#237 Ophthalmology for Primary Care

The Curbsiders Internal Medicine Podcast

Health & Fitness, Medicine, Science, Higher Education, Education

4.8 • 3.1K Ratings

🗓️ 19 October 2020

⏱️ 62 minutes

🔗️ Recording | iTunes | RSS

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Summary

Fun, fluorescein, and fundoscopy unite as our esteemed guest, Dr. Nisha Chadha @iEducatorMD (Mount Sinai School of Medicine) brings us ophthalmology for primary care! Dr. Chadha is a medical educator and the content creator of the med-ed simulation website 20/20 Sim. She teaches us the 3-vital signs of ophthalmology, how to recognize common diabetic eye diseases, how to explain diabetic retinopathy to our patients, how to optimize a patient for cataract surgery and so much more. This episode is truly vision-ary!

Listeners can claim Free CE credit through VCU Health at http://curbsiders.vcuhealth.org/ (CME goes live at 0900 ET on the episode’s release date).

Credits

Written, Produced, and Infographic by: Carolyn Chan, MD
Cover Art: Kate Grant
Hosts: Matthew Watto MD, FACP; Carolyn Chan, MD
Editor: Emi Okamoto MD (written materials); Clair Morgan of nodderly.com
Guest: Dr. Nisha Chadha

Sponsors:

National Internal Medicine Day

Help ACP celebrate National Internal Medicine Day on October 28th. Visit https://www.acponline.org/NIMD20 to learn how you can show your internal medicine pride. Be sure to tag @ACPInternists and use the hashtags #NationalInternalMedicineDay, #IMProud, and #IMEssential.

VCU Health CE

The Curbsiders are partnering with VCU Health Continuing Education to offer FREE continuing education credits for physicians and other healthcare professionals. Visit curbsiders.vcuhealth.org and search for this episode to claim credit. Note: A free VCU Health CloudCME account is required in order to seek credit.

Time Stamps

Sponsor – National Internal Medicine Day, The American College of Physicians
Sponsor – VCU Health Continuing Education
00:30 Intro, disclaimer, guest bio
03:21 Guest one-liner, Carolyn’s Pick of the Week
09:05 Picks of the Week*
10:13 Case from Kashlak, 3 - Vital Signs of Ophthalmology
17:09 Ocular complications of diabetes
20:22 Screening for diabetic retinopathy; Reports and Abbreviations
26:07 Counseling Patients: The eye is a camera; Clinical symptoms of ocular complications
32:07 Fluorescein Stain; Treatment Options for Diabetic Eye Disease: NPDR, PDR, VH, and RD
41:16 Eye Vitamins for Macular Edema
43:35 Cataracts
47:22 Missing Glaucoma Drops
50:50 Periop Optimization for Cataract Surgery, Anticoagulation and Other Medical Management
58:14 Take Home Points, Plug: 20/20 Sim; Outro
Sponsor – VCU Health Continuing Education

Links*

Mindset: The New Psychology of Success by Carol S. Dwek
Crackdown Podcast
20/20 Sim Site

*The Curbsiders participates in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising commissions by linking to Amazon. Simply put, if you click on our Amazon.com links and buy something we earn a (very) small commission, yet you don’t pay any extra.

Goal Listeners will discuss screening, counseling, and management of common ocular diseases seen within primary care.

Learning objectives

After listening to this episode listeners will…

Define and assess the three vital signs of ophthalmology.
List ocular complications of diabetes.
Counsel a patient on a new diagnosis of diabetic retinopathy.
Describe treatments for diabetic retinopathy.
Define proliferative retinopathy, non-proliferative retinopathy, and macular edema.
Compose a perioperative medication management plan for cataract surgery

Disclosures

Dr. Chadha reports no relevant financial disclosures. The Curbsiders report no relevant financial disclosures.

Citation

Chan C., Chadha N., Okamoto E., Watto MF. “#237 Ophthalmology for Primary Care”. The Curbsiders Internal Medicine Podcast. https://thecurbsiders.com/episode-list Original air date October 19, 2020.

Transcript

Click on a timestamp to play from that location

0:00.0	This episode is brought to you by the American College of Physicians in celebration of National
0:05.3	Internal Medicine Day on October 28, 2020.
0:09.1	ACP provides its 163,000 members with lifelong education, clinical support, practice resources,
0:16.4	professional development and advocacy resources, visit ACPOnline.org slash NIMD.
0:24.9	The curbsciders have partnered with VCU Health Continuing Education to offer free, continuing
0:29.2	education credits for physicians and other healthcare professionals.
0:32.2	Check out curbsciders.bcuhealth.org to create your free account and to start claiming CE
0:37.6	credit.
0:39.1	The curbsciders podcast is for entertainment, education and information purposes only.
0:44.8	And the topics discussed should not be used daily at a diet of street, cure or prevent
0:47.4	any diseases or conditions.
0:48.4	For the more the views and statements expressed on this podcast are solely those of those
0:50.4	and should not be interpreted to reflect official policy or position of any entity
0:52.5	aside from possibly cash like more hospital and affiliate outreach programs.
0:54.7	If indeed there are any, in fact there are not.
0:56.4	Pretty much we aren't responsible for this.
0:57.4	If you should always do your homework and let us know when we're on.
1:01.4	Welcome back to the curbsciders.
1:12.3	I'm Dr. Matthew Wato and sadly tonight Stewart Kent Brigham and Dr. Paul Nelson Williams
1:19.2	not here but we do have a fantastic co-host who I will tell you about in a second.
1:25.8	On tonight's show we are talking about ophthalmology and some cases.
1:30.4	We spend a lot of the time talking about diabetic retinopathy, cataracts and a couple pearls
	...

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