Osteoarthritis
Play • 28 min
In this podcast, Dr Kevin Barrett talks to Dr Danny Murphy about osteoarthritis (OA) and how to diagnose and manage the condition in primary care. They also discuss what can be done to help patients who have been diagnosed and the useful resources available to support them. 

Financial support for the design and development of this Osteoarthritis Learning Hub is provided by Pfizer Ltd as a Medical and Educational Goods and Services grant, an arm’s length educational grant. Pfizer has had no involvement in the content.
InsideTheBoards for the USMLE, COMLEX & Medical School
InsideTheBoards for the USMLE, COMLEX & Medical School
InsideTheBoards
Health Systems Science | Healthcare Safety and Teams With Dr. Vinny Arora and Dr. Chase Corvin
Today’s guests are Dr. Vinny Arora (@FutureDocs) and Chase Corvin (@ChaseCorvin) from the University of Chicago. Dr. Vineet Arora is the Herbert T. Abelson Professor of Medicine at the University of Chicago Medicine. As Associate Chief Medical Officer for the Clinical Learning Environment, she bridges education and clinical leadership to engage trainees and staff into the institutional quality, safety, and value mission. She is an elected member of the National Academy of Medicine whose work improving care and learning in teaching hospitals has been funded by NIH, AHRQ and the Macy Foundation, and has been cited over 10,000 times. Dr. Chase Corvin is a general surgery resident at the University of Chicago Medicine. In addition to his medical training, Dr. Corvin has degrees in economics and business administration. He is currently completing two years of dedicated research and collaborating separately with the University of Chicago Booth School of Business and the Federal Aviation Administration’s Air Traffic Organization to study quality improvement and efficiency within high reliability organizations. He also studies methods for improving interprofessional teaming within healthcare. “Prior to the COVID-19 pandemic, our institution has aimed to improve interdisciplinary teaming in the care of our patients by increasing face-to-face communication between nursing and physicians/advanced practice providers. By engineering a standard communication console in patient rooms to display a novel MD/APP-in-Room button, physicians messaged nursing staff when they were at the bedside. After successful implementation on a pilot unit with improvements in length of stay and patient experience, we scaled up the implementation hospital-wide to address interprofessional communication challenges that occurred as a result of the COVID-19 pandemic. We present our findings that this innovation has had on our efficiency and collaboration in patient care as well as the challenges to interprofessional communication in a pandemic. Our work in hospital-wide implementation is ongoing, but we are seeing promising results similar to what we previously saw on our pilot-unit.” Sections from this episode include: Developing the “MD/APP In Room” button to improve patient experience and strengthen team communication How medical students can be better utilized and integrated into healthcare teams The importance of health systems science and using it to identify and remedy inefficiencies within healthcare teams With support from Elsevier, and produced in collaboration with the American Medical Association, the HSS series seeks to broaden students’ understanding of the nature of medicine, medical education, and what separates them from other human endeavors. Medicine is not a “pure science,” a kind of “applied biology.” Rather, it is fundamentally an art that uses science. As a discipline, Health Systems Science considers those ideas and concepts which are integral to medicine as a profession but don’t fall under the domain of the clinical or basic sciences. The National Board of Medical Examiners includes HSS topics in its USMLE Content Outline and even offers a dedicated Health Systems Science subject examination. Each episode of this series will include on-the-go learning with practice exam questions explained by expert guests.  This series is sponsored by Panacea Financial: Banking Built for Doctors, by Doctors. ITB and Panacea share a common goal which is to make med school better. Panacea Financial is designed to handle the unique situation of medical students. We hope you will check them out to see how they can make your life easier. Learn more about the series and view the content outline on the ITB website. https://insidetheboards.com/Health-Systems-Science/. You can also listen to episodes in the ITB app organized into an HSS Playlist.
