perspective from the trenches! Sarah, a Clinical Pearls podcast family member, is a health professional who works with autistic individuals. Sarah has provided clear and evidence-based data which helps to explain the rise of autism in the US over the last decades. Our podcast community is Incredible! Her noted and data driven perspective are the core concepts highlighted in this episode. Listen in for details.

Summary In this episode of the Future of Dermatology podcast, we revisit the SF Derm 2024 Annual meeting and hear from Dr. Haley Naik, MD, as she discusses the management of Hidradenitis Suppurativa (HS). Dr. Naik covers the importance of controlling inflammation with medical therapies, the role of biologics in treatment, and the clinical pearls for using TNF inhibitors effectively. She emphasizes the need for early intervention to prevent permanent disfigurement and the importance of optimizing medical management before considering surgical options. Takeaways Using medical therapies to control inflammation is crucial. When to start a biologic is a common question. Preventing permanent disfigurement is a key goal. Adalimumab was the first FDA approved drug for HS. Real world goals include reducing pain and symptoms. Complete response means no pain and no new lesions. Infliximab is the best biologic for moderate to severe HS. Layering therapies is important for effective management. Optimizing medical management is essential before surgery. Chapters 00:00 - Introduction to the Future of Dermatology Podcast 01:03 - Managing Hidradenitis Suppurativa (HS) with Medical Therapies 04:35 - Understanding Biologics in HS Treatment 09:17 - Clinical Pearls for TNF Inhibitors in HS 11:35 - Optimizing HS Management Before Surgery

In this episode of Cutaneous Miscellaneous, host Nicholas Brownstone, MD, welcomes Naiem Issa, MD, for an in-depth discussion on topical therapies in dermatology, covering both traditional treatments and the latest innovations, focusing on tapinarof and roflumilast. The episode begins with a board review of eczematous and papulosquamous diseases, including CARP, asteatotic eczema, nummular dermatitis, and pityriasis rosea, highlighting key diagnostic clues, treatment approaches, and must-know information for residents. They then explore the role of topical therapies in treating psoriasis and atopic dermatitis, emphasizing patient expectations, positioning treatments effectively, and the balance between topicals and systemic options. They provide insights into newer agents like tapinarof and roflumilast, discussing their mechanisms of action, clinical use, and combination strategies for enhanced efficacy. The episode wraps up with practical pearls for residents, including how to navigate access issues, gain hands-on experience with new therapies, and stay updated on emerging therapies. Tune in for a high-yield discussion packed with clinical takeaways!

Clinical Pearls, Pain Pod edition: Pain Pearls Part 1 (of many)! A cornucopia of pain conundrums and potential solutions and/or tools to help mitigate. All here, nicely packaged, randomly, in one episode of the Pain Pod! One of many more to come, in a miniseries titled: “Pain Pearls”, only here on the Pain Pod! Come one, come all, to the Pain Pod!!! P.S. Want to contribute or hear about a pain pearl of your own? Message Pain Guy on www.painguy.us to directly reach Mark and have your voice heard! Pain Guy • www.painguy.us DVPRS (Pain Scale) • https://www.va.gov/PAINMANAGEMENT/docs/DVPRS_2slides_and_references.pdf  Opioid Risk Screenings • www.opioidrisk.com  2022 CDC Opioid Guideline Update • Dowell D, Ragan KR, Jones CM, Baldwin GT, Chou R. CDC Clinical Practice Guideline for Prescribing Opioids for Pain — United States, 2022. MMWR Recomm Rep 2022;71(No. RR-3):1–95. Buprenorphine Induction Resources • Kampman K and Jarvis M. American Society of Addiction Medicine (ASAM) National Practice Guideline for the Use of Medications in the Treatment of Addiction Involving Opioid Use. J Addict Med. Sep-Oct 2015;9(5):358-67. • Ahmed, S. Bhivandkar S, et. al. Microinduction of Buprenorphine/Naloxone: A Review of the Literature. The American Journal on Addictions, 30: 305–315, 2021. • Privia A. Randhawa, Rupinder Brar and Seonaid Nolan. Buprenorphine–naloxone “microdosing”: an alternative induction approach for the treatment of opioid use disorder in the wake of North America's increasingly potent illicit drug market CMAJ January 20, 2020 192 (3) E73. MOUD Minimum Durations Study • Michael L. Dennis, Mark A. Foss, and Christy K. Scott. An Eight-Year Perspective on the Relationship Between the Duration of Abstinence and Other Aspects of Recovery. Evaluation Review 2007 31:6, 585-612

