Dr. Chris Migliore presents The Approach to Chest Pain by first discussing the epidemiology of chest pain or cardiac presentations. He then lists and discusses the important symptoms of chest disease. After, he reviews elements of the chest physical exam and finally, he reviews the fundamentals of clinical reasoning concerning chest pain.
Dr. Lorrel Brown is here to present something a little different: CV Prevention. Dr. Brown first lists Life's Simple 7 approach to prevention of cardiovascular disease as well as how to apply appropriate screening methods for LS7 in clinic patients. She then discusses how to properly treat conditions associate with LS7 and and finishes by giving examples of simple recommendations for patients to move towards ideal cardiovascular health.
Louisville Lectures's most requested lecturer is back! Dr. Lorrel Brown presents Cardiac Arrest and her journey to discover whether education can improve the outcomes. First, she explains the postulated reasons for the variability in survival following out-of-hospital cardiac arrest as well as the gaps between the best practices and real world practices with regards to CPR. She then defines CPR skill retention rates under current methods of instruction and finishes with different ways in which ongoing educational efforts seek to improve outcomes following cardiac arrest.
Dr. Lorrel Brown discusses the Hypertensive Crisis by first defining hypertension. She then defines hypertensive crisis as having severely elevated blood pressure with end-organ damage. After, she discusses the pathophysiology of end organ damage along with the different treatment approaches for hypertensive crisis. Finally, she finishes her presentation with a few case reports.
Dr. Mokshagundam presents Lipid Disorders by going over basic aspects of lipoprotein transport and metabolism and how it can be problematic. He then discusses the recommendations for managing lipid disorders.
Dr. Lorrel Brown presents Aortic Stenosis by first describing how medicine cannot fix a mechanical problem. She then describes the symptoms of aortic stenosis along with the mainstays of treatment: diuresis, after load reduction, and avoiding hemoydynamic shifts.
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.
As we welcome a new class of interns this July, our Louisville Lectures team wanted to highlight some of our most-viewed lectures. Our Boot Camp series will cover high-yield, critical topics that are useful to starting interns. We are starting with some basic EKG concepts and arrhythmia emergencies. Dr. Martin Espinoza and Dr. Lorrell Brown deliver two highly-watched videos.
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 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 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. 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).
Dr. Lorrel Brown covers the common (and less common) results of MI using cases. She includes papillary muscle rupture and mitral regurgitation, free wall rupture, ventricular septal defects, right ventricular infarct, pseudoaneurysm, aneurysm, pericarditis and bradyarrhythmias. Free Open Access Medical Education for Internal Medicine.
Dr, Lorrel Brown covers the basics of shock including how to recognize cardiac shock from history, physical exam and invasive monitoring. She discusses physiology and interpretation of pulmonary artery catheterization and then covers choice of vasopressors for therapy.
Dr. Andrew Defilippis discusses his very practical research into the data behind cardiovascular risk scores. His findings on variations between different cohort studies have been published and debated the Annals of Internal Medicine this spring
Dr. Lorrel Brown gives a thorough review of aortic stenosis using cases: from making the diagnosis to management for asymptomatic and symptomatic stenosis including TAVR. She finishes with important clinical pearls to safely care for patients with aortic stenosis.
Dr. Espinoza covers basic cardiac electrophysiology and what happens when it goes awry! He discusses supraventricular tachycardias (sinus tachycardia, atrial tachycardia, AVRT, AVNRT), atrial fibrillation and flutter, Wolff-Parkinson-White syndrome. He discusses recognizing features of ventricular tachycardia to differentiate it from SVT. Finally, he addresses management of tachycardias.
EKGs. Your Cardiology attending makes it look like it's something you should have mastered in pre-school, and when you ask your fellow explain what a J-point is, it turns in to an opportunity to "broaden your reading"...