The Point of Care Podcast

This Quick-Admit episode on acute pancreatitis will focus on only the highest-yield information you need when admitting a patient to the hospital.

To take your understanding of the disease to the next level, check out the full-length episode for more information including a discussion of the most important clinical pearls and literature.

Visit pointofcaremedicine.com to see the templates, pearls, literature, and other resources discussed in this episode.

Our mission is to create accessible and easy-to-use digital resources that help healthcare professionals tackle common clinical presentations at the point of care, without getting bogged down by unnecessary details or trivia.

This full-length episode on the inpatient management of acute pancreatitis includes not only the admission framework, but also key clinical pearls on the background, pathophysiology, etiologies, presentation, diagnosis, treatment, and complications associated with the disease to help take your understanding to the next level!

Visit pointofcaremedicine.com to see the templates, pearls, literature, and other resources discussed in this episode.

Our mission is to create accessible and easy-to-use digital resources that help healthcare professionals tackle common clinical presentations at the point of care, without getting bogged down by unnecessary details or trivia.

Timestamps

00:00:00 - Background and Epidemiology

00:01:13 - A Note on Chronic Pancreatitis

00:01:31 - Admission Checklist

00:03:49 - HPI Intake

00:04:33 - Physical Exam

00:05:20 - Etiology and Differential

00:06:20 - Plan - Work Up

00:07:30 - Plan - Treatment

00:09:31 - If You Remember Nothing Else

00:10:04 - Pearls - Pathophysiology

00:11:15 - Pearls - Etiology and Risk Factors

00:12:56 - Pearls - Presentation and Diagnosis

00:15:56 - Pearls - Treatment

00:18:08 - Pearls – Complications

Reviews

Trials

Other Literature

Blogs and Summaries

Visit pointofcaremedicine.com to see the templates, pearls, literature, and other resources discussed in this episode.

Our mission is to create accessible and easy-to-use digital resources that help healthcare professionals tackle common clinical presentations at the point of care, without getting bogged down by unnecessary details or trivia.

Timestamps:

00:00:07 - Background and Epidemiology

00:00:42 - Pathophysiology

00:02:29 - Admission Checklist

00:04:29 - HPI Intake

00:05:15 - To Note on Exam

00:05:25 - Etiology and Differential

00:06:10 - Plan - Treatment

00:07:56 - If You Remember Nothing Else

00:08:40 - Pearls - Etiology

00:09:44 - Pearls - Presentation and Diagnosis

00:12:03 - Pearls - Treatment

Life in the Fastlane - EKG Features of Hyperkalemia

Visit pointofcaremedicine.com to see the templates, pearls, literature, and other resources discussed in this episode.

Our mission is to create accessible and easy-to-use digital resources that help healthcare professionals tackle common clinical presentations at the point of care without getting bogged down by unnecessary details or trivia.

Timestamps

00:00:08 – Background

00:01:12 – Pathophysiology

00:01:55 – Admission Checklist

00:03:29 – HPI Intake

00:04:19 – To Note on Exam

00:04:58 – Plan: Workup

00:05:40 – Plan: Treatment

00:07:28 – If You Remember Nothing Else

00:08:28 – Pearls

00:10:43 – Literature

Literature

IWGDF/IDSA Guidelines on Diagnosis and Treatment

Diabetic Foot Ulcers and Their Recurrence (NEJM, 2017)

Diabetic Foot Ulcers: A Review (JAMA, 2023)

Visit pointofcaremedicine.com to see the templates, pearls, literature, and other resources discussed in this episode.

Our mission is to create accessible and easy-to-use digital resources that help healthcare professionals tackle common clinical presentations at the point of care, without getting bogged down by unnecessary details or trivia.

Time Stamps:

00:00:08 - Background and Definitions

00:01:39 - Pathophysiology

00:03:22 - Admission Checklist

00:04:25 - HPI Intake

00:05:51 - Physical Exam

00:06:06 - Differential Diagnosis

00:06:38 - Plan - Workup and Treatment

00:08:54 - If You Remember Nothing Else

00:10:14 - Pearls - Etiology

00:11:00 - Pearls - Presentation and Diagnosis

00:13:07 - Pearls - Treatment

00:15:20 - Literature and Trials

00:15:56 - Wrap Up

Show Notes:

Gout Review (NEJM, 2022)STOP Gout Trial (NEJM, 2022) - allopurinol non-inferior to febuxostat for preventing flares and for reaching target urate concentrations at 48 weeks

Today's episode is on the inpatient workup and management of Community-Acquired Pneumonia featuring an admission checklist, HPI intake, differential, plan, and high-yield clinical pearls.

