Dr. Cavallazi presents mechanical ventilation by first discussing the physiology of respiratory failure. He then describes how to tailor mechanical ventilation to different forms of respiratory failure. He finishes with a discussion of the latest studies defining how to best use mechanical ventilation.
Dr. Brummel begins his presentation by reviewing long-term cognitive impairment and disability associated with survival from critical illness. He then uses the vulnerability hypothesis to understand risk factors for the development of these poor outcomes after critical illness. After, he describes preliminary trials of rehabilitation for long-term cognitive impairment after critical illness.
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 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.
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.
Dr. Karem El Kersh describes basics of anatomy, components and indications for tracheostomy. Then he spends time covering when and how to change a trach as well as suggestions for troubleshooting common problems involving tracheostomies.
Dr. Rodrigo Cavallazzi discusses steps toward ventilator liberation including spontaneous breathing trial and other parameters to indicate readiness to wean. He then discusses strategies for weaning: optimizing fluid status, weaning protocols, sedation weaning, rehabilitation therapy.
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. 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).
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.
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, Rodrigo Cavallazzi gives a comprehensive review of ARDS; he includes the definition, pathophysiology, risk factors, prognosis and differential. He spends time discussion the ARDS Network trial including fluid and ventilation strategies as well as advanced treatments (prone positioning, ECMO, neurally adjusted ventilation.
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.
For internists not inclined towards cardiology or critical care, an ultrasound might be merely a diagnostic test to be ordered. Research and expertise in this field are expanding rapidly, however, and an affordable handheld ultrasound that can easily be carried in a white coat is likely not many years away. In this lecture, Dr. Nunley discusses the basic principles, physics, and concepts behind ultrasound to establish a foundation for moving forward with additional training.
Dr. Dawn Caster leads us through when to consider glomerular disease, when to consult a nephrologist, classification of glomerular disease, searching for a cause for a pathologic diagnosis, and treatment options.
Julie Harting focuses primarily on basic antimicrobial principles including pharmacokinetics (absorption, distribution, elimination), mechanisms of bacterial resistance and real-life considerations when ordering antibiotics on rounds.
Dr. Lina MacKelaite gives a case-based, practical lecture on the topic of renal transplant with a focus on evaluation, qualification, benefits and management. She also discusses complications after transplant.
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.
Dr. Russell Farmer covers the acute abdomen for internists (from a surgeon's perspective). He reviews history and physical findings tailored to an acute abdomen and works through cases to discuss the following: diverticulitis, appendicitis, pancreatitis, peptic ulcer disease, bowel obstruction, cholecystitis, ovarian torsion, testicular torsion.