Guest: David R. Farley, M.D. 

Host: Darryl S. Chutka, M.D. (@ChutkaMD) 

What should you be looking for in your physical exam? How do you differentiate a femoral hernia from a swollen lymph node? Dr. David Farley breaks down common hernias, the importance of the history and the exam, when imaging studies like a CT scan may be needed, the impact of smoking, weight gain, and life style on incision healing, and when someone should be referred for surgery. 

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd. 

Guest: Lois J. Mc Guire, APRN, C.N.P., M.S. 

Host: Darryl S. Chutka, M.D. (@ChutkaMD) 

When do you begin cervical cancer screening in your patients? Is it really ok to go 5 years in between pap smears? Which algorithm should you use to determine next steps? Lois Mc Guire details the ins and outs of cervical cancer screening including pathology reports, follow up testing recommendations, intervals for routine screening, and some expert tips for performing pap smears. 

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd. 

Deeper Dive: 

• ASCCP Guidelines: http://www.asccp.org/guidelines 

Guests: Emily J. Holm, Pharm.D., BCACP, R.Ph. and Audrey J. Umbreit, Pharm.D., R.Ph. 

Host: Darryl S. Chutka, M.D. (@ChutkaMD) 

With over half of adults potentially taking an inappropriate medication some of the side effects can be very insidious. What can you do to mitigate these effects for your patients and how can you safely reduce the chance of a prescription cascade? Drs. Holm and Umbreit share tips on how you can help your patients take their medications correctly. 

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd. 

Deeper Dive: 

• Beers Criteria https://dcri.org/beers-criteria-medication-list/ 

Guest: Robert M. Jacobson, M.D. (@RobertJMD)

Host: Darryl S. Chutka, M.D. (@ChutkaMD)

What are the true contraindications for the flu vaccine? How early is too early for your patients to get vaccinated? Dr. Robert Jacobson discusses the ins and outs of vaccines, how to respond to common reasons patients don’t want to get vaccinated, and how to increase your practice’s vaccination rates.

Tips @14:54: It’s more of a stop sign than “do you want fries with that?”

TLDR: Listen at 19:21 for Dr. Jacobson’s must-know tips!

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Guest: John M. Wilkinson, M.D. 

Host: Darryl S. Chutka, M.D. (@ChutkaMD) 

Dr. John Wilkinson and Dr. Darryl Chutka share the key takeaways from their decades of practice. Listen in to their pearls and share yours with us on Twitter with hashtag #MayoClinicTalks. 

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd. 

Guest: Elie F. Berbari, M.D. (@DOCElie)

Host: Darryl S. Chutka, M.D. (@ChutkaMD) 

Infection remains an uncommon but major complication of prosthetic joint replacement procedures. What increases your patient’s chance of getting an infected joint? What can you do to decrease the chance of infection? Do patients need antibiotics when having dental work? Dr. Elie Berbari discusses these questions and more in what Dr. Darryl Chutka calls “one of the best Grand Rounds” he’s heard. 

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd. 

Deeper Dive: 

• Appropriate Use Criteria For the Management of Patients with Orthopaedic Implants Undergoing Dental Procedures https://bit.ly/2QAn6LN 

Guest: M. Regina Castro, M.D. 

Host: Darryl S. Chutka, M.D. (@ChutkaMD) 

What do you do when a patient presents with subclinical hypothyroidism? When do you treat and how do you treat? Dr. Regina Castro presents the discussion around treating subclinical hypothyroidism, thyroid extract, and how to differentiate common symptoms from non-thyroid causes. Dr. Castro covers nodules, fine needle aspirates, the Sensitive TSH test, Total T4, Free T4, and TPO antibodies, and the role of lab testing in diagnosis. 

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd. 

Guest: Carol L. Kuhle, D.O., M.P.H. (@clkejd) 

Host: Darryl S. Chutka, M.D. (@ChutkaMD) 

A decline in sexual activity and an increase in sexual dysfunction commonly occurs in the elderly, but do you ask you patients about it? What questions should you be asking them? What are the reasons a decrease in function or desire occur? Dr. Carol Kuhle steps through the common causes, questions, and treatments encountered through her work and research at the Mayo Clinic Center for Women's Health (https://www.mayoclinic.org/departments-centers/womens-health/center-for-womens-health/overview or on Twitter @WHMayoClinic). 

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Deeper Dive:

• A Study of Sexuality and Health Among Older Adults in the United States August 23, 2007 N Engl J Med 2007; 357:762-774 DOI: 10.1056/NEJMoa067423

Guest: Jonathan T. Finnoff, D.O. (@FinnoffJonathan) 

Host: Darryl S. Chutka, M.D. (@ChutkaMD) 

Special Back to School Sports Medicine for the Primary Care Provider Series – Episode 5: Greater efficacy, lower cost, and quicker recovery, ultrasound-guided procedures are sure to change the landscape of medicine. What can be treated with these procedures? What’s the evidence behind them? Are they really safe? Dr. Jonathan Finnoff discusses ultrasound-guided procedures in application to carpal tunnel syndrome, trigger finger, de Quervain's tenosynovitis, adductor tendinopathy, and chronic exertional compartment syndrome. Listen now to hear more about this cutting-edge game changer and what it means for your patients. Hear more from Mayo Clinic Sport Medicine on Twitter @MayoClinicSport. 

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd. 

Guest: Mark Denis P. Davis, M.D. 

Host: Darryl S. Chutka, M.D. (@ChutkaMD) 

Does skin not exposed to the sun have an increased chance of skin cancer when patients have had multiple sunburns? Are existing moles or new moles more likely to become a melanoma? Dr. Mark Denis Davis discusses skin cancer, sun exposure, and sunscreen. Dr. Davis also dives into rosacea, eczema, psoriasis, urticaria, onychomycosis, and warts. Who is at risk? What increases the risk? How do you treat it? 

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.