In this presentation, Dr. Mitchell discusses discharge-related risks, appropriateness for discharge, and elements of the discharge process. Dr. Mitchell emphasizes that dangerous events happen commonly, involving medications, test results, and poor communication and/or follow-ups. However, with a clear understanding for the process, these are mostly preventable.
In this lecture, Dr. Ng discusses cultural and clinical competence. He begins his presentation with cultural competence by explaining Trans 101, how to create a welcoming environment care and comparing a dedicated vs blended setting. During clinical competence, he discusses clinical care protocols and illustrative cases. He then finishes his presentation with a few lessons learned.
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.
Dr. Sager takes the time to discuss when (and how) to screen for depression including various tools. He then delves into how to assess risk and proposes a practical algorithm-approach to treatment options.
In this lecture, Dr. Craig McClain discusses the pathogenesis of alcoholic liver disease, treatment, and patient cases. Dr. McClain uses his expertise in nutrition to discuss risk factors and advanced pathophysiology that predispose patients to excess harm from alcohol. He closes with a focus on where the research on treatment is and what the most recent evidence tells us about how we might improve clinical management.
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.
In this case-based lecture, Dr. Krishansamy walks through several real-life examples of patients and their indications for novel treatments for diabetes with a focus on mechanisms of action. Included in this lecture is an overview and update on the American Diabetes Association (ADA) guidelines and European Association for the Study of Diabetes (EASD). Finally, she takes a look at new technology to treat type one diabetes.
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 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.
Rebecca Redman presents an approach to GI cancers from the perspective of an internist. She covers workup of gastrointestinal cancers, the differences between curative and palliative treatment, and types of treatment. She spends a great deal of time on colorectal cancer then discusses esophageal and gastric cancers, hepatocellular carcinoma, pancreatic cancer and GI neuroendocrine tumors.
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 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.
Dr. Gerry Lee highlights important differences between allergic and non-allergic rhinosinusitis and emphasizes how to evaluate and treat the presentation of rhinitis. He discusses when to refer patients with rhinitis to allergists and how to recognize relationships between upper and lower airway diseases.
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. 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).
Grand Rounds given by Internal Medicine Chairman, Dr. Jesse Roman. He covers the definition of interstitial lung disease as well as it's evaluation and management. He also spends time on idiopathic interstitial pneumonia and idiopathic pulmonary fibrosis.
Kristen Reynolds takes a look at adverse drug reactions occurring secondary to identifiable genetic risk factors. She looks at the evidence supporting genetic testing, common mutations (Cyp phenotypes), and how to decide whom to test.
Dr. Gerald Lee discusses common primary immunodeficiencies using a case-based approach. He introduces the topic of immunodeficiencies by creating broad categories of clinical presentation to assist with pattern recognition. He spends more time on Selective IgA Deficiency and then covers Common Variable Immunodeficiency in depth.