Rio Bravo qWeek

Progeria is a rare disease that causes premature aging in childhood; the FODMAP diet is explained as a treatment for IBS; J&J vaccine restarted; Question of the month: Fever and Cough. Introduction: Low FODMAP Diet and J&J COVID Vaccine is back.   By P. Eresha Perera, MS3, and Sherika Adams, MS3. Today is May 10, 2021. Irritable Bowel Syndrome.  Patients with IBS frequently have other conditions s...

Jaime Perales, PhD, presents statistics, screening tools and useful resources for primary care providers for Alzheimer’s disease. The KIDs list is presented. Question of the month: Fever and Cough. Introduction: KIDs List and Cognitive Impairment in the Elderly By Hector Arreaza, MD Today is May 3, 2021.   In family medicine, we believe in caring for patients “from the cradle to the grave.” During...

Episode 49: Dementia in Primary Care.  Dr Ryan Townley explains what to do when a patient reports “memory problems”, including labs, imaging, and more. Question of the month: Fever and Cough. Introduction: Dementia By Hector Arreaza, MD Today is April 26, 2021. Dementia is an umbrella term that includes many conditions that have in common a cognitive decline affecting ADLs. It is an acquired condi...

Episode 48: Acute Low Back Pain.  Stephanie and Veronica explain common causes of acute low back pain, including lumbar strain, disc herniation, and spondylosis; spontaneous human combustion; question of the month about pneumonia.  Introduction: Spontaneous Human Combustion By Hector Arreaza, MD Today is April 19, 2021.   I’ve been trying to keep this podcast very academic and clinically relevant,...

Episode 47: Hearing Carotid Lung.   Dr Civelli explains the updates on screening for lung cancer, hearing loss and carotid artery stenosis; Kafiya explains the use of bupropion and naltrexone in methamphetamine abuse, question of the month pneumonia. Introduction: Methamphetamine use By Kafiya Arte, MS4, and Ariana Lundquist, MD. Today is April 12, 2021. Bakersfield, California, has a methamphetam...

Hepatic encephalopathy basics, disseminated gonococcal infections, polyarthralgia question winner, jokes. Today is March 29, 2021. On December 23, 2020, the California Department of Public Health (CDPH) sent a “Dear Colleague” letter because of the increasing reports of disseminated gonococcal infections (DGI). Today, we want to share with you parts of that letter.  CDPH is working with local heal...

Episode 45: Osteoporosis Update.  Dr Linares (endocrinologist) explains the basics of screening and treatment of osteoporosis, referring frequently to the updated guidelines of osteoporosis by AACE and ACE (2020). A new group of residents is introduced.  Congratulations to our new group of residents:  Amelia Martinez Lopez, Amardeep Singh Chetha, Cecilia Selena Covenas, Funmilayo Helen Idemudia, L...

Episode 44: Diabetic Retinopathy.  Dr Carranza explains the effect of diabetes on the retina, domestic abuse among female doctors, jokes. Today is March 15, 2021. Domestic Abuse among Female Doctors There are topics which are very sensitive, but we need to talk about them. Such is the case of domestic abuse among doctors. Do you know what is the most important risk factor to be a victim of domesti...

Episode 43: Testicular Cancer.  Testicular cancer screening and diagnosis (basics), chlorthalidone vs hydrochlorothiazide, and jokes. Today is March 8, 2021.  For many years, we have heard about the superiority of chlorthalidone over hydrochlorothiazide to control hypertension, but in clinical practice, hydrochlorothiazide is prescribed more often as the initial therapy for most patients with hype...

Episode 42: Baker’s Cyst. What is a Baker’s cyst and how to treat it? Alzheimer’s disease may be linked to sleeping pills, polyarthalgia question.  Today is March 1, 2021. Arreaza: Spring season is here! A renewal of life and a renewal of hope in the future, and for some, a renewal of allergies. But we will not talk about allergies in our intro today, we will talk about dementia. Civelli: Research...

Episode 41: Otitis Media. Diagnosis and treatment of acute otitis media in children, when to avoid antibiotics, use of short course of antibiotics, question of the week about polyarthralgia and fatigue. Today is February 22, 2021.   Question of the Month   by Claudia Carranza   A 49-year-old female comes to clinic reporting bilateral wrist and ankle pain for 1 month. The pain is worse with movemen...

Episode 40: Emotional Support Animals. Service Animals vs Emotional Support Animals, meet Ronica and Fred, HTN medications at night, jokes about being 40.  Today is February 15, 2021. We hope you had a beautiful Valentine’s Day. Today I’d like to share some information that may be not so new anymore, but for some people it may be new. It’s about hypertension chronotherapy. An article published in...

