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Challenge Bowl and Cholestasis of Pregnancy

January 2020
11min

How about a little spaced repetition? Lets break in the New Year with a little friendly competition between Adrian and Kris…challenge bowl style!  Listen while they recap some of the important topics over the last few months of Primary Care RAP. Got an itch for more? Then “stay put” around as they discuss intrahepatic cholestasis of pregnancy.

Wound Dressings

January 2020
12min

Wet to dry dressings? Nope! Our Urgent Care RAP cousin Matt DeLaney schools Neda and Paul on a better way to do wound care. Such as: Foam dressings address the important elements of wound healing; they absorb exponentially more than gauze, keep wound somewhat moist, and can stay on for 3-7 days. Downsides are that they may not help all wounds (little benefit for arterial ulcers).

Paper Chase #1 - Apixaban in ESRD and A-Fib

January 2020
7min

To determine patterns of apixaban use and its outcomes in dialysis-dependent patients with ESRD and atrial fibrillation.

Respiratory Failure: Pre- and Post-ICU

January 2020
23min

Respiratory failure in primary care? Not an oxymoron! Our own Drs. Mizuho Morrison and Tom Robertson interview returning pulmonologist extraordinaire, Dr. Nirav Shah, about how we approach and manage respiratory failure, both before our patients need the ICU and after they come out of intensive care.

Cholestasis of Pregnancy

January 2020
20min

Itching is a common complaint in pregnancy. When do we need to worry about cholestasis of pregnancy when a pregnant woman complains of itching? Neda sits down with our newest PC Rap contributor, Dr. Matthew Zeitler, to scratch the surface of the most common pregnancy-specific liver disease. 

Paper Chase #2 - Finasteride vs Minoxidil in Male Alopecia

January 2020
4min

To compare the efficacy of oral finasteride and topical minoxidil for males with androgenetic alopecia.

Breast Cancer Screening: When to Begin?

January 2020
26min

PC RAP has covered the start-screening-mammos-at-age-50 perspective in the past. Today, we’ll explore the other side of the coin: why women’s health focused organizations recommend beginning annual screening mammography at age 40. Neda sat down with Dr. Alison Chetlen, breast imaging expert and Associate Professor and Vice Chair of Education in the Department of Radiology at Penn State Health and Hershey Medical Center, for a deeper dive into the evidence we don’t always hear about in primary care. 

Marijuana and Lung Disease

January 2020
13min

As marijuana becomes legal in more states, it’s important for us to be able to advise our patients on the risk of inhaled marijuana causing lung disease. Neda discusses the current literature with Dr. Kathryn Robinett, pulmonologist extraordinaire.s

Paper Chase #3 - Polypill for CV Disease Prevention in Underserved

January 2020
6min

To evaluate the efficacy of a polypill containing atorvastatin amlodipine losartan and hydrochlorothiazide for lowering blood pressure and LDL.

Anaphylaxis

January 2020
22min

Even in the primary care setting, we all need to be prepared to deal with emergencies, including anaphylaxis. Dr. Jason Liebzeit, EM physician, arms us with the knowledge and power to recognize and treat anaphylaxis in the primary care setting.

Medical Assistants, Please

January 2020
15min

The medical assistant workforce is the largest in US ambulatory clinics. As nurses shift to inpatient roles, we use medical assistants more and more in the outpatient setting. Neda and Dr. Michael Baca-Atlas chat about how to best utilize this group of allied health professionals as well as share some ideas for expanding their roles in the clinic. 

Paper Chase #4 - CLEAN Meds RCT

January 2020
6min

To determine whether providing essential medicines at no charge to outpatients who reported not being able to afford medicines improves adherence.

Management of Sexual Assault

January 2020
16min

Kari Sampsel MD reviews how to recognize and manage sexual assault from a medical perspective and also social support that patients warrant. 

Chiropractors

January 2020
23min

Back pain is one of the most common complaints that we see in primary care. Many of our patients have either already seen a chiropractor for their pain, or ask our opinion about seeing one. Neda and Tom Robertson talk with Dr. John Allen about the literature regarding chiropractic care. 

Paper Chase #5 - Frequently Hospitalized Patients' Perceptions

January 2020
6min

To obtain patients’ perspectives of factors associated with the onset and continuation of high hospital use.

Mailbag

January 2020
19min