Clinical Pearls, Pain Pod edition: Pain Pearls Part 1 (of many)! A cornucopia of pain conundrums and potential solutions and/or tools to help mitigate. All here, nicely packaged, randomly, in one episode of the Pain Pod! One of many more to come, in a miniseries titled: “Pain Pearls”, only here on the Pain Pod! Come one, come all, to the Pain Pod!!! P.S. Want to contribute or hear about a pain pearl of your own? Message Pain Guy on www.painguy.us to directly reach Mark and have your voice heard! Pain Guy • www.painguy.us DVPRS (Pain Scale) • https://www.va.gov/PAINMANAGEMENT/docs/DVPRS_2slides_and_references.pdf  Opioid Risk Screenings • www.opioidrisk.com  2022 CDC Opioid Guideline Update • Dowell D, Ragan KR, Jones CM, Baldwin GT, Chou R. CDC Clinical Practice Guideline for Prescribing Opioids for Pain — United States, 2022. MMWR Recomm Rep 2022;71(No. RR-3):1–95. Buprenorphine Induction Resources • Kampman K and Jarvis M. American Society of Addiction Medicine (ASAM) National Practice Guideline for the Use of Medications in the Treatment of Addiction Involving Opioid Use. J Addict Med. Sep-Oct 2015;9(5):358-67. • Ahmed, S. Bhivandkar S, et. al. Microinduction of Buprenorphine/Naloxone: A Review of the Literature. The American Journal on Addictions, 30: 305–315, 2021. • Privia A. Randhawa, Rupinder Brar and Seonaid Nolan. Buprenorphine–naloxone “microdosing”: an alternative induction approach for the treatment of opioid use disorder in the wake of North America's increasingly potent illicit drug market CMAJ January 20, 2020 192 (3) E73. MOUD Minimum Durations Study • Michael L. Dennis, Mark A. Foss, and Christy K. Scott. An Eight-Year Perspective on the Relationship Between the Duration of Abstinence and Other Aspects of Recovery. Evaluation Review 2007 31:6, 585-612

There are many challenges when it comes to operating on a post-hysterectomy patient, especially when they have endometriosis. In this episode of BackTable OBGYN, Dr. Emad Mikhail, an associate professor of OBGYN at the University of South Florida, discusses the intricacies of treating endometriosis after a hysterectomy. --- SYNPOSIS Dr. Mikhail shares his journey from medical school in Egypt to his current expertise in deep endometriosis surgery in Tampa, Florida. The conversation covers preoperative evaluation, the importance of understanding patient history, and surgical approaches for complex cases. He emphasizes the need for multidisciplinary collaboration, advanced imaging, and specialized surgical techniques to ensure optimal patient outcomes. --- TIMESTAMPS 00:00 - Introduction 05:52 - The Role of Hysterectomy in Endometriosis 08:58 - The Role of Ovaries in Endometriosis 11:12 - Surgical Techniques and Considerations 18:11 - Evaluating Deep Endometriosis 24:32 - Post-Hysterectomy Pain and Symptoms 31:26 - Surgical Approaches Post-Hysterectomy 39:49 - The Importance of Continuous Learning 43:09 - Scar Tissue vs. Lesion 51:47 - Comprehensive Preoperative Assessment 53:59 - Conclusion and Final Thoughts

Dr. John Stenberg and Dr. Cameron Bearder sit down to recap their experience at the ASAP Conference 2024. The hosts recap their experience at the ASAP conference, which focuses on Chiari malformations and related conditions. They discuss the unique format of the conference, where patients can learn from top experts and ask questions. They emphasize the importance of understanding the different types of Chiari malformations and the need for clear communication when discussing these conditions. They also highlight the need for a thorough diagnosis, as Chiari malformations are a radiographic diagnosis that must be correlated with signs and symptoms. The hosts discuss the complexity of these cases, including the potential involvement of connective tissue disorders, inflammatory conditions, and genetics. They stress the importance of being aware of the interconnections between these conditions and considering co-management with other healthcare professionals. They also mention the need for further research and learning in this area. The conversation explores the philosophy of health from a functional perspective, emphasizing the importance of understanding why the body is not functioning properly. It delves into the chronic neuroinflammatory processes and how they remodel tissues, particularly in the cervical spine and lumbosacral spine. The discussion highlights the need for a methodical approach in treating patients with acquired hypermobility and managing their symptoms. The conversation also emphasizes the importance of imaging, particularly CBCT and MRI, in identifying structural abnormalities and CSF flow issues. It concludes with a discussion on CSF leaks and the various factors that can contribute to them. In this final part of the conversation, the speakers discuss various topics related to cranio-cervical instability, Chiari malformation, and scoliosis. They talk about the potential causes and symptoms of CSF leaks, the radiographic signs of CSF leaks on MRIs, and the importance of considering the entire spine and all the tissues when assessing CSF flow obstructions. They also touch on the challenges of conducting research in this field and the need for multidisciplinary approaches to patient care. The speakers emphasize the importance of being knowledgeable, humble, and collaborative in order to provide the best possible care for patients. Resources from this episode: ASAP YouTube Channel Comprehensive Chiari Care with Haley Fitzgerald of Global Neurosciences Institute What Happens When Two Upper Cervical Chiropractors Attend a Neurosurgery Conference

In this episode, Erica discusses the why behind shoulder problems, comparing the unique challenges faced by tennis players and non-tennis players alike. She explains why traditional shoulder treatment often fails these types of patients. A significant relationship between the shoulder and another region of the body is often missed. Erica also tells the story of one of her patients who does play tennis and the reason why he can do a full pushup but can't lift his arm over his head. For our physio listeners, oftentimes you can progress patients through a full range of CKC exercises but the OKC piece does not progress as quickly.   A glance at this episode: [0:01] Erica's Summer Vacation and Introduction to the Episode [2:30] Clinical Pearls for Tennis Players [6:15] Assessing Upper Thorax and Glenohumeral Joint Compression [12:53] Treatment Approach for Upper Thorax and Glenohumeral Joint Issues [15:54] Progressing Patients with Glenohumeral Issues [16:14] Clinical Pearls for Closed Chain Exercises [20:37] Conclusion and Encouragement for Practitioners Related links: Tough To Treat Website Erica's Course: Decoding the Complex Patient Susan's Pelvic Health Education Subscription Access the Transcript  

