Dr. Brady, an ICU intensivist and the director of the critical care medicine clerkship at Beth Israel Deaconess Medical Center (BIDMC), discusses vasopressors and inotropes with RTL host, Dr. Navin Kumar. Together, they use the previous episode's (Ep. 71: Approach to Shock) case of an elderly patient with suspected distributive shock secondary to urosepsis as a framework to approach pressor requirements. Dr. Brady walks through establishing access, how to choose a pressor based on adrenergic physiology, and emphasizes when to take a diagnostic timeout in the ICU.

Dr. Brady, an ICU intensivist and the director of critical care medicine at Beth Israel Deaconess Medical Center (BIDMC), explains how to categorize the four major types of shock with RTL host, Dr. Navin Kumar. Together, they discuss a case of an elderly patient with suspected urosepsis and walk through how to reconcile a patient’s history, physical exam, and lab findings along with the ongoing clinical picture. They touch on key decision points for patients in the ICU and end with some clinical pearls on shock management.

Dr. Walker, a Pulmonologist and Critical Care specialist at Brigham and Women's Hospital, explains how she diagnoses and manages COPD. They help breakdown a number of topics, including PFTs, severity classification, principles of outpatient and inpatient management, and how to talk about prognosis with your patients.

Dr. Jefferson, an Assistant Professor of Pediatrics in the division of Allergy & Immunology and bioethicist at the University of Arkansas for Medical Sciences, discusses the care of both pediatric and adult patients with asthma with host Dr. Walker Redd. Together, they define asthma and cover its triggers, diagnosis, and stepwise therapy plans. They also discuss how upstream factors - from environmental exposures to housing issues - can both exacerbate and affect access to appropriate care for patients with asthma.

In this episode, host Joyce Zhou speaks with Dr. Jeremy Richards, a pulmonologist and critical care physician at the Beth Israel Deaconness Medical Center (BIDMC) and a medical educator who teaches the introduction to cardiopulmonary physiology course at Harvard Medical School. He grounds his framework for this common presenting concern in physiology and uses a case to discuss his take on diagnostic approaches.

Dr. Sigal Yawetz, an infectious disease attending physician and medical educator at Brigham and Women’s Hospital chats with Blake Smith (host) about a career in infectious diseases. They talk together about the field of ID at large, in addition to sub-specializing, with a focus on the HIV patient population. Dr. Yawetz also comments on what it has been like living through two viruses that have shaped the globe - HIV and COVID - all through the lens of being an ID physician. The episode closes with Dr. Yawetz's pearls on how to think about choosing a medical specialty and why ID is a wonderful choice for students interested in continually thinking about all fields of medicine.

Dr. Michelle Cespedes, an infectious disease attending physician at Mount Sinai Hospital, is interviewed by host Emily Gutowski about the diagnosis of patients with HIV. They talk about both the acute presentation as well as the management of a patient with uncontrolled HIV.

Dr. Mikyung Lee, an infectious disease attending physician and program director for the ID fellowship at Mount Sinai Hospital, discusses hospital-acquired infections, including ventilator-acquired pneumonias and catheter-associated UTIs.

Dr. Sal Cilmi, an infectious disease attending physician and IM program director at Mount Sinai Hospital, discusses cellulitis and common culprits of soft tissue infections.

Dr. Mary Montgomery, an Infectious Diseases specialist at Brigham and Women's Hospital, teaches host Walker Redd how she diagnoses and manages pneumonia. They discuss IDSA guidelines, classification, diagnostic studies, empiric antibiotics, complications, pathophysiology, and more.