Episode 98: Approach to Diuresis

Dr. Navin Kumar and Dr. Emily Gutowski continue their discussion of gastroesophageal reflux disease (GERD) and tackle the core elements of treatment in the outpatient setting. They go over initial management for milder disease and more aggressive strategies for severe cases. They also go over how to ramp up and taper down PPI treatment, as well as some of the side effects of this commonly prescribed class of medications. This is the second of three episodes on GERD.

Dr. Navin Kumar, gastroenterologist at Brigham and Women's Hospital, discusses an approach to GERD with Dr. Emily Gutowski, rheumatology fellow at NYU. Together, they discuss "can't-miss diagnoses" on the differential, as well as the pathophysiology and potential etiologies of GERD. Check back in for another episode focusing on endoscopy findings and treatment for GERD!

Dr. Leslie Chang, a hospitalist at Massachusetts General Hospital (MGH), discusses an approach to diuresis with host Dr. Joyce Zhou, a resident at MGH and core Run the List podcast member. Together, they discuss determining a patient's volume status via history, physical exam, and labs in order to guide inpatient diuresis decision-making.

Dr. Walker Redd, a Gastroenterology fellow at the University of North Carolina and co-founder of the Run the List podcast, discusses his approach to dysphagia with host Dr. Navin Kumar, an attending Gastroenterologist at Brigham and Women's Hospital, medical educator at Harvard Medical School, and co-founder of RTL. Together, they discuss the meaning of dysphagia, its causes, and ways to manage it. Run the List podcast on AccessMedicine: https://accessmedicine.mhmedical.com/multimedia.aspx#1460

Dr. Staci Leisman, Associate Professor of Medicine and Medical Education at the Icahn School of Medicine at Mount Sinai, joins us to discuss renal replacement therapies. With host Dr. Emily Gutowski, she works through several cases that highlight the different types of RRT, advantages and disadvantages of each, as well as clinical pearls to consider when treating patients with end stage renal disease (ESRD). Run the List podcast on AccessMedicine: https://accessmedicine.mhmedical.com/multimedia.aspx#1460

Dr. Samira Farouk discusses her approach to interpreting urine studies. Together with host Dr. Emily Gutowski, she teaches listeners about the plethora of information that can be obtained from this simple lab test. This episode covers a review of the basics, as well as important caveats to keep in mind. Run the List podcast on AccessMedicine: https://accessmedicine.mhmedical.com/multimedia.aspx#1460

Dr. Alexis "AC" Gomez, a second year fellow at the combined MGH, Brigham and Women's, and Boston Children's nephrology program, discusses acid-base disorders with Dr. Joyce Zhou, a RTL host. She defines acid-base disorders, shares common etiologies, and offers a 5-step approach to characterizing these abnormalities. Run the List podcast on AccessMedicine: https://accessmedicine.mhmedical.com/multimedia.aspx#1460

Dr. Alexis "AC" Gomez, a second year fellow in the combined MGH, Brigham and Women's, and Boston Children's nephrology fellowship, continues a discussion of sodium disorders with a conversation about hypernatremia with Dr. Joyce Zhou, a RTL host and internal medicine resident. She shares her approach to high sodium disorders and pearls on diagnostics and management of this disorder. Run the List podcast on AccessMedicine: https://accessmedicine.mhmedical.com/multimedia.aspx#1460

Dr. Alexis "AC" Gomez, a second year fellow at the combined MGH, Brigham and Women's, and Boston Children's nephrology program, discusses her approach to hyponatremia with host Dr. Joyce Zhou. She shares the pathophysiology behind her diagnostic framework for hyponatremia and her systematic approach, and discusses pearls such as how to use ddAVP clamps in treating this disorder. Run the List podcast on AccessMedicine: https://accessmedicine.mhmedical.com/multimedia.aspx#1460

Dr. Samira Farouk, transplant nephrologist at the Mount Sinai Hospital in New York, continues our nephrology series with a discussion of hypokalemia. She and Dr. Emily Gutowski, RTL host, cover the potential causes of low potassium and important concepts to keep in mind while treating this electrolyte disturbance. Run the List podcast on AccessMedicine: https://accessmedicine.mhmedical.com/multimedia.aspx#1460