What is the cause of bilateral calf pain in this young fencer? From start to finish, it shows the power of a thorough evaluation, a specific exercise progression, and a return to the sport she loves. When it comes to exercise progression in persistent pain, think about context. How can you improve optimal movement patterning by changing the context? Think about this one. You can intervene via the visual system, eyes open, eyes closed. How about changing their base of support? Wide to narrow. And why not have them do their exercises to their favorite music? These are just some examples. Look at your patients through a different lens and then you'll see positive change.   A glance at this episode: [0:01] Diaphragm function, GI dysfunction, and postural control [7:51] GI dysfunction and its impact on abdominal wall muscles and posture [13:39] Abdominal dysfunction and diaphragm movement in relation to chronic low back pain [20:36] Treating chronic low back pain through abdominal wall retraining [25:09] Abdominal wall deficit and diaphragm dysfunction in chronic low back pain patients [32:07] Treating gas and bloating through diaphragm therapy 36:32] Treating GI dysfunction through breathwork and positioning Related links: Tough To Treat Website Erica's Course: Decoding the Complex Patient Susan's Pelvic Health Education Subscription Access the Transcript  

How do you rehab someone who is VERY hypermobile and suffers from persistent low back pain? Carefully and specifically! This episode highlights the beauty of a specific exercise progression tailored to the patient's meaningful movement. Listen as we go through the clinical reasoning process to determine what types of movement patterns will work and what ones won't.  Doing the right thing at the right time is clinical expertise.   A glance at this episode: [5:13] Hypermobility and pain management for a 24-year-old woman [11:26] Hypermobility, muscle imbalances, and control issues in a patient with back pain [19:00] Shoulder subluxation and its relation to past injuries and yoga practice [23:57] Diaphragm recruitment in back pain patients [27:47] Addressing short girl syndrome in a dancer [32:03] Using tape and Pilates equipment to improve abdominal strength and stability for a hypermobile patient [35:51] Improving posture and flexibility through exercises on a reformer machine [39:23] Exercises for a spin instructor with tight hip flexors [43:34] Exercises for hypermobile individuals to improve motor control and recruitment   Related links: Tough To Treat Website Erica's Course: Decoding the Complex Patient Susan's Pelvic Health Education Subscription Access the Transcript

In this episode, we explore the assessment of hip dysplasia, focusing on the condition's definition, the differences between extension and flexion-based movements, and both subjective and objective assessment techniques. We discuss the importance of observing gait, head of femur translation, single leg stance, and various special tests, including apprehension testing, to diagnose and understand hip dysplasia. Andrew is an APA Sports and Manipulative Physiotherapist who is currently employed at St. Kilda Football Club (since 2007) and works privately at Melbourne Orthopaedic Group Sports Medicine. Over the last 20 years, Andrew has worked in both a clinical setting and within the elite sporting environment at Melbourne Victory, Adelaide Thunderbirds, SACA Redbacks, V8 Supercars, triathlon and athletics.If you like the podcast, it would mean the world if you're happy to leave us a rating or a review. It really helps!Our host is @sarah.yule from Physio Network

If you are interested in joining a Gulf War Illness (GWI) trial, please complete the Recruitment Registry Form. https://redcap.nova.edu/redcap/surveys/?s=Y9YF8JJWJRK8HEKL%20&_gl=1*1fipp18*_gcl_aw*R0NMLjE3MDc5MTgwMzIuRUFJYUlRb2JDaE1JeWNyUXVfcXFoQU1WU1pCYUJSM3AyQWRBRUFBWUFTQUFFZ0s1NWZEX0J3RQ..*_gcl_au*MTg2NjgwMDQ4Ni4xNzA3MTQwNzgx   In this week's episode, Haylie Pomroy is joined by Dr. Nancy Klimas, Director at NSU's Institute for Neuro Immune Medicine and the Miami VA. Together, they discuss post-viral chronic fatigue, ME/CFS, long COVID, and how to get the right diagnosis. Dr. Klimas shares her journey and the motivation behind her work, emphasizing the importance of validating women's experiences with these conditions. She offers practical advice on managing symptoms, highlighting the significance of sleep, nutrition, and understanding the body's responses.  Haylie and Dr. Klimas share their expertise and express their hope and help for those dealing with the challenges of post-viral illnesses.   National Institutes of Health (NIH): https://www.nih.gov/mecfs/mecfs-resources   Centers for Disease Control and Prevention (CDC) - https://www.cdc.gov/me-cfs/toolkit/index.html   Health Rising: https://www.healthrising.org/about-chronic-fatigue-syndrome-mecfs/facts/   U.S. ME/CFS Clinician Coalition: https://mecfscliniciancoalition.org   Sign up for the COVID-UPP Study: https://redcap.nova.edu/redcap/surveys/?s=RMEDJ7LKCX&_gl=1*1h830h7*_gcl_au*MTM2NDA0MTQyOS4xNzE1MDA0ODAy Donate to ME/CFS Research: https://givecampus.com/b3yrwb   Learn more about INIM's Research Studies: https://www.nova.edu/nim/research-studies/index.html   Dr. Nancy Klimas, M.D., is the Director of the Institute for Neuro-Immune Medicine where she directs a group of remarkable interdisciplinary scientists and clinicians. They collaborate to discover innovative strategies for treating and preventing chronic illnesses, while also focusing on training the next generation of clinicians and scientists. With 40 years of professional experience, Dr. Nancy Klimas is internationally recognized for her work in multi-symptom disorders, including ME/CFS, GWI, fibromyalgia, and Long COVID.   LinkedIn: https://www.linkedin.com/in/nancy-klimas-49255178/   -------------------------------------------------------------------------------------------------   Enjoy our show? Please leave us a 5-star review so we can bring hope and help to others.   Sign up today for our newsletter. https://nova.us4.list-manage.com/subscribe?u=419072c88a85f355f15ab1257&id=5e03a4de7d   This podcast is brought to you by the Institute for Neuro-Immune Medicine. Learn more about us here.    Website: https://www.nova.edu/nim/ Facebook: https://www.facebook.com/InstituteForNeuroImmuneMedicine Instagram: https://www.instagram.com/NSU_INIM/ Twitter: https://www.twitter.com/NSU_INIM   #PostViralIllness #Diagnosis #ChronicIllness #MECFS #MyalgicEncephalomyelitis #ChronicFatigueSyndrome #ChronicFatigue #LongCOVID #PostCOVIDSyndrome #WomensHealth #HealthEducation #ChronicIllnessTreatment  

