Hospital and Internal Medicine Podcast

Pulmonary Embolism - part 3 - Massive PE 29.08.2016 17:21 ↓

Understanding what causes hypotension in PE is essential to understanding the severity of the situation. The relevance of the stressed right ventricle is emphasized. Thrombolytic therapy for hypotension and other clinical scenarios resulting from pulmonary embolism are contemplated. 

Pulmonary Embolism - part 2 24.07.2016 15:33 ↓

The treatment challenges of subsegmental pulmonary embolism, with emphasis on the 2016 guidelines are reviewed. Ventilation/perfusion (V/Q) scan interpretations in those unable to get a CT scan are considered.

Pulmonary Embolism - part 1 03.06.2016 17:50 ↓

The topics covered are D-Dimer testing, false positive over-diagnosis of PE on CT scanning, the ADJUST-PE study, and clinical signs and symptoms of a pulmonary embolism.

The Healthcare Consumer in a Fictitious Market 26.05.2016 18:46 ↓

A commentary.

Iron Deficiency Anemia - part 3 15.05.2016 23:48 ↓

Various topics regarding intravenous iron are pondered, especially some of the new data available that has not yet seemed to obtain the influence that the information deserves.

Iron Deficiency Anemia - part 2 28.04.2016 16:44 ↓

This episode mostly centers around oral iron replacement.

Natriuretic Peptides in Congestive Heart Failure 14.01.2016 19:45 ↓

BNP use as a lab and therapeutic are discussed. The episode also explores the PARADIGM-HF trial and Neprilysin inhibition. The novel combination medication sacubitril/valsartan (Entresto) for systolic CHF is evaluated in depth. Clinical tips for avoiding angioedema and other clinical pearls are provided.

Healthcare Mergers and Acquisitions 08.12.2015 11:30 ↓

If you think the seismic shift in U.S. healthcare is all a result of the Affordable Care Act, you may not be seeing a large part of the picture. This has become an era of "BIG MEDICINE" and that phenomenon is increasing through mergers and acquisitions. Some of these mergers are strategic, while others are defensive. Practical advice on how doctors and companies can improve their chances of mergin...

Acute Pancreatitis (part 3) - Pseudocysts, Pain Control, and a few other pearls 01.10.2015 12:28 ↓

This episode offers some advice in thinking about the very difficult topic of pancreatic pseudocysts. Some philosophical waxing about pain control and some items not addressed in the previous episodes are also discussed. 

Acute Pancreatitis (part 2) - Severe Pancreatitis, Pancreatic Necrosis, Antibiotic & Surgical Considerations 23.08.2015 15:50 ↓

Imaging, fluid resuscitation, fine needle aspiration, determining sterile vs infected necrosis, and suggestions from the guidelines are discussed.

Acute Pancreatitis - part 1 29.07.2015 11:37 ↓

This episode addresses some of the debates regarding nutrition timing in acute pancreatitis. Methods such as nasogastric, nasojejunal, and oral feeding are compared.

Hypercalcemia Treatment 08.06.2015 13:18 ↓

Treatments that include hydration, cinacalcet, calcitonin, bisphosphonate, denosumab, and other options are reviewed.

Hyperparathyroidism - Hypercalcemia part 3 06.06.2015 19:28 ↓

Indications for parathyroidectomy, pre-operative localization issues, diagnosing hyperparathyroidism, and a brief summary of the guidelines are among the topics addressed in this episode.

Hypercalcemia - Clinical Symptoms and Diagnostic Testing 31.03.2015 14:12 ↓

Special attention is paid to gastrointestinal, bone, and cardiovascular disease as a result of hypercalcemia. Laboratory interpretation of calcium and phosphorus levels is also discussed.

Pneumonia- part 3- Legionella & Pseudomonas 18.06.2014 21:18 ↓

Pseudomonas aeruginosa and Legionella pneumophila bacterial lower respiratory tract disease are explored in depth.