Louisville Lectures Internal Medicine Lecture Series Podcast

Dr. Hiram Rivas Perez presents COPD by first discussing pulmonary function tests, the epidemiology and pathophysiology of COPD, and its diagnosis. He then discusses management from stable COPD to COPD exacerbation as well as additional therapies and lung cancer screening.   Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end...

Dr. Luis S. Marsano presents Upper Gastrointestinal Hemorrhage by first discussing acute upper non-variceal bleeding. He then explains the signs and causes of GI bleeding as well as initial management.  After, he talks about different endoscopies, medical therapy, and indications for surgery.   Some items in this lecture may have come from the lecturer’s personal academic files or have been cited...

In this presentation, Dr. Mitchell discusses discharge-related risks, appropriateness for discharge, and elements of the discharge process.  Dr. Mitchell emphasizes that dangerous events happen commonly, involving medications, test results, and poor communication and/or follow-ups. However, with a clear understanding for the process, these are mostly preventable.   Some items in this lecture may h...

In this lecture, Dr. Padmini Moffett presents Genitourinary Cancers with a quick overview on the different types of cancer like prostate cancer, renal cell carcinoma, bladder cancer, and testicular cancer as well as the risk factors for these types of cancers. After, she discusses diagnosis and concludes with treatment and risk factors involved with each treatment method. Some items in this lectur...

Dr. Lorrel Brown discusses the Hypertensive Crisis by first defining hypertension. She then defines hypertensive crisis as having severely elevated blood pressure with end-organ damage. After, she discusses the pathophysiology of end organ damage along with the different treatment approaches for hypertensive crisis. Finally, she finishes her presentation with a few case reports. Some items in this...

Dr. Stephen Winters presents the hypothalamus and pituitary by first presenting the clinical manifestations of pituitary disease. He then discusses various cases as well has treatment and management of each disorder. Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation pa...

In this presentation, Dr. Betty Villafuerte discusses complications-based approaches to guide treatment modality of obesity. She them reviews treatment guidelines on lifestyle modifications and the use of pharmacotherapy in managing obesity. Finally, she examines the role of meal frequency, meal timing, lifestyle behavior, and intelligence on obesity. Some items in this lecture may have come from...

In this presentation, Dr. Hugh Shoff presents Healthcare Quality and Safety by first explaining its history and importance. He then discusses the goals of physicians and how they can achieve those goals through patient safety as well as quality improvement and methods. After, he concludes with a case example. Some items in this lecture may have come from the lecturer’s personal academic files or h...

"Controlling Multi-Drug Resistant Bacteria in the Healthcare Setting: The Role of the Hospital Epidemiologist" with Dr. Forest W. Arnold. In this presentation, Dr. Arnold covers the MDR control program as well as strategies to prevent and manage MDR. Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For mor...

Dear Friends and Colleagues, We here at Louisville Lectures are excited to share a new project with you that has been nearly two years in the making. When working with our incoming residents on procedure training, we noted that there were no resources that fit our needs precisely. We set about trying to define what the ideal training resource would look like. This included a first person perspecti...

Louisville Lectures creator Dr. Michael Burk presents "Breaking Bad News and Difficult Decisions" to emphasize the importance of thinking carefully before delivering "bad news" to patients. With the use of case reports and group discussions, Dr. Burk explains how physicians can use empathy, patience, and planning, be the most effective and kind during these difficult discussions. Some items in thi...

In this lecture, Dr. El-Kersh discusses the classification of Pulmonary Hypertension as well as the definition of Pulmonary Arterial Hypertension. He then discusses the pathophysiology, pathology, diagnosis, treatment and prognosis of Pulmonary Arterial Hypertension. Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the...

Dr. Eric Burton explains brain tumors in this presentation about CNS tumors, common gliomas, histological classification of tumors and the epidemiolgy of primary brain and CNS tumors. He also discusses the general signs and symptoms of increased intracranial pressure as well as focal cerebral syndromes. After presenting various treatment plans, Dr. Burton talks through survival rates along with ho...

Dr. Martin Brown presents ALS and other motor neuron diseases by first reviewing their history and clinical course. He then discusses the diagnostic workup and efforts to find anything instead of ALS and finally ends his presentation with a discussion on the standard of care and the multidisciplinary ALS clinic. Some items in this lecture may have come from the lecturer’s personal academic files o...

Dr. Shah presents Acute CVA by first explaining how to evaluate a stroke patient, define a stroke and TIA as well as stroke epidemiology.  He then discusses the concept of penumbra along with vascular anatomy and pathogenesis. After talking through the risk factors and classifying Ischemic stroke, Dr. Shah finishes with the signs and symptoms of a stroke.  Some items in this lecture may have come...

Dr. Nathan Spell presents "Transparency with Information and Disclosure of Medical Errors" by first explaining the rationale for disclosure of medical errors to patients and/or families along with how to relate the patient's perspective on transparency of information about errors and unexpected events. He then describes the emotions experienced by health care professionals and patients when discus...

Dr. Sager presents Delirium and how common it is through various statistics before explaining the Delirium DSM- 5 Criteria. He then discusses the many paths that lead to the development of Delirium and why that makes it so difficult to treat as well as the diagnosis of Delirium and the different risk factors involved like dementia, immobility, sensory impairment, etc. While treatment is hard to co...

Dr. Mokshagundam presents Lipid Disorders by going over basic aspects of lipoprotein transport and metabolism and how it can be problematic. He then discusses the recommendations for managing lipid disorders. Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page. Disc...

In a discussion with listeners, Dr. Sager through Bipolar Disorder by first explaining the DSM Criteria from Manic Episodes to Bipolar Depression. Dr. Sager presents how to diagnose Bipolar Disorder as well as the different treatments and how to make an educated decision for when to begin treatment based on the individual patient. Some items in this lecture may have come from the lecturer’s person...

Dr. Churchwell takes listeners on a journey through different mentors he has had throughout his life beginning with his childhood to his current career. With each mentor, he provides insight to their character and teaching methods specific to how they learned things themselves. Dr. Churchwell emphasizes the care each of his mentors had to their patients and friends and how their intelligence was t...

Dr. LaFaver presents Movement Disorders by first explaining the spectrum of hyperkinetic movement disorders from myoclonus to dystonia and how their movements differ among them as well as what movements are classified between hypokinetic and hyperkinetic movements. She then explains the phenomenology of movements and how to describe them before going into detail about the differences between Parki...

Eric Baker presents Physician Burnout by first discussing burnout in terms of psychology from occupational burnout to job burnout. He then explains statistics involved with physician burnout through various graphs and charts comparing different scenarios from med students and residents compared to the general population as well as how burnout differs between physicians. Some items in this lecture...

Dr. Lorrel Brown presents Aortic Stenosis by first describing how medicine cannot fix a mechanical problem. She then describes the symptoms of aortic stenosis along with the mainstays of treatment: diuresis, after load reduction, and avoiding hemoydynamic shifts. Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lec...

In this lecture, Dr. Moore presents Vasculitis. He begins by giving a broad and simple definition of vasculitis before moving on to different cases. He then goes on to discuss various types of vasculitis from large-vessel vasculitis to small-vessel vasculitis. Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lectur...

Dr. Perez presents sarcoidosis by first taking listeners along the case of a healthy 28 year old nonsmoker with two months of having a dry cough, bilateral ankle pain, no fever and no rashes with normal exams. He then begins to explain and compare the different signs for sarcoidosis and how they may instead be a link to other diseases. Some items in this lecture may have come from the lecturer’s p...