Dr. Chris Stewart reviews the basics of alcoholism including definitions, alcohol elimination rate, leading causes of death. He spends time on time and presentation of withdrawal as well as complications. Dr. Stewart finishes by outlining medication assisted and supportive detoxification.
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Dr. Brian Beauerle covers the basics of cirrhosis including pathophysiology, symptoms and survival of patients with survival. He covers when and how to perform a paracentesis including interpretation of results. He discusses pharmacologic and dietary treatment of ascites and refractory ascites. He closes with complications of ascites including spontaneous bacterial peritonitis and hepatic hydrothorax.
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Dr. Eddie Apenbrinck dissects those ophthalmology notes that you can never decipher. He also covers retinal complications of diabetes including treatments including laser photocoagulopathy. Other systemic causes of retinal disease are covered including sickle cell anemia and hypertension. Among the other topics covered are thyroid eye disease, inflammatory ocular involvement of rheumatoid conditions, ocular malignancies and infections.
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Dr. Kris Krueger reviews the epidemiology and pathogenesis of C.difficile in the U.S. Then, she gives an update on current medical treatments including antibiotic, probiotic and surgical treatment before covering the evidence behind fecal microbial transplant. She also addresses prevention strategies and emerging C.difficile therapies such as immunotherapy and vaccines.
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Dr. Mike Hughes discusses innovative medical care of chronic pancreatitis with ground-breaking work on auto-islet cell transplantation. He covers differences in auto vs. allo transplantation, indications of transplantation, evaluation of prospective transplant patients, peri-operative and outpatient management, and observed outcomes post-surgery. The lecture spends time reviewing several ongoing research projects at University of Louisville by several labs researching facets of this topic.
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Dr. Cindy Owen gives an overview of cutaneous drug reactions and an approach to diagnosis and treatment in this image-driven lecture. She spends time on urticaria, fixed drug eruption, serum-sickness reaction, hypersensitivity vasculitis, morbilliform rash, drug reaction with eosinophilia and systemic symptoms, erythema multiforme, toxic epidermal necrolysis and less familiar drug reactions (acute generalized exanthematous pustulosis, symmetric drug related intertriginous and flexural exanthem).
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Dr. Rodrigo Cavallazzi covers the assessment of volume responsiveness including the static exam as well as dynamic markers to aid with treatment of shock without administration of excessive fluids. He spends some time on shock definition and physiologic compensation before discussing physical exam and laboratory findings consistent with tissue ischemia. Then, he delves into methods of determining pre-load responsiveness.
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Dr. Lorrel Brown returns to discuss tamponade cardiac physiology (including demystifying pulsus pardoxus). She continues to cover the differentiation of constrictive and restrictive cardiomyopathies. This action-packed lecture concludes with stress cardiomyopathy and HFpEF (heart failure with preserved ejection fraction).
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Grand Rounds given by Internal Medicine Chairman, Dr. Jesse Roman. He covers the definition of interstitial lung disease as well as it's evaluation and management. He also spends time on idiopathic interstitial pneumonia and idiopathic pulmonary fibrosis.
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