Visit pointofcaremedicine.com to see the templates, pearls, literature, and other resources discussed in this episode.

Our mission is to create accessible and easy-to-use digital resources that help healthcare professionals tackle common clinical presentations at the point of care without getting bogged down by unnecessary details or trivia.

00:00:08 - Background and Definitions

00:01:13 - Etiology and Pathophysiology

00:02:49 - Admission Checklist

00:05:16 - HPI Intake

00:06:38 - Physical Exam Findings

00:07:30 - Differential

00:08:48 - Treatment Plan

00:10:15 - If You Remember Nothing Else

00:11:47 - Clinical Pearls - Etiology

00:13:47 - Clinical Pearls - Presentation and Diagnosis

00:16:53 - Clinical Pearls - Treatment

00:19:52 - Clinical Pearls - Complications

Visit pointofcaremedicine.com to see the templates, pearls, literature, and other resources discussed in this episode.

Our mission is to create accessible and easy-to-use digital resources that help healthcare professionals tackle common clinical presentations at the point of care, without getting bogged down by unnecessary details or trivia.

00:00:07 - Historical Background and Definitions

00:01:56 - Admitting a Patient with Sepsis

00:05:29 - Plan for Workup and Management of Sepsis

00:07:41 - Clinical Pearls

00:16:07 - If You Remember Nothing Else

Visit pointofcaremedicine.com to see the templates, pearls, literature, and other resources discussed in this episode.

Our mission is to create accessible and easy-to-use digital resources that help healthcare professionals tackle common clinical presentations at the point of care, without getting bogged down by unnecessary details or trivia.

Show Notes:

00:00:15 - Introduction and Terminology

00:01:51 - Beta Blockers

00:02:47 - ACE/ARB/ARNI

00:04:30 - MRA's

00:05:28 - SGLT2i's

00:06:12 - Nitrates and Hydralazine

00:08:41 - Loop Diuretics

00:09:25 - Initiating and Titrating GDMT

00:11:18 - Barriers and Other Considerations

00:13:44 - Resources for Use at the Point of Care

GDMT for Everyone – https://www.gdmt.org/HFrEF.php

Table of all the Sacubitril/Valsartan Trials Published to Date (2023) - https://twitter.com/jaycvance/status/1660732176999108623

Heart Failure with Reduced Ejection Fraction: A Review (JAMA, 2020) - https://pubmed.ncbi.nlm.nih.gov/32749493/

A Systematic Review and Network Meta-Analysis of Pharmacological Treatment of Heart Failure With Reduced Ejection Fraction (JACC, 2022) -

Visit pointofcaremedicine.com to see the templates, pearls, literature, and other resources discussed in this episode.

Our mission is to create accessible and easy-to-use digital resources that help healthcare professionals tackle common clinical presentations at the point of care, without getting bogged down by unnecessary details or trivia.

Show Notes:

00:00:38 - Background and terminology

00:02:22 - Checklist for Admitting a Patient with ADHF

00:05:40 - Crafting your Assessment

00:08:56 - Creating a Plan for ADHF - Diuresis and GDMT

00:13:12 - Clinical Pearls

00:16:48 - A note on HFpEF

00:17:15 - If you remember nothing else

Visit pointofcaremedicine.com to see the templates, pearls, literature, and other resources discussed in this episode.

Our mission is to create accessible and easy-to-use digital resources that help healthcare professionals tackle common clinical presentations at the point of care, without getting bogged down by unnecessary details or trivia.

Show Notes:

00:00:00 First steps and communicating with the ED

00:01:05 - Following up after dosing

00:02:02 - Troubleshooting resistance - drips, other loops, thiazides

00:03:35 - Monitoring while diuresis - labs and exam

00:06:09 - Switching to PO and guidance for discharge

00:07:19 - Presenting patients who are being diuresed

00:08:12 - If you remember nothing else