What do you do when a client presents with a myriad of LQ symptoms without a clear regional driver? Look to the history and keep asking questions even further back than the recent onset or episodic flare. Join us as we discuss complex neurology of a visceral driver that has signs of dysfunction and a somatic pain presentation. Once again, the history is so important!   A glance at this episode: [0:01] Left lower quadrant pain, nociceptive input from visceral driver [2:23] Pelvic pain and potential visceral driver [8:05] Bladder issues and pelvic floor tension [10:49] Bladder irritants and pelvic health with a patient [16:49] Lower back pain and posture with a physical therapist [20:04] Pelvic floor exercises and visceral manipulation for pelvic pain relief [24:34] Pelvic floor exercises and core strength for bladder control [26:45] Improving driving skills and addressing bladder issues [32:49] Visceral mobilization and pelvic floor issues Related links: Tough To Treat Website Erica's Course: Decoding the Complex Patient Susan's Pelvic Health Education Subscription Access the Transcript  

Golf is a sport of weight shifts and a narrow base of support. What happens when your knee can't adapt to an altered base of support? This is what exactly happened here with this case. This young golfer, in standing (and standing is VERY relevant for the golf swing) had an 80/20 load, R/L in this position. And it stayed that way throughout the golf swing. This begs the question: Did you know that right knee pain can be caused by an imbalance in your center of mass? If you continuously load your painful side, that has some serious implications for loading. Erica and Susan discuss in this episode how treating the left hip as well as the left side of the low back, got rid of this young golfer's knee pain. He needed options for movement to his left side. A functional and interactive evaluation really hones in on where the true source of his knee pain lies. Remember: for persistent, unsolved problems, correlate the patient's history with your objective assessment. Hint: this patient had a history of concussion. You think that would alter his BOS?   A glance at this episode: [0:01] Chronic knee pain in a junior golfer, analyzing the cause and treatment options [4:48] Golf injury treatment and diagnosis [12:19] Golf swing mechanics and potential issues with a young golfer [17:03] Assessing a 12-year-old golf player with knee pain using a thorough history and clinical reasoning [23:49] Using visual aids and manual therapy to help a golfer improve his swing by shifting weight to the left leg [31:33] Using mirror therapy for knee rehabilitation [39:25] Rehabilitating knee injuries via changing the center of mass [43:34] Rehabilitation program for golfers with variance in exercises to improve adaptability [47:36] Physical therapy for a young golfer with a focus on listening and meeting clients where they are   Related links: Tough To Treat Website Erica's Course: Decoding the Complex Patient Susan's Pelvic Health Education Subscription Access the Transcript  

Clinical Pearls is taking a break this summer and will be back with new episodes in the fall! 

Get the latest data from ASCO 2024 about anti-HER2 therapies in biliary tract cancer. Credit available for this activity expires: 6/25/25 Earn Credit / Learning Objectives & Disclosures: https://www.medscape.org/viewarticle/1001250?ecd=bdc_podcast_libsyn_mscpedu