Episode 40: Erectile Dysfunction Basics.  Erectile dysfunction fundamentals, allergy to penicillin label removal, jokes Today is February 5, 2021.   Question of the month: Diabetes management This is a reminder of our question for this month. Please answer before Feb 15, 2021. The best answer will receive a prize. Question: What is the first treatment approach for type 2 DM? For example, for a pat...

Episode 38: Menopause Tips.  Asthma treatment update, menopause tips, MMR associated fever and seizures. Today is January 25, 2021. Updates on asthma : As you know asthma is a significant burden for our healthcare system, and for the most part it is not preventable nor curable, but advances in management have changed many patient’s lives over the last 40 years. On our episode 27, we mentioned the...

Episode 37: Honey in Medicine.  Smoking cessation update. Honey in medicine. Uses, precautions, honey-related terms. Macroglossia and presbycusis are defined. Jokes about honey.  Today is January 15, 2021.  The American Thoracic Society approved a clinical practice guideline regarding pharmacologic treatment of tobacco dependence in adults. This guideline was published in May 2020 in the American...

Episode 36: Birth Control and HTN.   Gonorrhea treatment update. Use of birth control in hypertension. Explanation of allodynia and hyperalgesia. Tips on contraceptives. Jokes. HAPPY NEW YEARS EVERYONE! Welcome to our first episode of 2021. We are full of hope and optimism for this new year, even though this year is looking just the same so far. Outdated treatment for gonorrhea: Ceftriaxone 250 mg...

Episode 35: Palliative Care and Hospice.  COVID-19 vaccines and USPSTF recommendations. Palliative care and hospice briefly explained by Dr Tu. Pyogenic granuloma is defined. Feliz Navidad, and jokes.   Hepatitis B screening in adolescents and adults First, on December 15, 2020, the USPSTF recommended to offer screening for Hepatitis B virus infection to all adolescents and adults at increased ris...

Bonus Episode: Our History.   Listen to some of the founders of the program as they share memories, dreams, anecdotes and vision for the Rio Bravo Family Residency Program. End of Season 1.   The sun rises over the San Joaquin Valley, California, today is November 6, 2020. The 2021 Match season is in full development. We have reviewed many applications and interviews will begin this coming week. W...

Episode 33: The Flu.  Saba and Dr Arreaza gave us a brief review on the flu shot. Influenza vaccination starts at 6 months of age. Vaccinate everyone including pregnant women. Pectoriloquy is basically being able to understand the voice of a patient with a stethoscope placed on their chest. We learned the Spanish word gripe (gree-pay) which means cold and flu in Spanish.  The sun rises over the Sa...

Episode 32: Vertigo The sun rises over the San Joaquin Valley, California, today is October 20, 2020.It’s time to talk about vaccines again. The ACIP (Advisory Committee on Immunization Practices) posted new recommendations for meningococcal vaccinations on September 25, 2020.  There are two kinds of meningococcal vaccines in the US:  1. Meningococcal conjugate or MenACWY vaccines (Menactra®, Menv...

  The sun rises over the San Joaquin Valley, California, today is October 9, 2020.  About one year ago, the American Thoracic Society and Infectious Diseases Society of America issued an official clinical practice guideline regarding the diagnosis and treatment of adults with community acquired pneumonia (CAP).  There you can find the answer to 16 common questions about CAP in adults. For example,...

Episode 30: Street Medicine Basics The sun rises over the San Joaquin Valley, California, today is October 2nd, 2020. I have two sneaky children who are always trying to hide during the week to play video games. Well, I read an article that gave some relief to my worried mind about the benefits of videogames. The article was published in 2007, titled “The Impact of Video Games on Training Surgeons...

Episode 29: OSA with Clau. Obstructive sleep apnea (OSA) can be confused with ADHD in pediatric patients. Dr Carranza explains how to work up and treat OSA in kids. Listen to several adventitious breath sounds as explained by Xeng, and learn what Dormir means. Cruel joke about thalidomide. Contest: Define mittleschmerz. The sun rises over the San Joaquin Valley, California, today is September 25,...

Episode 28: Anisocoria The sun rises over the San Joaquin Valley, California, today is September 18, 2020. Welcome to our “student-only” episode. Out of all the social determinants of health, the USPSTF recommends screening for intimate partner violence and for child maltreatment[1]. Today, we would like to dedicate a few minutes to intimate partner violence (IPV) in women.  Screening for IPV is a...

Episode 27: POCUS   The sun rises over the San Joaquin Valley, California, today is September 11, 2020 .  Today we honor those who lost their lives during the deadliest terrorist attacks in the history of the world, which happened in 2001. Today, nineteen years later, there are many tears to wipe off, hearts to comfort, and many unanswered questions. Our fight against evil is still unfolding, espe...