Dr. Krishnasamy presents Inpatient Glucose Management by first discussing a case of hospital hyperglycemia. She then reviews current guidelines for glycemic management trends in non-critical care settings. After, she reviews institutional protocols.
Dr. Abramov covers acute decompensated heart failure. starting with a review of the underlying pathophysiology and treatment. He then dives into the the roles of diuretics and beta blockers in acute exacerbations. Finally, he discusses indications for referring a patient to a heart failure specialist along with primary prevention measures.
In this video, Dr. Jennifer Potter talks about why questions on patient social history should include patient identities, adverse life experiences, and coping strategies. She then identifies questions one may ask to learn about these areas. Afterwards she outlines the 10 "P' methods, and ends by describing how to perform a pelvic exam.
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In this video, Dr. Bryan Moffett examines common issues interns may face. He begins by discussing how to approach calls. He then examines areas like Diabetes, Insulin therapy, Pain management, Patient Controlled Analgesia (PCA), Chest Pain, Hypotension, HTN Blood Pressure, Dsyphea/Hypoxia, Agitation, Diarrhea, and Insomnia
Dr. Luis Marsano delves into providing adequate nutrition for patients with cirrhosis to prevent hepatic encephalopathy and alcoholic hepatitis. He also addresses minimizing morbidity; including preventing refractory ascites and hepatorenal syndrome and spontaneous bacterial peritonitis prevention.
In this lecture Dr. Raghuram takes a look at traditional and new definitions of FUOs as well as a practical algorithm for their workup. She takes a comprehensive look at common non-infectious causes including often used drugs that can produce fevers in patients. Dr. Raghuram finishes with several cases presented in a board review style and walks through her thought process with evaluating the questions.
Dr. Frederick Rosenblum covers a series of pulmonology cases from basic pulmonary diagnoses to cases masquerading as pulmonary and pulmonary cerebral syndromes. This is a fast-paced, clinically-relevant lecture!
In this lecture, Dr. Lorrel Brown takes time to discuss the indications, mechanics, and physiology of mechanical circulatory support. She provides a great introduction for internists to some of the most advanced ICU therapies. Dr. Lorrel Brown covers evidence and indications for various modalities like IABP (intra-aortic balloon pump), ECMO (extracorporeal membrane oxygenation), and percutaneous VAD (ventricular assist device).
In this case-based lecture, Dr. Brittany Chapman discusses differential diagnosis for seizure-like events, diagnostic workup, seizure classification and epilepsy treatments. She also delves into comorbidities and long term epilepsy prognosis.
In this lecture, Dr. Mitchell discusses the etiology, evaluation, and workup of syncope in different age groups. She goes on to further discuss a guidelines based approach to diagnosis and pursuit of treatment options (including discharge to home, when appropriate).
In this lecture, Dr. Mitchell discusses the process of discharge and the surprising complexities that surround getting a patient home safely and with information that they and their primary care physician can understand. She addresses the overall Medicare re-admission statistics in the US and ways that systems based medicine projects could be undertaken to improve patient care.
In this action-packed lecture, Dr. Lorrel Brown covers ACS basics: coronary perfusion, types of myocardial infarction, and how to diagnose MI using history exam and EKG findings. She reviews ACS risk scores, acute treatment of ACS and some common pitfalls.
Dr. Raghuram review common rickettsial diseases (Rocky Mountain Spotted Fever, Typhus, Mediterranean Spotted Fever, African Tick Bite Fever, and less common species) with a focus on board review. She delves into geography, vectors and pathophysiology of these diseases as well as discussing common look-a-like diseases.
In this lecture, Dr. Umair Gauhar reviews pleural anatomy, normal characteristics of pleural effusion and epidemiology of pleural effusions. He then delves into a thorough discussion of parapneumonic effusions (including various classification schemas) as well as treatment options both empiric antibiotic regimens and a comprehensive discussion thoracentesis. This is a must watch lecture for pulmonologists, intensivists, and internists!