More clinical pearls from ACP #IM2024, including emerging infectious diseases in the US (malaria, dengue, super gonorrhea, and a resurgence of syphilis), new C. diff treatments, coagulopathy and cirrhosis, fatty liver disease, HFpEF, peripheral arterial disease, Lp(a) and ApoB, CAR T-cells for autoimmune disease, SGLT2i for gout, and hematology updates. Paul and Watto are joined by Drs. Nora Taranto, Beth Garbitelli, and of course Chris “The Chiu Man” Chiu. Claim CME for this episode at curbsiders.vcuhealth.org! Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME Show Segments 00:00 Tropical Diseases: Resurgence of Malaria and Dengue Fever 03:44 Infectious Diseases: Syphilis Rates and New Treatments for C. diff 08:28 Coagulopathy and Cirrhosis: Managing Hemostasis and Portal Vein Thrombosis 11:34 Fatty Liver Disease: Risk Stratification and Treatment 14:59 Cardiology Updates: Cardiovascular Kidney Metabolic Syndrome 31:03 New Medications for Hypertension 32:54 Renal Denervation and Hypertension 33:51 Lp(a) Drugs and Their Potential 36:01 Peripheral Arterial Disease and Claudication 38:10 SGLT2 Inhibitors and Gout 41:50 APO-B and LDL Cholesterol 42:45 Secondary Hypogonadism and Head and Neck Radiation 45:30 VEXAS: A Genetic Autoimmune Condition 49:08 Obesity-Induced Leukocytosis 52:49 CAR T-Cell Therapy in Rheumatologic Diseases Credits Producers/Writers/Show Notes: Matthew Watto MD, FACP; Paul Williams MD, FACP, Nora Taranto MD, Chris Chiu MD, Beth Garbitelli MD CME, Cover Art: Beth Garbitelli MD Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP    Reviewer: Nora Taranto MD Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP Technical Production: PodPaste Sponsor: Litter Robot Go to stopscooping.com/CURB and enter promocode CURB to save an EXTRA $50 on any Litter-Robot bundle. Sponsor: Freed You can try Freed for free right now by going to freed.ai. And listeners of Curbsiders can use code CURB50 for $50 off their first month. Sponsor: Beginly Visit beginlyhealth.com/curbsiders for the job matching platform for every Physician and Advanced Practice Clinician, from training to practice

Are you a pediatric care provider feeling overwhelmed by complex mental health cases? Discover a solution that's transforming pediatric care in Michigan and beyond! In the latest episode of Pediatric Meltdown, Alyssa Wealty and Dr. Nasuh Malas teach us about the MC3 program (Michigan Child Collaborative Care) and how it's making waves by providing tools like the Clinical Pearls educational series, that's proving to be a lifeline for primary care providers who are grappling with mental health issues in young patients. From leveraging expert consultations to utilizing targeted educational resources, and handling cases of anxiety, aggression, or substance use, this episode is a gold mine for those on the front lines of pediatric health care. At the center of MC3's offerings is the power of connection and education. Like addressing urgent mental health needs in pediatric settings or providing accessible educational tools like the Clinical Pearls video series. No matter where you are in your healthcare journey, the MC3 resources offer concise, expert-driven advice that can dramatically improve your care strategies. Interested in enhancing your clinical skills with quick, impactful lessons? Get your pen and paper ready. This episode is packed with information.PRO Tip: These resources aren't limited to healthcare professionals; parents and educators can gain insights too! [03:47 -09:04] Integrating Mental Health Education in Primary CareDesigned to deliver concise insights on common pediatric mental health conditions for primary care providers.The program's educational component underscores the importance of mental health knowledge in primary care.Enhances primary care providers' ability to diagnose and manage pediatric mental health.Program grows to support schools and perinatal care providers for integrated mental health.[09:05- 21:28] Clinical Pearls Series - A Resource for Pediatric Mental Health Education"Clinical Pearls" features key learning videos on fundamental mental health topics.The series includes a resource list and self-assessment for provider education.It enriches learning with extra materials alongside the main videos.The series is accessible globally, benefiting clinicians in Michigan and worldwide.[19:18 -29:30] Advancing Primary Care through Educational Support and TeleconsultationPrimary care providers get guidance on conducting thorough evaluations with fellow mental health professionals.Feedback from participants in the MC3 program informs the creation of practice-enhancing content.Merging mental health and primary care responds to the need for increased support in managing pediatric cases.The MC3 teleconsultation service outreach includes critical care points,like emergency rooms and schools.[29:31 - 33:11] Closing segment TakeawayLinks to resources mentioned on the showMC3: https://mc3michigan.org MC3 Clinical Pearls: https://mc3michigan.org/clinical-pearls-video-series/Other episodes you may like:For all episodes, go to Episodes - Pediatric MeltdownEp #139 School Based Health: Literally Meeting Kids Where They Are!Ep #128 Trauma and Resilience: “Connect Before You...

In this solo episode, I share my clinical pearls and insights from the recent Cellcore ECO Conference I attended. I discuss various topics covered by different speakers, including breathing techniques, trauma healing, toxin exposure, mold remediation, blood work, and more. I am beyond excited to share my thoughts with you all and can't wait to put this information to use! For the full show notes please visit my website: www.drchristineschaffner.com/Episode238  

We cover angina, COPD-asthma overlap, home oxygen, colon cancer screening, cancer survivorship, tobacco cessation, e-cigarettes, step counts for health,  new drugs, the RSV vaccine, addiction medicine, interstitial lung disease, APOL1-mediated kidney disease, testosterone therapy, antimicrobial resistance, office-based allergy testing and more! The Curbsiders review highlights, clinical pearls, and practice-changing updates from the American College of Physician Internal Medicine Meeting #IM2024!  No CME for this episode due to rapid turnaround, but claim CME for most episodes at  curbsiders.vcuhealth.org! Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME Show Segments Intro ACP Pearls Outro Credits Producers: Matthew Watto MD, FACP; Paul Williams MD, FACP, Molly Heublein MD, Nora Taranto MD, Chris Chiu MD, Rahul Ganatra MD MPH, Beth Garbitelli MD Show Notes: Matthew Watto MD, FACP; Paul Williams MD, FACP, Molly Heublein MD, Nora Taranto MD, Chris Chiu MD, Rahul Ganatra MD MPH, Beth Garbitelli MD Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP    Reviewer:Matthew Watto MD FACP Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP Technical Production: PodPaste Sponsor: Beginly Health Visit https://beginlyhealth.com/curbsiders for the job matching platform for every Physician and Advanced Practice Clinician, from training to practice Sponsor: Freed You can try Freed for free right now by going to freed.ai. And listeners of Curbsiders can use code CURB50 for $50 off their first month.

