The Curbsiders Internal Medicine Podcast

Why we need to stop calling them “endemic” mycoses & more fungi fun! Feeling muddled about endemic mycoses? We tackle the clinical presentation of diseases like histoplasmosis, blastomycosis, and coccidioidomycosis, the importance of testing, and how to diagnose fungal infections  with our esteemed guest Dr. Andrej Spec, MD! Claim CME for this episode at curbsiders.vcuhealth.org [http://curbsiders.vcuhealth.org] [http://curbsiders.vcuhealth.org]! Patreon [http://patreon.com/curbsiders] | Episodes [https://thecurbsiders.com/category/curbsiders-podcast] | Subscribe [https://audioboom.com/channels/5034728.rss] | Spotify [https://open.spotify.com/show/3SKlzOLxyztvA1BkJfnf67] | YouTube [https://www.youtube.com/@thecurbsiders7326] | Newsletter [https://thecurbsiders.com/digest] | Contact [askcurbsiders@gmail.com] | Swag! [https://www.teepublic.com/user/kashlakmemorial] | CME [http://curbsiders.vcuhealth.org] Show Segments * Introduction and icebreaker,  Fish Club?!  00:00 * Case 1 from Kashlak 07:27 * Diagnostic framework for dimorphic fungi 11:58 * Imaging presentations for fungal pneumonia, diagnostic schemas 18:23 * Testing options 27:48 * Treatment options 35:44 * Dimorphic Fungi Mnemonics 45:50 * Retail testing for mold 48:47 * Case 2 from Kashlak 56: 42 * Takeaways and Conclusions 1:05:19 Credits * Producer, Writer, Show Notes:  Beth “Garbs” Gasperlin MD * Infographic and Cover Art: Zoya Surani * Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP,  Beth Gasperlin MD   * Reviewer: Leah Witt Gaspard MD * Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP * Technical Production: PodPaste * Guest: Andrej Spec MD Disclosures Dr. Spec reports no relevant financial disclosures. The Curbsiders report no relevant financial disclosures.  Sponsor: Quince [https://www.quince.com/]Go to Quince.com/curb [https://www.quince.com/] for free shipping on your order and three hundred and sixty-five -day returns. Sponsor: Continuing Education Company [http://cmemeeting.org/curbsiders]  Special offer for Curbsiders listeners: Save 30% on all online courses and live webcasts with promo code CURB30. Visit www.CMEmeeting.org/curbsiders [http://www.CMEmeeting.org/curbsiders] to explore all offerings and claim your discount. Sponsor: Freed [https://www.getfreed.ai/?utm_source=google&utm_campaign=FreedBrand&utm_content=freed%20ai&utm_medium=g&adgroup=167499456155&gclid=CjwKCAjwp_LDBhBCEiwAK7FnksrNfZaYCPbKDWVIabWu8IQbbRnBM27cZMx-Tygqf_X17nWhOKLR7BoCONkQAvD_BwE&gad_source=1&gad_campaignid=21647716767&gbraid=0AAAAA98TJIny8leQ914upPJnoGT_QtieS]Use code: CURB50 to get $50 off your first month when you subscribe!

Dominate C. diff! Learn to distinguish colonization from infection, select first-line therapies, and counsel patients on recurrence prevention and microbiome recovery. We’re joined by IDSA past president and expert on foodborne and intestinal infections, Dr. Cindy Sears (Johns Hopkins University) for a comprehensive update on Clostridioides difficile (C. diff, Cdiff, CDAD, CDI). Claim CME for this episode at curbsiders.vcuhealth.org [http://curbsiders.vcuhealth.org] [http://curbsiders.vcuhealth.org]! Patreon [http://patreon.com/curbsiders] | Episodes [https://thecurbsiders.com/category/curbsiders-podcast] | Subscribe [https://audioboom.com/channels/5034728.rss] | Spotify [https://open.spotify.com/show/3SKlzOLxyztvA1BkJfnf67] | YouTube [https://www.youtube.com/@thecurbsiders7326] | Newsletter [https://thecurbsiders.com/digest] | Contact [askcurbsiders@gmail.com] | Swag! [https://www.teepublic.com/user/kashlakmemorial] | CME [http://curbsiders.vcuhealth.org] Show Segments * 00:00 Intro * 03:00 Guest bio and hobby * 04:25 Case of Charles Fleur Fontaine * 06:00 Risk factors and epidemiology * 08:00 Antibiotic hierarchy of risk * 10:00 Diagnosis, testing strategies * 14:00 Defining severity * 17:30 Treatment options * 20:00 Microbiome recovery strategies * 24:00 Probiotics and postbiotics * 27:00 Infection control counseling * 30:00 C. diff and colon cancer * 32:00 Recurrent C. diff strategies * 35:00 Why some FMT and bezlotoxumab were discontinued * 38:00 Microbiota replacement therapies * 43:00 Prophylaxis strategies * 45:00 Future therapies and ongoing research * 47:00 Audience Q&A * 52:00 Outro Credits * Written and Produced by: Matthew Watto, MD, FACP  * Cover Art and Infographic by: * Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP    * Reviewer: Sai S Achi MD,MBA,FACP * Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP * Technical Production: PodPaste * Guest: Cynthia Sears MD Disclosures Dr. Sears reports no relevant financial disclosures. Dr. Williams financial relationships disclosed include a Merck grant or research support. This relationship has not ended. Sponsor: Mint Mobile [https://www.mintmobile.com/?utm_source=podcast&utm_medium=audio&utm_campaign=mint_podcast&utm_content=curb&dnfemfkahqkdlf=curb]  This year, skip breaking a sweat AND breaking the bank. Get this new customer offer and your 3-month Unlimited wireless plan for just 15 bucks a month at mintmobile.com/CURB [http://mintmobile.com/CURB]  Sponsor: Panacea Financial [http://panaceafinancial.com] Let Panacea Financial take the financial stress off your plate,so you can get back to doing what matters most. Visit panaceafinancial.com  [http://panaceafinancial.com] Sponsor: FIGS [http://wearfigs.com] Get15% off your first order at wearfigs.com [http://wearfigs.com] with the code FIGSRX