1 hr 4 min
Cardionerds: A Cardiology Podcast
Cardionerds: A Cardiology Podcast
CardioNerds
103. Case Report: A Rare Cause of Postpartum Angina and Arrest – University of Maryland
CardioNerds (Amit Goyal & Daniel Ambinder) join University of Maryland cardiology fellows (Manu Mysore, Adam Zviman, and Scott Butler) for some cardiology and an Orioles game in Baltimore! They discuss a rare cause of postpartum angina and cardiac arrest due to coronary vasculitis. Program director Dr. Mukta Srivastava provides the E-CPR expert segment and a message for applicants. Episode notes were developed by Johns Hopkins internal medicine resident Rick Ferraro with mentorship from University of Maryland cardiology fellow Karan Desai. This case has been published in JACC Case Reports! Collect free CME/MOC credit just for enjoying this episode! Jump to: Patient summary - Case media - Case teaching - References Episode graphic by Dr. Carine Hamo Support our educational mission by becoming a Patron!Cardiology Programs Twitter Group created by Dr. Nosheen Reza CardioNerds Case Reports PageCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron! Patient Summary A woman in her early 30s with a past medical history of Hashimoto's thyroiditis and one prior miscarriage at <8 weeks presented with chest pain about 6 weeks postpartum from the birth of her third child. In the ED, she continued to report intermittent sharp chest discomfort and found to have a diastolic decrescendo murmur at the left upper sternal border and labs demonstrating a troponin-I of 0.07 ng/dL. Join the UMD Cardionerds for the incredible course and story of this young patient as we go through the differentia and approach to postpartum chest pain and ultimately arrive in a very rare diagnosis!   For a detailed course, enjoy the JACC case report. Case Media Visit the JACC Case Reports to review the case media! Episode Schematics & Teaching The CardioNerds 5! – 5 major takeaways from the #CNCR case 1. How Do We Evaluate Chest Pain in Younger Patients  Start with the same things as everyone else!  Think broadly about the big three concerning etiologies of chest pain: Cardiac, Gastric, and Pulmonary (The excellent Clinical Problems Solvers 4+2+2 construct here is always a great resource. Find them at: https://clinicalproblemsolving.com/dx-schema-chest-pain/).   Of course it is important to think about non-life threatening etiologies as well – esophageal spasm, gastric ulcer, rib fracture, skin lesion, among many others - given that high-risk chest pain is less likely in younger adults.  While less common, acute coronary syndrome is not uncommon in young patients, as 23% of patients with MI present at age <55 years.   2. What About Chest Pain in Women?   As has been discussed on the Cardionerds podcast (Listen to episodes with Dr. Nanette Wenger, Dr Martha Gulati, and Dr. Leslie Cho), women generally present with acute coronary syndrome at a later age, with a higher burden of risk factors than men, and with greater symptom burden but are less likely to be treated with guideline-directed medical therapies, undergo cardiac catheterization and receive timely reperfusion. In one study of young patients with acute MI, women – 19% of cases overall – were less likely to undergo revascularization or receive guideline-directed therapy The construct of classifying chest pain as "typical" and "atypical" likely leads to misdiagnosis or delayed diagnosis of acute myocardial infarction in women. Rather, it is important to recognize that while symptoms may not be "typical" for angina, coronary disease can manifest in many different ways.  While many women will presents with chest pain suggestive of angina, women are more likely than men to present with dyspnea, indigestion, weakness, nausea/vomiting and/or fatigue. Note, shoulder pain and arm pain are twice as predictive of an acute myocardial infarction diagnosis in women compared with men.  Furthermore,
52 min
This Week in Cardiology
This Week in Cardiology
Medscape
Feb 26, 2021 This Week in Cardiology Podcast
Risk factors for COVID-19, CMR after COVID-19, and two important obesity studies are discussed in this week’s podcast. To read a partial transcript or to comment https://www.medscape.com/index/twic Cardiometabolic Conditions and COVID19 Most Severe COVID Tied to Four Cardiometabolic Conditions https://www.medscape.com/viewarticle/946488 Coronavirus Disease 2019 Hospitalizations Attributable to Cardiometabolic Conditions in the United States: A Comparative Risk Assessment Analysis https://www.ahajournals.org/doi/10.1161/JAHA.120.019259 CMR after COVID19 Myocardial Injury Seen on MRI in 54% of Recovered COVID https://www.medscape.com/viewarticle/946287 Patterns of myocardial injury in recovered troponin-positive COVID-19 patients assessed by cardiovascular magnetic resonance https://doi.org/10.1093/eurheartj/ehab075 Obesity Trials Semaglutide for Weight Loss? A Good First STEP, With Caveats https://www.medscape.com/viewarticle/945630 Once-Weekly Semaglutide in Adults with Overweight or Obesity https://www.nejm.org/doi/full/10.1056/NEJMoa2032183 Major Breakthrough in Weight Loss With Semaglutide? https://www.medscape.com/viewarticle/940841 Effect of Subcutaneous Semaglutide vs Placebo as an Adjunct to Intensive Behavioral Therapy on Body Weight in Adults With Overweight or Obesity https://jamanetwork.com/journals/jama/fullarticle/2777025 Features Fired for Good Judgment a Sign of Physicians' Lost Respect https://www.medscape.com/viewarticle/946286 A Tribute to Bernard Lown https://www.medscape.com/viewarticle/946447 You may also like: Medscape editor-in-chief Eric Topol, MD, and master storyteller and clinician Abraham Verghese, MD, on Medicine and the Machine https://www.medscape.com/features/public/machine The Bob Harrington Show with Stanford University Chair of Medicine, Robert A. Harrington, MD. https://www.medscape.com/author/bob-harrington Questions or feedback, please contact news@medscape.net
20 min
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