Louisville Lectures Internal Medicine Lecture Series Podcast

In this lecture, Dr. Ruth Carrico discusses Quality and Performance Improvement as a research topic. She covers design approaches specific to QI projects, specifically in comparison to clinical research.  She then discusses how to interpret the results and make changes that result in performance improvement.   Some items in this lecture may have come from the lecturer’s personal academic files or...

In this lecture, Dr. Paula Peyrani discusses where research questions come from and what makes a good research question. She covers designing a study including selecting the appropriate type of study for your research question.   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 ou...

This is the first lecture in a research lecture series (initially provided as a symposium by the University of Louisville Division of Infectious Diseases). He then covers important principles regarding conducting research in a university setting from the initial clinical question to publication and establishing a database for continuing research.

In an update of his popular lecture, Dr. Luis Marsano delves into providing adequate nutrition for patients with cirrhosis to prevent hepatic encephalopathy and alcoholic hepatitis. He also addresses minimizing morbidity; including preventing refractory ascites and hepatorenal syndrome and spontaneous bacterial peritonitis prevention.

Dr. Zachary Sager takes the time to discuss when (and how) to screen for depression including various tools. He then delves into how to assess risk and proposes a practical algorithm-approach to treatment options.    

As we celebrate our 100th lecture and the certification of many of our lectures as worthy of  CME , we want to ask our viewers and listeners to take a step back with us and reflect on what is possible if we forget to imagine the impossible.  Dr. Roman takes us on a journey exploring the life of a man who changed pulmonary medicine in the 20th century. A story of an ordinary man, with extraordinary...

In this lecture, Dr. Craig McClain discusses the pathogenesis of alcoholic liver disease, treatment, and patient cases. Dr. McClain uses his expertise in nutrition to discuss risk factors and advanced pathophysiology that predispose patients to excess harm from alcohol. He closes with a focus on where the research on treatment is and what the most recent evidence tells us about how we might improv...

In this lecture Dr. Raghuram takes a look at traditional and new definitions of FUOs as well as a practical algorithm for their workup. She takes a comprehensive look at common non-infectious causes including often used drugs that can produce fevers in patients. Dr. Raghuram finishes with several cases presented in a board review style and walks through her thought process with evaluating the ques...

In this case-based lecture, Dr. Krishansamy walks through several real-life examples of patients and their indications for novel treatments for diabetes with a focus on mechanisms of action. Included in this lecture is an overview and update on the American Diabetes Association (ADA) guidelines and European Association for the Study of Diabetes (EASD). Finally, she takes a look at new technology t...

Dr. Frederick Rosenblum covers a series of pulmonology cases from basic pulmonary diagnoses to cases masquerading as pulmonary and pulmonary cerebral syndromes. This is a fast-paced, clinically-relevant lecture!   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....

In this lecture, Dr. Lorrel Brown takes time to discuss the indications, mechanics, and physiology of mechanical circulatory support. She provides a great introduction for internists to some of the most advanced ICU therapies. Dr. Lorrel Brown covers evidence and indications for various modalities like IABP (intra-aortic balloon pump), ECMO (extracorporeal membrane oxygenation), and percutaneous V...

In this case-based lecture, Dr. Brittany Chapman discusses differential diagnosis for seizure-like events, diagnostic workup, seizure classification and epilepsy treatments. She also delves into comorbidities and long term epilepsy prognosis.   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 info...

In this concise talk, Dr. Jan Basile covers resistant hypertension including 24-hour ambulatory measurements, workup for secondary causes and evidence for pharmacologic treatments.   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. Disclaimers

In this lecture, Dr. Mitchell discusses the etiology, evaluation, and workup of syncope in different age groups. She goes on to further discuss a guidelines based approach to diagnosis and pursuit of treatment options (including discharge to home, when appropriate).   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 th...

Rebecca Redman presents GI cancers from the perspective of a general internist. She covers workup of gastrointestinal cancers, the differences between curative and palliative treatment, and types of treatment. She spends a great deal of time on colorectal cancer then discusses esophageal and gastric cancers, hepatocellular carcinoma, pancreatic cancer and GI neuroendocrine tumors.   Some items in...

Dr. Lori Earnshaw covers how to conduct a clear, effective discussion of DNR including indications and outcomes of CPR and how to approach conflicts about code status in a case-based method.   Clips during this lecture are used with the express permission of HBO and HBO Films, we are appreciative of their generosity in allowing their use for educational purposes. Some items in this lecture may hav...

Dr. Russ Farmer uses MS Paint to cover basic concepts of colon cancer including epidemiology and clinical decision making (chemo and surgery options).  He cements the topics by emphasizing visual points. 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. You may...

In this lecture, Dr. Mitchell discusses the process of discharge and the surprising complexities that surround getting a patient home safely and with information that they and their primary care physician can understand. She addresses the overall Medicare re-admission statistics in the US and ways that systems based medicine projects could be undertaken to improve patient care.   Some items in thi...

In this action-packed lecture, Dr. Lorrel Brown covers ACS basics: coronary perfusion, types of myocardial infarction, and how to diagnose MI using history exam and EKG findings. She reviews ACS risk scores, acute treatment of ACS and some common pitfalls.   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....

In this lecture, Dr. Rosenblum discusses the evidence, indications, and contraindications for non-invasive ventilatory support. Dr. Rosenblum is an Assistant Professor in the Department of Medicine. He works at the Louisville VA Medical Center in the department of Pulmonology and Critical Care. Some items in this lecture may have come from the lecturer’s personal academic files or have been cited...

Dr. Raghuram review common rickettsial diseases (Rocky Mountain Spotted Fever,  Typhus, Mediterranean Spotted Fever, African Tick Bite Fever,  and less common species) with a focus on board review. She delves into geography, vectors and pathophysiology of these diseases as well as discussing common look-a-like diseases.

In this lecture, Dr. Umair Gauhar reviews pleural anatomy, normal characteristics of pleural effusion and epidemiology of pleural effusions. He then delves into a thorough discussion of parapneumonic effusions (including various classification schemas) as well as treatment options both empiric antibiotic regimens and a comprehensive discussion thoracentesis. This is a must watch lecture for pulmon...

Dr. Umair Gauhar discusses pleural fluid pressure, characteristics, epidemiology and pathophysiology of effusion. He spends a great deal of time teaching the approach to pleural effusion anatomy.  This talk is background for Part Two which covers more of the clinical causes of non-malignant pleural effusion.   Some items in this lecture may have come from the lecturer’s personal academic files or...

Dr. Daniela Neamtu covers the main principles of geriatrics including polypharmacy: she reviews differences in pharmacology in older adults, demystifies the Beers criteria, discusses the ACOVE project and common sources of medical errors.   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 informat...

Dr. Gerry Lee highlights important differences between allergic and non-allergic rhinosinusitis and emphasizes how to evaluate and treat the presentation of rhinitis. He discusses when to refer patients with rhinitis to allergists and how to recognize relationships between upper and lower airway diseases.