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 ablation in AFib. Fill your brain hole with a delicious stack of hotcakes! Featuring Paul Williams (@PaulNWilliamz), Rahul Ganatra (@rbganatra), Josh Gilman, & Matt Watto (@doctorwatto).

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Credits

• Written and Hosted by: Rahul Ganatra MD, MPH; Paul Williams, MD, FACP, Joshua Gilman, MD, & Matthew Watto MD, FACP
• Cover Art: Rahul Ganatra, MD MPH
• Reviewer: Emi Okamoto, MD
• Technical Production: Pod Paste
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

• Intro, disclaimer
• Oral Semaglutide for obesity
• Fish Oil for CV risk reduction in hemodialysis patients
• IV Iron for iron deficiency anemia during infection
• New USA Dietary Guidelines
• Anticoagulation after catheter ablation for AF
• Outro

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Master inpatient heart failure management! Learn key tips for initiating guideline-directed medical therapy, diuretic therapy pearls, and ensuring smooth transitions of care. We are joined by Dr. Gurusher Panjrath @PanjrathG (GW School of Medicine and Health Sciences-Dr. Panjrath)

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Show Segments

• Intro
• Rapid Fire Questions/Picks of the Week
• Case Aliquot 1
• Defining Heart Failure
• POCUS in Heart Failure
• Timing/Indications for Echocardiography
• Initiating Diuretic Therapy
• Adjusting Diuretic Therapy/Drip vs Bolus
• Adjunct Diuretic Therapy
• Afterload Reduction
• Monitoring Diuretic Response
• Inpatient Sodium and Fluid Restriction
• Case Aliquot 2
• Classifying Heart Failure
• Pharmacotherapy for HFrEF
• Pharmacotherapy for HFpEF
• Ischemic Evaluation
• Interval Summary/Highlights
• Case Aliquot 3
• Considerations for Initial Care of Cardiogenic Shock
• Choosing Inotrope/Vasopressor
• Right Heart Catheterization
• Case Aliquot 4
• Discharge Medications for Heart Failure
• Titration of Goal Directed Medical Therapy
• Post Discharge Follow Up
• Washout Period for ACEi/ARB
• Cost/Barriers of ARNI
• Patient Education
• Take Home Points
• Outro

• Writer, Producer, and Show Notes by: Reaford Blackburn, Jr., MD
• Infographic & Cover Art: Caroline Coleman MD
• Hosts: Monee Amin, MD and Meredith Trubitt, MD
• Reviewer: Rahul Ganatra MD
• Technical Production: PodPaste
• Guest: Gurusher Panjrath, MD

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Dr. Fleseriu schools us on managing the unexpected

Become a master of pituitary incidentalomas. Learn about the hormonal workup and management of pituitary microadenomas, macroadenomas and empty sella syndrome and when surgery may be needed. We’re joined by Dr. Maria Fleseriu, @MariaFleseriu (Oregon Health and Science University)

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Show Segments

• Intro
• Rapid fire questions/Picks of the Week
• Case 1
• Defining Pituitary Incidentalomas
• What is the difference between micro adenoma, macroadenoma and functional vs non-functional adenomas
• Hormonal workup of microadenoma (assessing for hypopituitarism and hormonal excess)
• Decided when to reimage patients and long term follow up of microadenomas
• Case 2
• Hormonal workup for pituitary macroadenoma
• Deciding when surgery should be considered
• Discussing the role of visual field testing
• Case 3
• Defining empty sella syndrome
• Discussing hormonal assessment of empty sella syndrome
• Treatment options for hyperprolactinemia caused by empty sella syndrome
• Outro

• Producer, writer, show notes, and CME: Mobeen Ahmad MD
• Infographic and cover art: Kate Grant MBChb, MRCGP
• 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. Maria Fleseriu

Disclosures

Dr. Fleseriu reports no relevant financial disclosures. The Curbsiders report no relevant financial disclosures.

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