Louisville Lectures

Open Access Medical Education

Committed to sharing Internal Medicine focused lectures as free open access medical education.

Glomerular Disease Part 1: Nephrotic Syndrome with Dr. Dawn Caster

In Glomerular Disease Part One, Dr. Dawn Caster begins by discussing the classifications of common renal pathology and after, focuses on nephrotic syndrome. Dr. Caster gives an overview of nephrotic syndrome and its associated abnormalities as well as the mechanisms of the thrombophilic state in nephrotic syndrome. In part two. Dr. Caster will discuss Glomerulophritis.


Read More

Common HIV Regimens and Opportunistic Infection Prophylaxis with Alexa Filley, PharmD

Alexa Filley, PharmD, delivers a lecture on Common HIV Regimens and Opportunistic Infection Prophylaxis. She first reviews common human immunodeficiency virus treatment regimens and after, discusses patient/medication characteristics to guide therapy selection. Filley concludes her presentation by reviewing and applying Department of Health and Human Services (DHHS) Guidelines on opportunistic infection prophylaxis in patients with HIV.

Read More

Gender-Affirming Hormone Therapy (GAHT) with Dr. Malika Rawal

Dr. Malika Rawal gives an overview on Gender-Affirming Hormone Therapy. Dr. Rawal first discusses the different types of transition as well as general definitions and after, lists terms physicians should and should NOT use when treating patients. Dr. Rawal presents what a visit would look like and how to work with the patient, expectations of hormone therapy, and the physical effects of hormone therapy for feminizing hormone therapy along with masculinizing hormone therapy.

Read More

Seronegative Spondyloarthropathies with Dr. David Armstrong

Dr. David Armstrong presents Seronegative Spondyloarthropathies and emphasizes these take home points:
- HLA-B27 does not diagnose SNSAs
- Inflammatory back pain improves with exercise
- Red eye with decreased visual acuity needs slit lamp
- Nail pitting correlates with psoriatic arthritis
- NSAIDs help everything except enteropathic arthritis

Read More

Nutrition, Heath Equity, and CV Mortality with Dr. Kim Williams

Our new Chair of the Department of Medicine, Dr. Kim Williams, presents his first Grand Rounds on the topic of Nutrition, Health Equity, and CV Mortality. First, Dr. Williams discusses some of the main issue in the United States including being its expensive and broken healthcare system. With the expectance of an increase in cardiovascular disease and stroke mortality in the US in the upcoming decades, particularly in minority groups, Dr. Williams believes our poor nutrition promotes and accentuates health inequities and ethnic disparities. Dr. Williams encourages the implementation of education around plant-based diets which are associated with lower rates of of systemic hypertension, hyperlipidemia, obesity, and diabetes.

Read More

Opiate Use Disorder in the Inpatient Setting: To Bup or Not to Bup with Dr. Laura Bishop

Dr. Laura Bishop presents "Opiate Use Disorder in the Inpatient Setting: To Bup or Not to Bup with Dr. Bishop" by first examining the practice for adjustments to create space of destigmatizing patients with SUDS. She then discusses the symptoms of opiate withdrawal as well as the pharmacology of buprenorphine and its efficacy/safety in treating opiate use disorder. Dr. Bishop then identifies patients who would benefit from buprenorphine and constructs a plan of care for patients with opiate withdrawal, including non-MAT and MAT options.

Read More