The Curbsiders Internal Medicine Podcast7 Tammi 2019

#134 Urinary Tract Infections Delirium and Voltaire

“Urinary tract infections” (UTIs) are overdiagnosed. Antibiotics are overprescribed. UTIs are inappropriately blamed for geriatric syndromes (eg delirium) despite little supporting evidence. Our guest, Tom Finucane MD, Emeritus Professor of Medicine at Johns Hopkins makes us question everything. Topics: How can we diagnose “UTI”? Who needs treatment? Do urinary tract symptoms matter? Does malodorous urine correlate with infection? Who’s at risk for pyelonephritis and sepsis? Don’t miss this paradigm changing episode. And stop using the term “urinary tract infection” unless it’s prefaced by air quotes!

Sponsor: Join ACP's Internal Medicine Meeting 2019 April 11-13th in Philadelphia, PA . We'll see you there!

Full show notes available at http://thecurbsiders.com/podcast. Join our mailing list and receive a PDF copy of our show notes every Monday. Rate us on iTunes, recommend a guest or topic and give feedback at thecurbsiders@gmail.com.

Credits

Written and produced by: Matthew Watto MD

Hosts: Matthew Watto MD, Paul Williams MD

Edited by: Matthew Watto MD

Guest: Tom Finucane MD, MACP

Time Stamps

00:00 Disclaimer, intro and guest bio
04:00 Guest one liner, book recommendation, career advice
08:22 The “medical ignorome”
13:40 ACP Internal Medicine Meeting 2019 details
16:20 Case of malodorous urine; Urine is NOT sterile; Defining terms
25:14 Stop saying UTI unless using air quotes
28:34 What symptoms or history matters in evaluation for “UTI”? And can we predict who will become systemically ill?
34:47 Voltaire and when treatment is warranted for “urinary tract infections”
37:15 Delirium in an older adult with possible UTI, how to work it up, and who warrants antibiotics
51:55 Take home points
53:38 Outro

Tämä jakso on lisätty Podme-palveluun avoimen RSS-syötteen kautta eikä se ole Podmen omaa tuotantoa. Siksi jakso saattaa sisältää mainontaa.

Jaksot(500)

#519 Mild Autonomous Cortisol Secretion

Become a master of cortisol and learn how to identify and treat a common condition in patients with adrenal tumors! Join us as we learn about mild autonomous cortisol secretion (MACS) with Dr. Irina B...

30 Maalis 1h 13min

518: Cardiology Meets Longevity

Metabolic Health, Advanced Lipidology, and Preventing ASCVDLevel up your primary prevention game. Learn when ApoB, Lp(a), and CAC actually change management, how to spot cardiometabolic risk before di...

23 Maalis 1h 31min

#517 DIGEST: Weight regain after weight loss medications, GLP1/GIP comparisons, valacyclovir for Alzheimer’s, and nudges to encourage deprescribing

Join us as we review and appraise recent practice-changing articles. In this episode, we cover the latest in GLP-1s and GIP agonists for CVD, Type 2 Diabetes, and Obesity, valacyclovir to treat Alzhei...

16 Maalis 1h 5min

REBOOT: #481 Prediabetes and Diabetes Prevention with Dr. Scott Isaacs

We have a classic episode for you. Conquer prediabetes and diabetes prevention! We’re joined by Dr. Scott Isaacs, who provides essential pearls on navigating screening tests for diabetes and prediabe...

9 Maalis 1h 33min

#516 Lyme Disease Primer featuring Dr. Sophie Woolston

Stop getting TICK’ed off by LymeMaster Lyme disease — from recognizing erythema migrans and avoiding unnecessary testing to managing disseminated Lyme and post-exposure prophylaxis. Learn practical, e...

2 Maalis 1h 18min

#515 Primary Aldosteronism, A Deep Dive with Anand Vaidya, MD

Helping you diagnose a common cause of hypertension!Hypertension is a growing disease globally, affecting millions of individuals and increasing the risk of heart disease and stroke. Along with the ex...

23 Helmi 1h 26min

#514 Hotcakes: Oral Semaglutide, Fish Oil in ESRD, IV Iron During Infection, New US Dietary Guidelines, & Anticoagulation after Ablation in AFib

Join us as we review and appraise recent practice-changing articles on oral semaglutide for obesity, fish oil in ESRD, IV iron during infection, the new US Dietary Guidelines, & anticoagulation after ...

16 Helmi 1h 10min

REBOOT: #469 Inpatient Heart Failure

We have another classic episode for you. Master inpatient heart failure management! Learn key tips for initiating guideline-directed medical therapy, diuretic therapy pearls, and ensuring smooth trans...

9 Helmi 1h 32min