Mayo Clinic Talks
Mayo Clinic Talks
Oct 20, 2020
Allergies and Anaphylaxis
21 min

Guest: James T C Li, M.D., Ph.D. (@jameslimd

Host: Darryl S. Chutka, M.D. (@ChutkaMD

The topic of anaphylaxis is reviewed including its causes, management and potential complications by James T C Li, M.D., Ph.D., an allergist from the Division of Allergic Disease from the Mayo Clinic. Specific topics discussed include the following:

  • Truths vs. myths regarding anaphylaxis 
  • Common manifestations and presentations of anaphylaxis 
  • Triggers which more commonly produce an anaphylactic reaction 
  • Anaphylaxis in patients without a history of allergies 
  • When to use antihistamines in treating an allergic reaction 
  • When and how to prescribe epinephrine in treating patients with a history of allergic reactions 
  • Issues related to epinephrine auto-injectors 
  • Natural history of allergies over time 
  • Developments in peanut allergies 
  • Management of an anaphylactic reaction 

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd

The Curbsiders Internal Medicine Podcast
The Curbsiders Internal Medicine Podcast
The Curbsiders
#244 Vulvovaginitis for All Ages with Dr. Monica Christmas
Everything you need to know about vulvovaginitis: candidiasis, bacterial vaginosis, and Genitourinary Syndrome of Menopause. Join us on the journey of a lifetime as we learn all about diagnosing, treating and managing vulvovaginal conditions in patients of all ages. Plus, a bit on how to recognize and treat lichen sclerosus. Our brilliant guest for this episode is Dr. Monica Christmas (_@drmonicaxmas_ on Twitter), who is a self-described yoga enthusiast, avid reader, wannabe artist and gynecologist. Dr. Christmas is currently an _Assistant Professor at the University of Chicago_ in the section of Minimally Invasive Gynecologic Surgery where she is the director of the Menopause Program. Monica specializes in gynecologic surgery, abnormal uterine bleeding and menopause management with an interest in sexual dysfunction. Her focus is on helping women live healthy, vibrant, happy lives. _Episodes_ | _Subscribe_ | _Spotify_ | _Swag!_ | _Top Picks_ | _Mailing List_ | _thecurbsiders@gmail.com_ | _Free CME!_ Credits * Produced by: Kate Grant MD; Sarah Phoebe Roberts MPH * Written by: Kate Grant MD * Show Notes by: Sarah Phoebe Roberts MPH, Kate Grant MD * Cover Art and Infographic: Kate Grant MD * Hosts: Kate Grant MD; Matthew Watto MD, FACP; Paul Williams MD, FACP * Editor: Matthew Watto MD (written materials); Clair Morgan of _nodderly.com_ * Guest: Dr. Monica Christmas, MD Sponsor: ACP’s I Raise the Rates Join with other clinicians in working to raise influenza and other adult vaccination rates. Visit _acponline.org/ai_ to access free tools and learn new strategies to support your efforts. Sponsor: VCU Health CE The Curbsiders are partnering with _VCU Health Continuing Education_ to offer FREE continuing education credits for physicians and other healthcare professionals. Visit _curbsiders.vcuhealth.org_ and search for this episode to claim credit.
57 min
Bedside Rounds
Bedside Rounds
Adam Rodman, MD, MPH, FACP
59 - Cry of the Suffering Organs
Diagnosis is arguably the most important job of a physician. But what does it actually mean to make a diagnosis? In this episode, we’ll explore this question by tracking the development of the “classical” model of diagnosis and pathological anatomy and discussing three cases over three hundred years. Along the way, we’ll ponder the concept of the lesion, iatromechanistic theories of the human machine, the birth of the International Classification of Diseases, and the rise and decline of the autopsy. You can sign up for the iMED Digital Education conference at cmeregistration.hms.harvard.edu/digitaleducation. Sources: * Hooper R, The Physician’s Vade-Mecum: Containing the Symptoms, Causes, Diagnosis, Prognosis and Treatment of Diseases. 1812. * Holdman L et al, The Value of the Autopsy in Three Medical Eras. N Engl J Med 1983; 308:1000-1005. * Cabot RC et al. CASE RECORDS OF THE MASSACHUSETTS GENERAL HOSPITALANTE-MORTEM AND POST-MORTEM RECORDS AS USED IN WEEKLY CLINICO-PATHOLOGICAL EXERCISES. Case 9431. Boston Med Surg J 1923; 189:595-599. * Shojania KG and Burton EC, The Vanishing Nonforensic Autopsy. N Engl J Med 2008; 358:873-875 * Morgagni GB. The seats and causes of diseases investigated by anatomy in five books, containing a great variety of dissections, with remarks. To which are added ... copious indexes. 1769. Retrieved online: https://openlibrary.org/works/OL15821973W/The_seats_and_causes_of_diseases_investigated_by_anatomy * Castiglioni A, GB Morgagni and the Anatomico-pathological Conception of the Clinical. Proceedings of the Royal Society of Medicine, November 7, 1934. * Thiene G, Padua University: The role it has played in the History of Medicine and Cardiology and its position today. European Heart Journal, Volume 30, Issue 6, March 2009, Pages 629–635. * Zampieri F et al, Origin and development of modern medicine at the University of Padua and the role of the “Serenissima” Republic of Venice. Glob Cardiol Sci Pract. 2013; 2013(2): 149–162. * Conner, Annastasia (2017) "Galen’s Analogy: Animal Experimentation and Anatomy in the Second Century C.E.," Anthós: Vol. 8: Iss. 1, Article 9. * Zampieri F et al. The clinico-pathological conference, based upon Giovanni Battista Morgagni's legacy, remains of fundamental importance even in the era of the vanishing autopsy. Virchows Arch. 2015 Sep;467(3):249-54. * Ghosh SK, Giovanni Battista Morgagni (1682-1771): father of pathologic anatomy and pioneer of modern medicine. Anat Sci Int. 2017 Jun;92(3):305-312. * O’Neal JC, Auenbrugger, Corvisart, and the Perception of Disease. Eighteenth-Century Studies Vol. 31, No. 4, The Mind/Body Problem (Summer, 1998), pp. 473-489 * Brown TM, THE COLLEGE OF PHYSICIANS AND THE ACCEPTANCE OF IATROMECHANISM IN ENGLAND, 1665-1695. Bulletin of the History of Medicine Vol. 44, No. 1 (JANUARY-FEBRUARY 1970), pp. 12-30 * Roos AM, Luminaries in Medicine: Richard Mead, James Gibbs, and Solar and Lunar Effects on the Human Body in Early Modern England. Bulletin of the History of Medicine Vol. 74, No. 3 (Fall 2000), pp. 433-457 (25 pages) * Frith J, History of Tuberculosis. Part 1 – Phthisis, consumption and the White Plague. JMVH. 2014; 22(2). * World Health Organization, History of the development of the ICD. https://www.who.int/classifications/icd/en/HistoryOfICD.pdf * Laennec RTH, A treatise on diseases of the chest and on mediate auscultation. 1834. Retrieved from: https://archive.org/details/b21987002. * Marinker M, Why make people patients? J Med Ethics. 1975 Jul; 1(2): 81–84. * King LS, Medical Thinking: A Historical Preface. Princeton University Press, 2016.
43 min
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