In this special bonus episode, Dr. Linda Blustein (Bendy Bodies https://bit.ly/m/BendyBodies [https://bit.ly/m/BendyBodies]) addresses listener questions about Ehlers-Danlos syndrome (EDS) and hypermobility spectrum disorders. 00:00 – Introduction 00:59 – Can PCPs diagnose hEDS without a geneticist? 03:19 – Limitations of the Beighton Score 05:40 – 2017 hEDS criteria & upcoming revisions 10:29 – How to find a knowledgeable provider 12:52 – SVT vs POTS in a patient with EDS family history 19:53 – How to ask your provider if they’re comfortable treating dysautonomia 22:17 – MTHFR variants and hEDS 29:23 – Celiac, gluten sensitivity & EDS 31:48 – Food allergy vs sensitivity testing 34:11 – Lipoedema and hypermobility 39:00 – LDN, Ketotifen, and Cromolyn 43:41 – Medication sensitivity in EDS/POTS/MCAS patients 45:47 – Wrap up and resources FIGS [https://www.wearfigs.com/pages/women-home] Get 15% off your first order at wear figs.com [https://www.wearfigs.com/pages/women-home] with the code FIGSRX Locumstory [https://locumstory.com/] Locumstory.com [http://locumstory.co/] is simply a free, unbiased educational resource about locum tenens Grammarly [http://grammarly.com/PODCAST] Download Grammarly for free at Grammarly.com/PODCAST [http://grammarly.com/PODCAST]

We have a classic Curbsiders episode for you. Expert guest Dr. Elliot Tapper (@ebtapper [https://x.com/ebtapper?ref_src=twsrc%5Egoogle%7Ctwcamp%5Eserp%7Ctwgr%5Eauthor]) shares his framework for approaching NAFLD/MASLD and the treatment tools he recommends including lifestyle modifications and medications.

An age-friendly approach to arthralgias. Attack arthralgias with ease! Learn how to evaluate and manage common joint complaints in older adults. We’re joined by Dr Una Makris, @unamakris.bsky.social [https://bsky.app/profile/unamakris.bsky.social] (UT Southwestern [https://profiles.utsouthwestern.edu/profile/132023/una-makris.html]). Claim CME for this episode at curbsiders.vcuhealth.org [http://curbsiders.vcuhealth.org] [http://curbsiders.vcuhealth.org]! Patreon [http://patreon.com/curbsiders] | Episodes [https://thecurbsiders.com/category/curbsiders-podcast] | Subscribe [https://audioboom.com/channels/5034728.rss] | Spotify [https://open.spotify.com/show/3SKlzOLxyztvA1BkJfnf67] | YouTube [https://www.youtube.com/@thecurbsiders7326] | Newsletter [https://thecurbsiders.com/digest] | Contact [askcurbsiders@gmail.com] | Swag! [https://www.teepublic.com/user/kashlakmemorial] | CME [http://curbsiders.vcuhealth.org] Show Segments * Intro * Case 1 from Kashlak * General approach to joint pain in older adults * Diagnosing osteoarthritis * Management of osteoarthritis in older adults * Non-pharmacological interventions * Pharmacological interventions: topicals, orals, injectables * When to refer for joint replacement * Case 2 from Kashlak * Diagnosis of Late onset rheumatoid arthritis (LORA) * Differential Diagnosis and Distinguishing features * Lab work/Imaging * When to refer to rheumatology * Approach to managing LORA * The 5Ms framework * Initial treatment with glucocorticoids * Ageism as a driver of undertreatment in older adults * Treating to target * Key takeaways  * Outro  Credits * Producers, Writers and Show Notes: Joseph (Lee) Young, MD, Leah Witt, MD, Rachel Miller, MD * Cover Art and Infographic: Leah Witt, MD * Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP    * Reviewer: Emi Okamoto, MD * Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP * Technical Production: PodPaste * Guest: Dr. Una Makris Disclosures Dr. Makris reports no relevant financial disclosures. The Curbsiders report no relevant financial disclosures. Sponsor: Heart of Care If you care about patient safety, team performance, and building a culture of readiness, subscribe to In the Heart of Care. Available now, wherever you get your podcasts. Sponsor: FIGS [http://wearfigs.com] Curbsiders listeners can get 15% off. Just go to wearFIGS.com [http://wearfigs.com] and use code FIGSRX.