IM & Hospital Medicine Recaps

Dive deep into the complex world of antiarrhythmic medications for atrial fibrillation. This episode unravels the crucial mechanisms, efficacy, and serious risks of drugs like Class 1C agents, amiodarone, dofetilide, sotalol, and ibutilide. Learn essential prescribing guidelines, critical contraindications (including in CAD and heart failure), and paramount monitoring protocols to ensure patient safety and optimize outcomes.Source: https://www.cardionerds.com/439-atrial-fibrillation-anti-arrhythmic-drugs-in-the-management-of-atrial-arrhythmias-with-dr-andrew-epstein/Subscribe to IM + Hospital Medicine Recaps: https://open.spotify.com/show/0gBboJb5vEFKwzhDUeehQgSubscribe to the Point of Care Podcast: https://open.spotify.com/show/18KgVxJA2lLIcr4dOpOkqwSubscribe to our Substack: https://substack.com/@rokeefemdFollow Us on X/Twitter: @pointofcaremed and @ROKeefeMDOur mission is to create accessible and easy-to-use digital resources that help healthcare professionals tackle common clinical presentations at the point of care, without getting bogged down by unnecessary details or trivia.Disclaimer: The content of this video and any associated media is meant for educational and information purposes only. RMO Medical Education does not provide medical advice, diagnosis, or treatment.

Unpack the modern understanding of Menopause Hormone Therapy (MHT), moving beyond past controversies to embrace a nuanced, individualized approach. This episode re-examines the WHI trial, exploring the critical "timing hypothesis" and the benefits of transdermal estrogen. Learn about the role of micronized progesterone, effective treatments for genitourinary symptoms, and how personalized care can empower women to navigate menopause with greater comfort and confidence.Source: https://thecurbsiders.com/curbsiders-podcast/507-swinging-the-pendulum-on-menopause-care-with-dr-rachel-rubinSubscribe to IM + Hospital Medicine Recaps: https://open.spotify.com/show/0gBboJb5vEFKwzhDUeehQgSubscribe to the Point of Care Podcast: https://open.spotify.com/show/18KgVxJA2lLIcr4dOpOkqwSubscribe to our Substack: https://substack.com/@rokeefemdFollow Us on X/Twitter: @pointofcaremed and @ROKeefeMDOur mission is to create accessible and easy-to-use digital resources that help healthcare professionals tackle common clinical presentations at the point of care, without getting bogged down by unnecessary details or trivia.Disclaimer: The content of this video and any associated media is meant for educational and information purposes only. RMO Medical Education does not provide medical advice, diagnosis, or treatment.

Elevated triglycerides pose serious health risks, from acute pancreatitis to long-term cardiovascular disease. In this episode, we dive into severe hypertriglyceridemia, covering its causes, urgent inpatient care strategies, and essential long-term approaches including lifestyle changes and pharmacotherapy. Learn how to protect your heart and pancreas from this complex lipid disorder.Source: https://www.coreimpodcast.com/2025/12/03/severe-hypertriglyceridemia-5-pearls-segment/Subscribe to our Substack: https://substack.com/@rokeefemdFollow Us on X/Twitter: @pointofcaremed and @ROKeefeMDOur mission is to create accessible and easy-to-use digital resources that help healthcare professionals tackle common clinical presentations at the point of care, without getting bogged down by unnecessary details or trivia.Disclaimer: The content of this video and any associated media is meant for educational and information purposes only. RMO Medical Education does not provide medical advice, diagnosis, or treatment.