In this episode, Erica speaks about prescribing specific exercises based on the difficulty level relative to the region of the body driving the patient's symptoms.  NOT the pain generator.  NOT the area of symptoms.    If someone has knee pain, and their driver is their foot, then the exercise program is geared towards the foot, NOT the knee. SLR's and quad sets won't work here.    She also explores the significance of personalized exercise prescriptions in optimizing recovery outcomes. There are many clinical pearls in this episode, one of which is, "Why would a side-to-side deep squat be harder for the foot than the thorax?" Both are lateral movement patterns.    She also discusses the clinical reasoning behind a well-thought-out exercise plan. Remember: we are trying to give our patients options for movement and variability across many activities. Building volume of exercise at low levels is key to this outcome as is challenging the driver across many planes.   A glance at this episode: [3:38] Prescribing specific exercises based on the patient's main driver, not the symptom [8:02] Identifying the level of difficulty for a specific exercise using regional analysis [14:02] How to dose exercise based on what is meaningful for the patient [17:58] Exercises for improving lower body control and center of mass   Related links: Tough To Treat Website Erica's Course: Decoding the Complex Patient Susan's Pelvic Health Education Subscription Access the Transcript  

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In today's episode we hear the rest of Corinne's story. In particular:  *What she learned in her repeated trips to the ER*What she took away from the challenging things she experienced. *What she'd do differently next time.We'll also hear from Dr. Chapa, a clinical assistant professor of obstetrics & gynecology at Texas A&M College of medicine, who shares some of his expertise about pregnancy and hypertension. You can find his podcast, Clinical Pearls, here

Low blood pressure during surgery is common in patients having non-cardiac surgery under general anesthesia. This can be secondary to many factors but has been linked to major postoperative complications such as renal failure to myocardial injury and even death. On today's episode of Clinical Pearls, we have an expert in this field. Amy Yerdon, DNP, MNA, CRNA, CNE, is an Assistant Professor in the UAB School of Nursing and the BSN-DNP Nurse Anesthesia Assistant Program Director. 

In this episode, Dr. Hugo Morales interviews Dr. Bas Bloem and Dr. Victor Fung, co-authors of "The Wisdom of Our Mentors: Clinical Pearls in Movement Disorders," who share clinical pearls and discuss how mentors' and mentees' interactions are at the center of mentorship in movement disorders and the MDS. Read the article

In this episode of The Mortar & Pestle, Sara Hover , RPh, FAARM, PCCA Director of Clinical Services, joins host Mike De Lisio, North American Sales Director, and co-host Sebastian Denison, RPh, FAARM (Candidate) to discuss her experience at the 2024 HRT Symposium.

Obesity is a chronic disease that affects approximately two out of five adult Americans. Among children and adolescents aged 2-19, approximately 16% are overweight and 19% are obese. By 2030, it is estimated that half of adults in the United States will be obese. On this episode of Clinical Pearls, we are joined by Brittany Nguyen, a women's health nurse practitioner who is a graduate of the UAB School of Nursing and currently works in a women's health clinic that also specializes in weight loss management. She joins to enlighten us on the emergence of prescription weight loss industry. Show links:UAB weight loss medicine: Weight Loss Medicine (uabmedicine.org)

This week on The Less Stressed Life Podcast, my co-pilot, Jenna DeKok joins me to tag team the topic of how we approach addressing mold with our clients. We talk about where mold enters the body, dead-ringer symptoms, testing and more! We want to give the disclaimer that we are not environmental experts. We are here to offer empowerment and to address mold within our client's bodies. KEY TAKEAWAYS:The most common places mold enters the bodyHave you had a historical exposure or is it a current exposure?Common mold symptoms we see in practiceMild vs severe mold symptomsBringing awareness to mold symptomsMycotoxin testing - to test or not to testBarriers to overcoming moldBecome aware of mold symptomsDifferent systems within the body mold can affectMore episodes about mold:059 Toxic Mold with Bridgit Danner178 Environmental Mold & Mycotoxins: Types, Testing & Treatment with Environmental Toxins Nerd Lara Adler221 Sneaky mold for chronic inflammation with Brian Karr245 I split tested urine mycotoxins (mold) and here are my results with Christa Biegler, RD246 Doing the work but not getting better, mold, parasites and carrying emotions in your body, gut, liver as a body to health improvement and neuroplasticity with Abigail Hueber, MS, RD248 Could it be a mild-moderate mold problem? Checklist of symptoms with Christa Biegler, RD273 Parasites & Mold with Dr. Jessica Peatross311 Parasites, mold, terrain, sex drive and testing with Dr. Jaban Moore317 Environmental Mold Remediation with Michael Rubino, Founder of HomeCleanse334 Mold remediation made easier with Dr. Emily Kiberd336 DIY Mold Inspection and New Construction Part 2 with Michael RubinoWHERE TO FIND JENNA:Instagram: https://www.instagram.com/nutritiouslyjenna/WHERE TO FIND CHRISTA:Website: https://www.christabiegler.com/Instagram: @anti.inflammatory.nutritionistPodcast Instagram: @lessstressedlifeYouTube: https://www.youtube.com/@lessstressedlifeLeave a review, submit a questions for the podcast or take one of my quizzes here: https://www.christabiegler.com/linksEPISODE SPONSOR:I've been recommending Micro Balance Health Products to my clients to help them clear mold from their homes and bodies. If you'd like to try Micro Balance products, you can get 15% off by using code lessstressed. Download the free checklist of 10 Easy Ways to Reduce Mold in Your Home!

