#106: Hotcakes: Cardiac risk, diabetes, pulmonary embolism, opioid use disorder, neck ties and nose picking?
Published July 30, 2018
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55 min
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    Short on time but hungry for knowledge? Curbsiders’ Journal Club gives you the speedy article analysis you crave. We provide brief summaries of recent research and news items in the field of internal medicine, so you can save time and stay on top of the literature. On this episode, we were joined by Kashlak Memorial’s very own Chair of Medicine, Dr. Robert Centor AKA @medrants on Twitter or “Uncle Bob” to the Curbsider Crew. This month’s topics include: estimating atherosclerotic cardiovascular disease risk, whether CT pulmonary angiography (CTPA) effectively rules out pulmonary embolism, discharging low risk patients with pulmonary embolism from the ED, metformin and risk of acidosis in patients with CKD, treating opioid use disorder after a nonfatal overdose, Canagliflozin and renal protection in type 2 diabetes, screening for diabetes among patients below age 40, and the association between nose-picking and staphylococcus. ACP members can claim free CME-MOC at acponline.com/curbsiders (goes live 0900 EST on podcast release date).

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    Thoughts on the Journal Club series? Article or guest nominations? Compliments or complaints? You can reach us at thecurbsiders@gmail.com. We are also on Facebook, Instagram, and Twitter: @thecurbsiders.  

    Credits:

    • Written by: Christopher J Chiu MD, Sarah Phoebe Roberts MPH
    • Producers: Christopher J Chiu MD, Sarah Phoebe Roberts MPH
    • Editor: Matthew Watto MD
    • Hosts: Christopher J Chiu MD, Stuart Brigham MD, Paul Williams MD, and Matthew Watto MD
    • Guest: Robert Centor MD

    Time stamps:

    • 00:00 Disclaimer and Intro to Curbsiders Journal Club
    • 04:00 Dr. Centor's Pick of the Week
    • 06:10 Clinical Implications of the Revised Pooled Cohort Equations
    • 12:10 Negative Predictive Value in CTPA for VTE
    • 18:34 Can low risk patients with PE be discharged from the ED?
    • 23:03 Is Metformin associated with Lactic Acidosis in those with low eGFR?
    • 28:45 How do medications for opioid use disorder affect mortality after non-fatal overdose?
    • 36:44 Canagliflozin and Renal Protection
    • 43:00 Performance of USPSTF screening criteria for diabetes
    • 46:08 Stuart on Nose picking
    • 50:00 Chiu Bites: Infectious ties and physical attire
    • 53:50 Outro

    Tags: atherosclerotic, cardiovascular, disease, risk, CT, pulmonary, angiography, CTPA, embolism, ED, metformin, acidosis, CKD, treatment, opioid, use, disorder, oud, mat, overdose, canagliflozin, renal, diabetes, screening, nose-picking, staphylococcus, ACP, CME, MOC, assistant, care, doctor, education, family, FOAM, FOAMim, FOAMed, health, hospitalist, hospital, internal, internist, meded, medical, medicine, nurse, practitioner, professional, primary, physician, resident, student

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