Dr. Umair Gauhar discusses pleural fluid pressure, characteristics, epidemiology and pathophysiology of effusion. He spends a great deal of time teaching the approach to pleural effusion anatomy. This talk is background for Part Two which covers more of the clinical causes of non-malignant pleural effusion.
In this illuminating Grand Rounds lecture, Dr. Rahel Bosson and Ruth Carrico give an overview of the real struggle of the refugee population and provide an update of the current state of refugee health in Kentucky. They give an overview of the Global Health Initiative at University of Louisville which includes the follow programs: HIV/AIDs, Refugee Health and Immunization, Vaccine and International Travel and Global Health Research Support. The talk concludes looking to the future with a comprehensive Global Health Center composed of improving refugee orientation and EMR, healthcare worker education, developing guidelines and bettering our surveillance and epidemiology surrounding global health populations.
Dr. Daniela Neamtu covers the main principles of geriatrics including polypharmacy: she reviews differences in pharmacology in older adults, demystifies the Beers criteria, discusses the ACOVE project and common sources of medical errors.
In this evidence-fueled talk, Dr. Adam Rojan covers the hypercoagulability associated with cancer, risk assessment of venous thromboembolism in cancer patients and treatment/prophylaxis for VTE in cancer patients.
Dr. Chris Stewart reviews the basics of alcoholism including definitions, alcohol elimination rate, leading causes of death. He spends time on time and presentation of withdrawal as well as complications. Dr. Stewart finishes by outlining medication assisted and supportive detoxification.
Dr. Brian Beauerle covers the basics of cirrhosis including pathophysiology, symptoms and survival of patients with survival. He covers when and how to perform a paracentesis including interpretation of results. He discusses pharmacologic and dietary treatment of ascites and refractory ascites. He closes with complications of ascites including spontaneous bacterial peritonitis and hepatic hydrothorax.
Dr. Eddie Apenbrinck dissects those ophthalmology notes that you can never decipher. He also covers retinal complications of diabetes including treatments including laser photocoagulopathy. Other systemic causes of retinal disease are covered including sickle cell anemia and hypertension. Among the other topics covered are thyroid eye disease, inflammatory ocular involvement of rheumatoid conditions, ocular malignancies and infections.
Dr. Kris Krueger reviews the epidemiology and pathogenesis of C.difficile in the U.S. Then, she gives an update on current medical treatments including antibiotic, probiotic and surgical treatment before covering the evidence behind fecal microbial transplant. She also addresses prevention strategies and emerging C.difficile therapies such as immunotherapy and vaccines.
Dr. Mike Hughes discusses innovative medical care of chronic pancreatitis with ground-breaking work on auto-islet cell transplantation. He covers differences in auto vs. allo transplantation, indications of transplantation, evaluation of prospective transplant patients, peri-operative and outpatient management, and observed outcomes post-surgery. The lecture spends time reviewing several ongoing research projects at University of Louisville by several labs researching facets of this topic.
Dr. Cindy Owen gives an overview of cutaneous drug reactions and an approach to diagnosis and treatment in this image-driven lecture. She spends time on urticaria, fixed drug eruption, serum-sickness reaction, hypersensitivity vasculitis, morbilliform rash, drug reaction with eosinophilia and systemic symptoms, erythema multiforme, toxic epidermal necrolysis and less familiar drug reactions (acute generalized exanthematous pustulosis, symmetric drug related intertriginous and flexural exanthem).
Dr. Rodrigo Cavallazzi covers the assessment of volume responsiveness including the static exam as well as dynamic markers to aid with treatment of shock without administration of excessive fluids. He spends some time on shock definition and physiologic compensation before discussing physical exam and laboratory findings consistent with tissue ischemia. Then, he delves into methods of determining pre-load responsiveness.
Dr. Lorrel Brown returns to discuss tamponade cardiac physiology (including demystifying pulsus pardoxus). She continues to cover the differentiation of constrictive and restrictive cardiomyopathies. This action-packed lecture concludes with stress cardiomyopathy and HFpEF (heart failure with preserved ejection fraction).