PECARN Pie: Infant Fever Pt 1
From May 2021, PECARN Pie for PCPsThe young febrile infant is at risk for serious infections. Older risk stratification strategies have involved extensive, invasive work-ups. New research from the PECARN group has allowed for a simpler evaluation of the full term, well appearing febrile young infant using only blood and urine …
29min 20Nate Kupperman, MD, MPH and Solomon Behar, MD
Paper Chase #1 | Vit D supplementation in Pregnancy, Lactation & Infant Growth
From November 2018, Those Clots are So SuperficialThere was no mean length for age difference at 1 year of age, among children born to supplemented or non-supplemented mothers.
5min 17Andrew Buelt, DO and Joe Weatherly, DO
Contralateral Breast Mastectomies
From April 2018, Will You Be My Facebook Friend?After their deep dive into the evidence, Jake and Andrew conclude that contralateral prophylactic mastectomies should not play a role in the management of breast cancer for most patients. The risk of recurrence in the contralateral breast is simply too small to justify exposing patients to the …
18min 21Andrew Buelt, MD and Jake Anderson, DO
Knee Osteoarthritis (OA)
From February 2018, The Tragically Sore HipJake and Andrew break down the data for us on knee OA treatments. Lo and behold, there is not a lot of evidence!
18min 54Andrew Buelt, DO and Jake Anderson, DO
The COMPASS Trial
From February 2018, The Tragically Sore HipThis branch of the COMPASS trial examined 3 anticoagulation strategies in patients with “stable atherosclerotic disease”: rivaroxaban 5mg BID, ASA 100mg od + placebo BID, ASA 100 BID + rivaroxaban 2.5 mg BID. Casey’s analysis focused on the ASA groups, not the NOAC alone group. He concludes that …
13min 36Casey Parker, MD
Paper Chase #1 | Fats and Carbs and Cardiovascular Disease
From February 2018, The Tragically Sore HipHigh carbohydrate intake was associated with higher risk of total mortality, whereas total fat and individual types of fat intake was related to lower total mortality
7min 6Joe Weatherly, DO and Andrew Buelt, DO
New Hypertension Guidelines: Friend, Foe, or Foolishness??
From December 2017, New Hypertension Guidelines: Friend, Foe, or Foolishness??Andrew and Heidi discuss the new AHA Hypertension guidelines that were released in November. Spoiler: even though they try really, really, REALLY hard to keep an open mind, our intrepid podcasters are not impressed. •
9min 11Heidi James, MD and Andrew Buelt, DO
Things I Do, But Should I? Symphyseal Fundal Height
From December 2017, Jingle, JingleSymphyseal fundal height is best used in conjunction with a charting or graphing tool to plot the growth. Typically, the SFH increases by 1cm per week. Measuring SFH is more adept at detecting IUFGR than macrosomia. •
5min 21Vanessa Cardy, MD and Adrien Selim, MD
Paper Chase #1 - Placebo vs Nocebo Show Down
From October 2017, It's Bloody Halloween!Placebos are potent stuff! This article discuss the effect of different placebo characteristcs on patient perception and clinical outcomes. We promise, you will never look at placebos the same! •
6min 9Andrew Buelt, DO and Joe Weatherly, DO
Listener Question Extravaganza!!!!
From August 2017, Diabetes and Whispered Pectorilo….what???Andrew and Heidi answer listener mail and discover that 1) if you’re not doing whispered pectoriloquy as part of your exam, that’s ok. 2) aspirating non-inflamed joints to diagnose gout is not supported in the literature 3) immunotherapy for warts works!! Go ahead and inject some yeast or mumps …
12min 36Heidi James, MD and Andrew Buelt, DO
Things I Do But Should I: Molloscum Contagiosum
From August 2017, Diabetes and Whispered Pectorilo….what???Molluscum contagiosum is a common dermatologic condition. Treatment options include watchful waiting, occlusive dressings, curretage, cryotherapy and cantharidin. Imiquimod should be reserved for refractory cases. •
13min 59Vanessa Cardy, MD and Adrien Selim, MD
Exercise for Chronic Fatigue Syndrome
From August 2017, Diabetes and Whispered Pectorilo….what???No study is perfect. But when you are a landmark trial that changes the recommended treatment for a chronic condition (in this case, Chronic Fatigue Syndrome), you’d better hope you got the numbers and your conclusions right! Andrew and science write Julie Rehmeyer poke holes left, right and …
16min 43Julie Rehmeyer and Andrew Buelt, DO