Telling Pain Syndromes Apart
From May 2020, Pain in the You-Know-WhereWhen a listener wrote that many different chronic pain syndromes felt a little confusing to her, we were relieved that it wasn’t just us! Join us as our regular contributor Dr. Molly Heublein breaks down different pain syndromes that we see all the time in primary care. •
14min 40Molly Heublein, MD
Paper Chase #1 - Partial Oral versus IV Antibiotic Treatment of Endocarditis
From February 2019, Into Thin HairBOTTOM LINE: In patients with left-sided endocarditis in stable condition, changing to oral antibiotics was noninferior to continued intravenous antibiotics.
6min 9Tom Robertson, MD and Steve Biederman, MD
Polymyalgia Rheumatica
From February 2019, Into Thin HairMatt Delaney interviews Jeff Holmes MD to discuss polymyalgia rheumatica. PMR should be suspected in patients over 50 with symptoms involving aching and stiffness about the upper arms, posterior neck, pelvic girdle, and/or lumbar region (all worse upon arising in morning). Jeff and Matt discuss …
12min 30Jeff Holmes, MD and Matthieu DeClerck, MD
Things I Do But Should I - Gout
From March 2018, What’s Your (Code) Status?Adrien and Vanessa cover the vexing topic of Gout Prophylaxis in the context of uric acid lowering therapy options. They discuss the pros and cons of using different medications to help prevent a gout flare when starting allopurinol. And because they are badass rebels, they also review NOT using …
11min 18Vanessa Cardy, MD and Adrien Selim, MD
Fever of Unknown Origin (FUO)
From January 2018, A Feverish Frenzy!In this intro, Neda and Heidi review a case of Fever of Unknown Origin, with attention to differential diagnosis generation and appropriate work up. A female patient in her late 20s presents with recurrent fevers and weight loss. After working through a differential which includes malignancy …
12min 55Neda Frayha, MD and Heidi James, MD
Paper Chase 3 - Do Steroid Injections Make You Weak in the Knees?
From September 2017, You Can Do It!!This study found that triamcinolone knee injections were inferior to saline injections as measured by the WOMAC scale every three months over a two year period. Triamcinolone was also associated with a statistically significant decrease in amount of knee cartilage.
6min 12Andrew Buelt, DO and Joe Weatherly, DO
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
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
Paper Chase 2: Treating Rheumatoid Arthritis When Methotrexate Monotherapy Fails
From August 2016, Feeling RestlessTriple therapy (methotrexate plus sulfasalazine plus hydroxychloroquine) and most regimens combining biologic DMARDs with methotrexate were effective in controlling disease activity, and all were generally well tolerated in both methotrexate naive and methotrexate exposed patients. •
5min 24Andrew Buelt, DO and Joe Weatherly, DO
Paper Chase 3: Allopurinol Doesn’t Prolong Resolution of Acute Gout
From March 2016, Where Has All The Testosterone Gone?Allopurinol was initiated at low doses during an acute gout attack did not prolong the acute, treated attack.
6min 30Andrew Buelt, DO and Joe Weatherly, DO
Rheumatology Pearls, Part 1
From December 2015, Mythbusting Eggs, Flu, and the CBCDiscuss clues in the history and physical that can aid in the diagnosis of ankylosing spondylitis, rheumatoid arthritis and Sjogren’s syndrome. •
19min 51Paul Sufka, MD and Kevin Wineinger, MD
Rheumatology Pearls, Part 2
From December 2015, Mythbusting Eggs, Flu, and the CBCDiscuss utility of rheumatoid factor testing ANA. Review a target management approach to gout. •
12min 54Kevin Wineinger, MD and Paul Sufka, MD