Hospital and Internal Medicine Podcast
von Gil Porat, M.D., FACP, CPT
- unregelmäßigErscheinungsrhythmus
- 11 mintypische Länge
- gesternletzte Folge
Folgenzu den neuesten
Urine Drug Testing - Misinterpretation is Very Common
You know all those people on social media wanting mandatory drug testing for welfare recipients? Perhaps, reasonable in theory, if the test wasn't frequently producing false-positives and false-negatives. Making accurate clinical decisions
Internal Medicine Pearls #3
A look at some new data: COPD and Oxygen use - low serum creatinine levels - BMI considerations - the RDW - the age of blood.
Renal and Ureteral Stones (Nephrolithiasis - Kidney Stones) - part 4
Oxalate intake reduction, thiazide diuretics, and tamsulosin are some of the therapies discussed in this lecture.
Renal and Ureteral Stones (Nephrolithiasis - Kidney Stones) - part 3
Stone analysis, labs, calcium & fluid intake, sodium in the diet, and beverage choices.
Renal and Ureteral Stones (Nephrolithiasis - Kidney Stones) - part 2
A few words about the proximal ureter, I.V. Fluids, colic, and hematuria.
Renal and Ureteral Stones (Nephrolithiasis - Kidney Stones) - part 1
This episode discusses symptoms, the importance of size, and a few other pearls.
Part 4 of Muscle and Strength Gaining Tips for Men, Women, Bodybuilders, and Beginners
Lifestyle, carbohydrates, protein, and eccentric weight training are part of the focus of this sermon.
Part 3 of Muscle and Strength Gaining Tips for Men, Women, Bodybuilders, and Beginners
This episode is part philosophy, part motivation, and a discussion of some traps men and women get caught in.
Pulmonary Embolism - Part 4
The use of Inferior Vena Cava (IVC) filters and the length of anticoagulation in unprovoked DVT/PE are considered. A rant about hyper-coagulable panels in provoked DVT/PE is opined.
Pulmonary Embolism - part 3 - Massive PE
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 resultin
Pulmonary Embolism - part 2
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
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.
Iron Deficiency Anemia - part 3
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.
Natriuretic Peptides in Congestive Heart Failure
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 tip
Healthcare Mergers and Acquisitions
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
Acute Pancreatitis (part 3) - Pseudocysts, Pain Control, and a few other pearls
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
Imaging, fluid resuscitation, fine needle aspiration, determining sterile vs infected necrosis, and suggestions from the guidelines are discussed.
Acute Pancreatitis - part 1
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
Treatments that include hydration, cinacalcet, calcitonin, bisphosphonate, denosumab, and other options are reviewed.
