Louisville Lectures

Open Access Medical Education

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

Rhinosinusitis with Dr. Gerald Lee

Dr. Gerry Lee highlights important differences between allergic and non-allergic rhinosinusitis and emphasizes how to evaluate and treat the presentation of rhinitis. He discusses when to refer patients with rhinitis to allergists and how to recognize relationships between upper and lower airway diseases.

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Sepsis Guidelines and Evidence with Dr. Cavallazzi

This week we have another lecture from Dr. Rodrigo Cavallazzi. Here he discusses the bundles of care that have come out of the Surviving Sepsis guidelines as well as the recent evidence concerning "Early Goal Directed Therapy" pioneered by Dr. Rivers. He also discusses recent updates to the Surviving Sepsis guidelines and some nuances for patients not responding to initial therapies.


RODRIGO CAVALLAZZI, M.D.

Dr. Cavallazzi is an assistant professor of medicine at University of Louisville in the Pulmonary and Critical Care Department. He is a favorite of the residents and is heavily involved in the Community Acquired Pneumonia Organization (CAPO) research. 

 

 


Some items in this lecture may have come from the lecturer’s personal academic files or have been cited in-line or at the end of the lecture. For more information, see our citation page.

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Tracheostomy Care and Weaning from Mechanical Ventilation

Dr. Karem El Kersh describes basics of anatomy, components and indications for tracheostomy. Then he spends time covering when and how to change a trach as well as suggestions for troubleshooting common problems involving tracheostomies. 

 Dr. Rodrigo Cavallazzi discusses steps toward ventilator liberation including spontaneous breathing trial and other parameters to indicate readiness to wean. He then discusses strategies for weaning: optimizing fluid status, weaning protocols, sedation weaning, rehabilitation therapy.

 

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Cirrhotic Ascites with Dr. Beauerle

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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Ocular Manifestations of Systemic Disease with Dr. Apenbrinck

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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Grand Rounds: Management of C.difficile and Fecal Microbiota Transplant With Dr. Krueger

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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Grand Rounds: Islet Cell Autotransplantation With Dr. Hughes

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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