Superficial Vein Thrombosis (SVT) is often underestimated, but new insights reveal its critical importance. This episode dives into why SVT is far from benign, highlighting its strong link to deep vein thrombosis (DVT) and pulmonary embolism (PE). Learn when D-dimer is useless, how to differentiate upper vs. lower extremity SVT, and the precise criteria for conservative management versus aggressive anticoagulation. We also discuss red flags like bilateral or migratory SVT that demand further investigation for underlying conditions. Optimize your patient care by understanding this crucial warning sign.Source: https://jamanetwork.com/journals/jama/article-abstract/2838995Subscribe to our Substack: https://substack.com/@rokeefemd

Navigating the latest hypertension guidelines can be complex, but these crucial updates offer fresh perspectives for clinicians and patients. We delve into the critical importance of accurate blood pressure measurement, expanded screening for conditions like primary aldosteronism, and tailored, often more aggressive, treatment strategies including early dual-drug therapy for Stage Two hypertension. Learn about the elimination of "hypertensive urgency," new targets for older adults, and updated lifestyle recommendations, all aimed at improving patient outcomes. Subscribe to our Substack: https://substack.com/@rokeefemdSource: https://thecurbsiders.com/curbsiders-podcast/509-fresh-hypertension-guidelines-west-philadelphia-doc-jordy-cohen-keeps-our-hypertension-management-fresh

Navigate the evolving landscape of cardiovascular disease prevention with our expert insights. This episode breaks down updated strategies for assessing ASCVD risk and managing lipids, emphasizing personalized approaches. Discover the game-changing PREVENT calculator, the significance of non-HDL cholesterol, the "triple threat" of Lp(a), and how a CAC score can redefine your risk. Learn practical strategies for statin management and identifying familial hypercholesterolemia, ensuring you're equipped with the latest knowledge for precise and equitable patient care.Subscribe to our Substack: https://substack.com/@rokeefemdSource: https://thecurbsiders.com/curbsiders-podcast/508-ascvd-risk-lipids-update-prevent-apob-lpa-next-gen-therapies

Head and neck cancer (HNC) demands a sophisticated approach. This episode breaks down the diverse types of HNC, highlighting the critical divide HPV status creates in oropharyngeal cancer - from distinct patient profiles to vastly different prognoses. We'll explore the essential diagnostic workup, stage-specific treatment strategies, and the revolutionary impact of immunotherapy, featuring pembrolizumab, in managing advanced and recurrent HNC cases. Understand how precision and modern therapies are transforming outcomes.---Source: https://jamanetwork.com/journals/jama/article-abstract/2842834Subscribe to our Substack: https://substack.com/@rokeefemd

Prostate cancer management is evolving rapidly. This episode explores the cutting-edge advancements transforming diagnosis and treatment. From the precise ISUP Grade Group System and essential multi-parametric MRI, to personalized strategies like active surveillance for low-risk disease, we cover it all. Discover the impact of triplet therapy for metastatic cases, targeted radiotherapy, refined approaches for biochemical recurrence, and the breakthrough Lutetium-177 PSMA therapy for advanced prostate cancer. Stay informed on the latest standards enhancing patient outcomes.Source: https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(25)02221-4/abstractSubscribe to our Substack: https://substack.com/@rokeefemd

Unlock Complex Regional Pain Syndrome (CRPS), one of medicine's most challenging and often misunderstood conditions. This episode dives deep into CRPS, explaining diagnosis via the Budapest criteria, its nature as a nociplastic pain disorder, and the fascinating phenomenon of distorted limb perception. We cover crucial acute interventions, nuanced chronic pain management strategies (including why traditional PT can be counterproductive), and the latest on prevention and emerging autoimmune links. Essential listening for clinicians and anyone seeking a clearer understanding of this intricate pain condition.---Source: https://www.nejm.org/doi/full/10.1056/NEJMcp2415752Subscribe to our Substack: https://substack.com/@rokeefemd

Navigating cancer screening for older adults is a complex puzzle. This episode explores why life expectancy, not just chronological age, should be the primary factor in making screening decisions. We delve into the crucial "lag time" for mortality benefits, the significant harms of overdiagnosis, and specific, nuanced recommendations for breast, prostate, cervical, colorectal, and lung cancer screenings. Move beyond a one-size-fits-all approach and understand how to personalize cancer care for aging patients.---Source: https://www.aafp.org/pubs/afp/issues/2025/1200/cancer-screening-older-adults.htmlSubscribe to our Substack: https://substack.com/@rokeefemd