In this episode, Seth Martin, MD, MHS, interviews Grazia Aleppo, MD, about key evidence of the benefit of the use of continuous glucose monitoring (CGM) in patients with type 2 diabetes, the impact of CGM in clinical practice, and clinical pearls for clinicians managing patients with type 2 diabetes.

NIPT is a prenatal SCREENING method that involves analysis of cell-free fetal DNA (cfDNA) in maternal blood. Prenatal screening for sex chromosome aneuploidies (SCAs) has become readily available through expanded non-invasive prenatal testing (NIPT). NIPTs became commercially available in 2011 and has since been introduced in more than 60 countries around the world and is now part of mainstream obstetrical practice. Initially offered as a secondary screen for pregnancies with a high probability of a fetal chromosomal anomaly, NIPT is now often offered and recommended as a first-line screening test for the main chromosomal aneuploidies. Initially, NIPT was available to screen for fetal trisomies 21 (Down syndrome), 18 (Edwards syndrome) and 13 (Patau syndrome). This has expanded of course to include (separately) fetal sex chromosome aneuploidy (SCA) screening. However, there are some VERY important points we must remember when seeing an “atypical sex chromosome” NIPT result. What is the PPV of a SCA found on NIPT? In this episode we will highlight a recent NIPT atypical sex chromosome result from our practice and review what this may and may not actually mean, and review why NIPT screening for SCA is actually VERY controversial with some potential ETHICAL concerns, with some countries recommending AGAINST ordering it. Lots to cover here….so listen in.

Pearls are considered synonymous with beauty and perfection. Pearls are coveted and considered valuable. In this month's podcast, Dr Thomas White shares "clinical pearls" gleaned from wise colleagues, pearls intended to help us be better clinicians in the exam room and at the bedside. You will find this episode to be both practical and inspiring. Listen, reflect, and add these to your "peripheral brain"! 

What do you do to manage chronic or stubborn SIJ pain in athletes?  In this episode, I share my personal framework and rehab approach to help you navigate tough cases in the clinic. If you're a sports PT and want the confidence to manage even the most complex SIJ pain case, this episode is perfect for you. Enjoy! _____________________________________ Are you a physical therapist or physiotherapist looking for tips, tools, and strategies to work with more athletes, become a sports specialist or get a job in a sports setting...so you can finally enjoy the career that you've always dreamed of? If so, you're in the right place...this podcast is for you. Your host is Dr. Chris Garcia, a physical therapist, business owner, entrepreneur, nationally recognized public speaker, and residency-trained sports specialist.  Dr. Chris Garcia, PT, DPT, SCS, CSCS, USAW has worked in professional sports and traveled around the world working with elite athletes throughout his career, and he's learned a lot of lessons along the way. He created this podcast to share his experiences and give you everything you need to know to help YOU become a successful clinician. Dr. Chris Garcia talks about everything from sports rehab and injury prevention to developing athletic performance and the path to getting your dream job...even if it is in professional sports. If you want to become a successful clinician so you can finally enjoy the career you've always dreamed of, visit www.DrChrisGarcia.com. LINKS: www.DrChrisGarcia.com www.Instagram.com/ChrisGarciaDPT www.Facebook.com/ChrisGarciaDPT ***DISCLAIMER: This content is for educational & informational use only and & does not constitute medical advice. The content is not intended to be a substitute for professional advice or medical recommendations, diagnosis, or treatment. Please consult with a qualified medical professional for proper evaluation & treatment, or beginning any exercises or activity in this content. Chris Garcia Academy, Inc. and The Sports PT Academy Podcast are not responsible for any harm caused by the use of this content.***

On this episode of Clinical Pearls, we are joined by UABSON Assistant Professor Dr. Lauren Mays, a Family Nurse Practitioner who maintains a clinic practice at the Well House. Lauren was recently awarded a 2023 Padma Award. The Padma Awards, sponsored by the UAB Commission on the Status of Women, shine a light on those who go above and beyond to persevere in support of underrepresented populations. In 2022, several international organizations worked together to highlight the impact of human trafficking in a report called Global Estimates of Modern Slavery. They estimate that in 2021, 27.6 million people around the world were in forced labor. Experts suggest that the impact of human trafficking can be difficult to measure due to the “hidden nature of the crime,” among other reasons. 

