Louisville Lectures

Open Access Medical Education

Committed to sharing Internal Medicine focused lectures as free open access medical education.

Filtering by Category: Inpatient

Safe and Effective Hospital Discharges with Dr. Charlene Mitchell

In this presentation, Dr. Mitchell discusses discharge-related risks, appropriateness for discharge, and elements of the discharge process.  Dr. Mitchell emphasizes that dangerous events happen commonly, involving medications, test results, and poor communication and/or follow-ups. However, with a clear understanding for the process, these are mostly preventable. 

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Hypertensive Crisis with Dr. Lorrel Brown

Dr. Lorrel Brown discusses the Hypertensive Crisis by first defining hypertension. She then defines hypertensive crisis as having severely elevated blood pressure with end-organ damage. After, she discusses the pathophysiology of end organ damage along with the different treatment approaches for hypertensive crisis. Finally, she finishes her presentation with a few case reports. 

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Healthcare Quality and Safety: An Introduction with Dr. Hugh Shoff

In this presentation, Dr. Hugh Shoff presents Healthcare Quality and Safety by first explaining its history and importance. He then discusses the goals of physicians and how they can achieve those goals through patient safety as well as quality improvement and methods. After, he concludes with a case example. 

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Introduction to Pulmonary Arterial Hypertension with Dr. Karim El-Kersh

In this lecture, Dr. El-Kersh discusses the classification of Pulmonary Hypertension as well as the definition of Pulmonary Arterial Hypertension. He then discusses the pathophysiology, pathology, diagnosis, treatment and prognosis of Pulmonary Arterial Hypertension.

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Acute CVA with Dr. Jignesh Shah

Dr. Shah presents Acute CVA by first explaining how to evaluate a stroke patient, define a stroke and TIA as well as stroke epidemiology.  He then discusses the concept of penumbra along with vascular anatomy and pathogenesis. After talking through the risk factors and classifying ischemic stroke, Dr. Shah finishes with the signs and symptoms of a stroke. 

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Transparency with Information and Disclosure of Medical Errors with Dr. Nathan Spell

Dr. Nathan Spell presents "Transparency with Information and Disclosure of Medical Errors" by first explaining the rationale for disclosure of medical errors to patients and/or families along with how to relate the patient's perspective on transparency of information about errors and unexpected events. He then describes the emotions experienced by health care professionals and patients when discussing a medical error. Dr. Spell finished by discussing how to disclose errors in compassionate and patient-centered ways,  including effective use of apology where appropriate. 

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Delirium with Dr. Zachary Sager

Dr. Sager presents Delirium and how common it is through various statistics before explaining the Delirium DSM- 5 Criteria. He then discusses the many paths that lead to the development of Delirium and why that makes it so difficult to treat as well as the diagnosis of Delirium and the different risk factors involved like dementia, immobility, sensory impairment, etc. While treatment is hard to come by, Dr. Sager discusses the different treatments available.

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