Ischemic ColitisFrom Public Health and Pandemics
Ischemic colitis is a “can’t miss” diagnosis, but something we don’t always think about in the primary care setting. Neda and Dr. Jason Shen discuss all things ischemic colitis in this interesting conversation.21min 26Jason Shen, MD and Neda Frayha, MD
Cannabis Hyperemesis SyndromeFrom Becoming Trauma Informed
Cannabis Hyperemesis syndrome and other complications from acute cannabis intoxication are becoming a more common presentation in the UC/ED due to the increased use of cannabis products. Keeping this diagnosis on your clinical radar can expedite the workup and appropriate treatment of these …16min 10Tarlan Hedayati, MD and Matthieu DeClerk, MD
What's That Lab: BilirubinFrom Welcome, 2021!
It’s time for another installment of our fan-favorite “What’s That Lab?” series! This time, our own Paul Simmons answers a listener question about bilirubin.13min 18Paul Simmons, MD
ConstipationFrom Respect Our Elders
Constipation can be a tricky thing to both diagnose and treat. In this month’s intro segment, Neda and Aisha discuss the work up and management of this common complaint.22min 25Aisha Lofters, MD and Neda Frayha, MD
Eosinophilic EsophagitisFrom Faces and Places
When a patient presents with a subacute cough, is eosinophilic esophagitis in your differential? It will be after you listen to this deep dive on EoE with Drs. Micaela Robb Bowers and Neda Frayha.18min 8Micaela Robb Bowers, MD and Neda Frayha, MD
Colon Cancer Screening for the PCPFrom The Certainty of Uncertainty
Colon cancer screening guidelines seem to be changing constantly. For the newest updates, tune in to Paul and Neda’s conversation with GI guru, Dr. Sandra Quezada.20min 45Sandra Quezada, MD, Paul Simmons, MD, and Neda Frayha, MD
Acute Gastroenteritis, Part 1 - UPDATED AUDIOFrom Cause of Death?
Most cases of AGE in children are self-limited illness that can be managed with supportive care. Antiemetics facilitate oral rehydration. Treat more severe cases with IV fluid rehydration. Do not empirically treat suspected bacterial diarrhea with antibiotics given risk of HUS with certain strains …18min 24Matthieu DeClerk, MD and Solomon Behar, MD
Acute Gastroenteritis, Part 2From Cause of Death?
Most cases of AGE in children are self-limited illness that can be managed with supportive care. Antiemetics facilitate oral rehydration. Treat more severe cases with IV fluid rehydration. Do not empirically treat suspected bacterial diarrhea with antibiotics given risk of HUS with certain strains …18min 1Solomon Behar, MD and Matthieu DeClerk, MD
Swallowing DisordersFrom Don't Go Breaking My Heart
Dysphagia? Sounds like a hard-to-swallow diagnosis. ENT expert, Dr. Elizabeth Guardini, helps us navigate phases of swallowing, diagnostic testing, and deciding when to refer to a specialist.19min 40Elizabeth Guardiani, MD, Matthew DeLaney, MD, FACEP, FAAEM, and Neda Frayha, MD
Cholestasis of PregnancyFrom Weird and Wacky Wounds
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.20min 45Mattew Zeitler, MD and Neda Frayha, MD
H PyloriFrom Anxious Adolescents
When a patient presents with atypical GI symptoms, we often suspect Helicobacter pylori as the culprit. Do we need to send them immediately to a GI doc, or can we handle this one on our own? In this segment, Aisha and Neda discuss testing, treatment, and follow up of H pylori in the primary care …15min 3Aisha Lofters, MD and Neda Frayha, MD
ProbioticsFrom This Mailbag is About to Rupture!
Mizuho Morrison and Rick Pescatore discuss the data surrounding the use of probiotics alongside antibiotics for the prevention of antibiotic-associated diarrhea (AAD) and Clostridium Difficile colitis. They review the most up to date literature on this natural supplement.10min 33Rick Pescatore, DO and Mizuho Morrison, DO
PPI DeprescribingFrom Hello, New Year! Bye Bye, PPIs?
When a listener asked us about the adverse effects of proton pump inhibitors and whether (and how) we should deprescribe these drugs, Neda and Rob jumped all over it. In this segment, they’ll review the major categories of adverse effects described in the literature and figure out what it all means.14min 59Neda Frayha, MD and Rob Orman, MD
Gastroesophageal Reflux DiseaseFrom Hello, New Year! Bye Bye, PPIs?
Miz and Jenny discuss current diagnosis, workup and management of GERD. Jenny highlights the step-up approach to treatment when lifestyle modifications alone are insufficient.19min 28Jenny Beck-Esmay, MD and Mizuho Spangler, DO
Necrotizing PancreatitisFrom My Pancreas is Necrosing!
Our co-hosts for the episode, Neda Frayha and Aisha Lofters, are used to seeing patients with necrotizing pancreatitis in the hospital. But in the outpatient setting? Not so much. In this segment, Aisha and Neda review the literature on optimal timing and techniques for debridement and necrosectomy …11min 1Aisha Lofters, MD and Neda Frayha, MD
DiverticulosisFrom My Pancreas is Necrosing!
When a patient comes to us saying, “my colonoscopy found diverticulosis. What should I do?”, what do we say? Should we recommend fiber? Is there any evidence that avoiding nuts and seeds is actually helpful? New contributor Paul Simmons and Neda Frayha walk through an evidence-based review of the …22min 1Neda Frayha, MD
New C Diff Infection GuidelinesFrom Retrieve Those Filters
The new IDSA/SHEA practice guidelines on Clostridium difficile infection have a few changes from what we’re used to, mostly about the diagnostic algorithm and first-line treatment options. In this segment, Drs. Devang Patel and Neda Frayha review the new guidelines and how they impact our clinical …20minDevang Patel, MD and Neda Frayha, MD