This is a new and special episode of Talk Dizzy To Me that we couldn't be more excited to share! Jeff Walter, PT, DPT, NCS is back to talk with Danielle Tolman, PT, DPT and Abbie Ross, PT, DPT, NCS about an awesome (and challenging) infrared video goggle video submitted by Dan Streeter, PT, DPT, COMT. This episode breaks down this one video, isolated just to this point in time. All of you vestibuloholics out there may be itching to hear about the whole case... but we're keeping it simple. Instead we take this video step by step to discuss the possibilities of what may be happening physiologically, and then discuss our clinical decision making for determining next steps. Our hope is that this episode helps to give clinicians different perspectives, as well as more confidence with tackling challenging cases. To say that this episode is loaded with Clinical Pearls would be an understatement! If you liked this episode, please be sure to let us know! We'll be sure to include more like this in the future if you feel that this type of content is valuable to you. Email Abbie@BalancingActRehab.com if you have a cool or challenging goggle video you'd like to share. You may just get your own episode! Episode Resources: TDTM Episode 2: Horizontal BPPV Case review ⁠https://youtu.be/D6Ye252TRcU?si=pTbeuLA_q7aXsD6A⁠ Want to watch Dan's video in full screen? Find our video supplement here: https://youtu.be/nGWvZqikrnk Where you can find Dan Streeter, PT, DPT, COMT: Website: www.carrollpt.com Bonus: See Dan's patient's incredible work with guitars here: https://snakehillstudio.com

In this episode, Mike Stewart covers some wonderful anecdotes and practical tips on how we can communicate better both verbally, non verbally and by playing with our consult structure. Want to learn more about communication? Mike Stewart has done a brilliant Masterclass with us, called “Know Pain: A practical guide to persistent pain therapy" where he goes further into depth about language, pain and communication.  You can watch his whole class now with our 7-day free trial: https://physio.network/masterclass-stewartMike is a physiotherapist, researcher and university lecturer with over twenty years experience of helping people to overcome pain. Mike is a dedicated practice-based educator who is passionate about providing evidence-based education to a wide variety of health professionals and his Know Pain courses have been taught in 17 countries. If you like the podcast, it would mean the world if you're happy to leave us a rating or a review. It really helps!Our host is Michael Rizk from Physio Network and iMoveU

Are you up to speed on rapid diagnostic testing for upper respiratory infections? Credit available for this activity expires: 7/27/2024 Earn Credit / Learning Objectives & Disclosures: https://www.medscape.org/viewarticle/994790?ecd=bdc_podcast_libsyn_mscpedu

In this episode we are joined by Cognitive Neurologist Dr Christopher Kyndt to discuss his top tips for diagnostic assessment of patients presenting to cognitive clinic.

The McCullough Report with Dr. Peter McCullough – Modern research indicates that acupuncture needles stimulate neuro-vascular nodes that in turn stimulate healing processes throughout the whole body, including increased blood flow to damaged areas, regulation of the hormone and endocrine systems, release of the pain relieving biochemicals such as...

The McCullough Report with Dr. Peter McCullough – Modern research indicates that acupuncture needles stimulate neuro-vascular nodes that in turn stimulate healing processes throughout the whole body, including increased blood flow to damaged areas, regulation of the hormone and endocrine systems, release of the pain relieving biochemicals such as...

Over the past decade, there's been about a 700% increase in the cases of congenital syphilis in the United States. That's 700%! Rates of congenital syphilis, meaning the number of cases for every 100,000 live births, are highest in the South and Southwest, in states such as Arizona, New Mexico, Louisiana, Mississippi and Texas. Individual states have seen increases that are even more astounding. From 2016 to 2021, cases shot up 3,300% in Mississippi, nearly 3,000% in Oklahoma, more than 2,200% in Hawaii, more than 1,800% in Washington, more than 1,600% in New Mexico, according to CDC data . "Clinical Pearls" has covered screening and diagnosis of maternal syphilis in past episodes; one past episode focused on the traditional and the now-favored reverse sequence algorithms. You can find that episode in our archives from July 03, 2022. Do you know what the CDC calls “inadequate treatment” for congenital syphilis prevention? Having recently had concern for a child born at high risk of congenital syphilis, in this episode we will focus on the vertical transmission of syphilis and congenital syphilis (CS) and provide several clinical pearls related to this subject.

Are you up to speed on diagnostic stewardship principles in your practice? Credit available for this activity expires: 6/13/24 Earn Credit / Learning Objectives & Disclosures: https://www.medscape.org/viewarticle/993066?ecd=bdc_podcast_libsyn_mscpedu

Special Guests and Podcast Partners:  Tori Arsenault, PharmD Brooke Barlow, PharmD Anthony Hawkins, PharmD, FCCM Sylvia Stefanos, PharmD 2023 Pharmacy to Dose Award Nomination Form: https://t.co/G4NfEEBFaS 03:30 – 2023 Pharmacy to Dose Awards Info 18:35 – Medical Social Media Tips/Tricks 43:55 – Picking a Topic for Residency Research Projects 69:30 – Teaching and Precepting at the Bedside PharmacyToDose.Com  @PharmacyToDose  PharmacyToDose@Gmail.com Learn more about your ad choices. Visit megaphone.fm/adchoices

Emergency Medicine Clinical Pearls and EMPoweRx Conference  Special Guest: Megan Rech, PharmD, MS, BCCCP, FCCM, FCCP   https://empowerx-conference.com https://rutgers.cloud-cme.com/course/courseoverview?P=0&EID=17157&formid=2931 https://empharmnet.org/ 03:35 – EMPoweRx Conference 12:28 – TXA in Epistaxis 21:40 – DDAVP in Antiplatelet-Associated ICH 34:47 – Awareness with Paralysis Reference List: https://pharmacytodose.files.wordpress.com/2023/03/em-pearls-references.pdf PharmacyToDose.Com  @PharmacyToDose  PharmacyToDose@Gmail.com Learn more about your ad choices. Visit megaphone.fm/adchoices