Post Stroke Fatigue
Vanessa Cardy talks Post Stroke Fatigue. View chapters…
December 2015Mythbusting Eggs, Flu, and the CBC
Welcome to the December Edition of Primary Care RAP. This month we have Flu Shots, the CBC, Shared Decision Making, Rheumatology, Pediatric Nephrology, Blood Pressure, Paperchase and some fun with the Future, so let's get started! View chapters…
SPRINT Trial
Among patients at high risk for cardiovascular events but without diabetes, targeting a systolic blood pressure of less than 120 mmHg, as compared with less than 140 mm Hg, resulted in lower rates of fatal and nonfatal major cardiovascular events and death from any cause. The downside, there was a commensurate and sometimes greater risk of adverse events. View chapters…
Sleep and the Common Cold
Does getting more sleep really decrease the chance of getting a cold? Yes! View chapters…
November 2015There's a High Pressure System in the Lungs Today
Welcome to the November 2015 Edition of Primary Care RAP! This month we have Pulmonary Hypertension, Obesity Medications, Hyperbilirubinemia, Cardiac Sarcoidosis, Hemochromatosis, Insomnia, Chikungunya, and some fun with Medicine in the Movies, so let's get started! View chapters…
Pneumococcal Vaccine Update
Your patient gets a pneumococcal vaccination, when can they get the next one? 1 year, 6 months? Which vaccine did they get first? It can get confusing. The CDC has just released new guidelines in attempt to simplify the process. For low risk elderly patients (aged ≥65), no matter which vaccine was given first (PCV13 or PPSV23), the next shot is 1 year later. No more, “This one is 6 months, that one is 12 months, wait a sec, which one did they get?” It’s 1 year, no matter which one was given first. View chapters…
October 2015When You Say Dizzy, Do You Mean....
Welcome to the October 2015 Edition of Primary Care RAP! This month we have Vestibular Neuritis, PCOS, Scabies, Defensive Medicine, Bedwetting and a little something on Bad Ideas, so lets get started! View chapters…
Halloween Safety
Mizuho Spangler and Liza Kearl talk about the tricks to make your Halloween a safe and happy one! View chapters…
STD Guideline Updates
The 2015 CDC sexually transmitted disease updates have arrived and our in house toxico-pharmacologist Bryan Hayes is here to break down what’s new... View chapters…
September 2015Consider the Prostate
Welcome to the September Edition of Primary Care RAP. This month we have High INR, Prostate Cancer Screening, Prediabetes, Tetanus Shots, Choosing Wisely, Colic and something special for Classical Music Month, so let's get to it! View chapters…
Emergency Contraception
Nothing is perfect, not even contraception. And sometimes, there’s no contraception to speak of. Preventing pregnancy, however, doesn’t need to be complicated. Copper IUDs and oral agents like ulipristal are effective and relatively easy methods of preventing unintended pregnancy. To help make sense of it all, Jan Schoenberger and Stuart Swadron review the 2015 NEJM article Emergency Contraception. View chapters…
Extended Spectrum Beta Lactamase (ESBL)
When did UTI’s become so complex? The increasing frequency of extended spectrum beta lactamase (ESBL) bacteria has made treatment of cystitis confusing and challenging. Infectious disease specialist Greg Moran breaks down ESBL treatment options. View chapters…
August 2015Thinking About This Aneurysm is Keeping Me Awake!
Welcome to the August Edition of Primary Care RAP. This month we have Aneurysms, Insomnia, Fusobacterium, Upset Patients, Transgender Children, Insulin, the latest Paperchase Reviews and something on National Water Quality Month, so let's get started! View chapters…
Marking Cellulitis: Ya or Nay?
Should you mark cellulitis or is it a big waste of time and ink? View chapters…
Pizza, Pizza!
Pizza, although delicious, is very high in saturated fats, sodium and calories. With its good flavor, kids and teens alike consume pizza as the 2nd most common food at school and 3rd in fast food chains. Does Pizza have any nutritional value to offset these bad costs? Take a listen to find out! View chapters…
July 2015Some Alcohol, Some Empathy, and a Little Restless Genital
Welcome to the July 2015 Edition of Primary Care RAP. In this episode we have Myasthenia Gravis, Diabetes, Dysfunctional Uterine Bleeding, Empathy Checklist, Alcohol Use, Multi-morbidity and a little something on Radiation, so let's get started. View chapters…
Pertussis
Overview of pertussis and importance of immunization and re-vaccination of adolescents for pertussis. View chapters…
Non-Allergic Rhinitis
Sometimes a runny nose is just a runny nose. While we often can't cure non-allergic rhinitis, there are some measure we can recommend to limit the symptoms. View chapters…
June 2015Hep C Crosses the Borderline!
Welcome to the June 2015 Edition of Primary Care RAP! This month we have Acne, Hep C, BPD, Diabetes Basics, Paperchase, Discipline and we shine a little knowledge on the Sun, so let get started! View chapters…
MET for Renal Colic
What makes a renal stone fly out of your urine stream? Not Tamsulosin and Nifedipine it appears! View chapters…
DRESS Syndrome
A disorder with fever and rash, no big deal. Internal organ inflammation, big deal. 10% mortality?!? Now you’ve got my attention. When is a rash not just a rash? When it’s DRESS syndrome (Drug Reaction with Eosinophilia and Systemic Symptoms) -a potentially fatal drug reaction to meds we prescribe every day. Minocycline, lamotrigine, allopurinol and phenytoin are but a few of the offenders that can lead to this potentially fatal disorder. View chapters…
May 2015Agony, Misery, and Torment. It’s a Pain Extravaganza!
Welcome to the May 2015 Edition of Primary Care RAP! This month we have Trigeminal Neuralgia, Ophthalmology Pearls, Paperchase, Chronic Pain, Puberty, Ingrown Toenails, Portal Vein Thrombosis and a little something for National Mental Health Month, so let's get started! View chapters…
Morgellons Syndrome
Review the evidence for a pathological basis of Morgellons Syndrome. View chapters…
April 2015The Iron Cranberry
Welcome to the April 2015 Edition of Primary Care RAP! This month we have Chronic UTI's, PFT's, Diabetes, Iron Deficiency, Bouncebacks, Elbows and a little something for National Poetry Month, so let get started. View chapters…
March 2015Strep Throat burns out the Gout!
Welcome to the March Edition of Primary Care RAP! This month we have Gout, A-Fib, Palliative Care Constipation, Burnout, Strep, Trouble in the Wild, Addiction and a little something special to honor National Peanut Month, so let's get started! View chapters…
Traveler's Diarrhea
Going on a trip overseas, got patients doing the same? How do you prevent and treat Montezuma's revenge? View chapters…
February 2015Red, Hot and Achy!
Welcome to the February Edition of Primary Care RAP. This month we more on Statins, Soft Tissue Infections, Atrial Fibrillation, Vitamin D, Good/Bad Patients and IUD's, so let's get started! View chapters…
Flu and Post Flu Pneumonia
Flu season is upon us with a vengeance, and when influenza is at play, pneumonia may be soon to follow. What’s the best antibiotic for influenza or post-influenza pneumonia? Are antivirals indicated? View chapters…
January 2015These Statins Are Giving Me a Headache!
Welcome to the New Year and the January Edition of Primary Care RAP. In this episode we have Statins, Headaches, Measles, Advanced Care Directives, Mammography and Zio-Patch, so let's get started! View chapters…