CME | Onychomycosis, This Little Piggy Needs Terbinafine

In this episode of CME on the Go, our hosts discuss the common yet rarely discussed subject of toenail fungus (onychomycosis). The episode is filled with clinical insights and thorough discussions on diagnosing and treating toenail fungus in family medicine. They cover the effectiveness of topical versus oral treatments, the value of podiatrist referrals, and even delve into home remedies.

Topics By Timestamp

00:00 Introduction and Hosts Introduction

00:42 Opening Joke and Light Banter

01:28 Discussing Toenail Fungus

03:04 Causes and Diagnosis of Toenail Fungus

08:55 Treatment Options: Topicals vs. Orals

10:39 Oral Medications and Their Efficacy

14:17 Toenail Removal and Specialist Referrals

17:52 Alternative Treatments and Home Remedies

21:24 Final Thoughts and Gratitude

25:21 Conclusion and Credits

After listening to the podcast episode, claim 0.5 AAFP credit by following the provided link.

https://www.aafp.org/assessment/take/18339/e

Learning Objectives

1. Identify clinical signs and underlying causes of onychomycosis to support accurate diagnosis and patient education. 2. Differentiate between topical and oral antifungal treatments, and explain the rationale for treatment selection—including realistic expectations and monitoring protocols. 3. Discuss indications for nail removal and referral, and counsel patients with chronic fungal nail infections using clear, compassionate communication.

Disclosure: It is the policy of the AAFP that all individuals in a position to control content disclose any relationships with commercial interests upon nomination/invitation of participation. Disclosure documents are reviewed for potential conflicts of interest and, if identified, conflicts are resolved prior to confirmation of participation. Only those participants who had no conflict of interest or who agreed to an identified resolution process prior to their participation were involved in this CME activity.  All individuals in a position to control content for this session have indicated they have no relevant financial relationships to disclose. 

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