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The Curbsiders Internal Medicine Podcast

#39: Secondary hypertension, hyperaldosteronism, Cushing’s, and pheochromocytoma

The Curbsiders Internal Medicine Podcast

The Curbsiders Internal Medicine Podcast

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

4.83.1K Ratings

🗓️ 15 May 2017

⏱️ 41 minutes

🧾️ Download transcript

Summary

Expert tips on the diagnosis and management of secondary hypertension in this conversation with Dr. Richard Auchus MD, PhD, Professor of Pharmacology and Internal Medicine & Director of the Diabetes, Endocrinology, & Metabolism Fellowship Program at the University of Michigan. Topics include: primary hyperaldosteronism, use of spironolactone, Cushing’s syndrome, pheochromocytoma, and which tests to utilize.

Full show notes available at http://thecurbsiders.com/podcast

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Tags: assistant, care, cushing's, doctor, education, endocrine, family, foam, foamed, health, hospitalist, hospital, hypertension, internal, internist, nurse, medicine, medical, pheochromocytoma, physician, practitioner, primary, resident, resistant, spironolactone, student

Transcript

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0:00.0

Hey, what listen? I didn't come here to do math. I'm here to expand your brain.

0:17.0

Hello and welcome back to the curbside or hey Matt. Hi the Stuart your back. Yeah, I just want to interrupt you. Sorry.

0:25.0

Yeah, the internal medicine podcast that uses expert interviews to bring you clinical pearls and practice changing knowledge for your brainhole. That's right. Hi Paul. You hear?

0:37.0

Yes, don't with you.

0:40.0

Paul, I've been dying to ask you this question because I keep forgetting where are we at with the movies here? Yeah, you're killing me. I think I'm up to 113 movies and I can't remember how many days are on the year.

0:52.0

So I feel like I'm like 20 days behind at this point. I'm pretty sure in month five you're behind.

0:58.0

Yeah, well listen, I didn't come here to do math. Yeah, I have some catching up to do.

1:05.0

Any any picks from the from the recent movies you've watched that you can recommend to the audience? Yeah, I mean, I even relatively family friendly one for a change rather than sort of criminally nihilistic.

1:17.0

But I saw I think I's a part of it. It's the movie hunt for the wielder people. I've never even heard of it. Well, I'm here to expand your brain holes. Okay, it's directed by this guy, Taika, who is a New Zealand director. He actually directed the movie.

1:32.0

What we do in the shadows, which is also really funny sort of mockumentary about vampires, which is completely different from this one about a basically a foster kid and his sort of new father figure who sort of roam through the New Zealand wilderness to escape protective services.

1:47.0

And it's much much funnier than it sounds. It's sort of quirky without being unbelievable and beautifully shot and just it's a delight. So I it's actually a heartwarming is compared to most of the depressing movies I like.

1:59.0

Where can I find this? It's you can it's actually can stream it through Amazon. Okay, I have Amazon that it has four and a half stars and it came out last year. Yeah, it's relatively it was actually it had a huge release in New Zealand for that's worth.

2:14.0

But in the States, obviously, probably not quite so comparable. So like five people watched it. Well, six now.

2:19.0

Six got it. Okay, well, I did see this. Whatever that shadows movie, I can't remember the full title, but that that one is pretty funny that it's a mockumentary about vampires and there's like roommates and fighting over dirty dishes. Right?

2:33.0

Yes, correct. I miss it. How we live in the shadows. What we do in the shadows. We do in the shadows. That sounds so good. Shadows steward any anything you'd like to make the audience aware of. I feel like I need to be equal. So let's see. Only this thing I stumbled across just literally moments ago. And I want the audience to take a look at it and tell me how useful or not useful this is. It's a way of raging endorsement from Stewart. That's right. Raging endorsement. Indeed.

3:02.0

WIC E M W I K E M dot org WIC E M dot org. It looks like it's like an online wiki pdf or emergency medicine. That's I did a search for the the heights. They're the hints exam. And that's where I found this. But it looks like it's it's a maybe an open source. I don't know up to date sort of thing.

3:27.0

Take a look at it. Come at me. And if any of the listeners want to create one of those for internal medicine, that would be let's make one of the outsiders right now. Okay, Stewart. Let's let's let's focus here. So this this episode that we're we're introducing right here was recorded at the 2017 Ace Congress in Austin, Texas, which is just right up the road from from where I live. And it was a wonderful conference. Thank you Ace for inviting us there to do interviews.

3:56.0

Sorry to Stewart and Paul that you didn't get to come with me to the conference. 33% success ratings. I'm not sure what you're referring to one out of three of us went one out of three. That's true. Yes. But the people at Ace were we're excellent in sending us up with some great interviews and a lot of future contacts made for other interviews. And since most of a lot of primary care is endocrine topics. This is very very helpful to the audience. So on this episode I see you guys are going to be able to see the results of the results.

4:26.0

I sat down with Dr. Richard August. He's a professor of pharmacology and internal medicine in the division of metabolism and endocrinology and diabetes at the University of Michigan where he's also the director of the endocrinology fellowship program.

4:41.0

Dr. August has published widely over 200 journal articles and book chapters. He is an absolute expert on the adrenal gland. And on this episode we were talking about endocrine clinical cases of endocrine hypertension.

4:55.0

Which is a very high yield topic higher yield than I than I thought it was Stewart. And without further ado here is the discussion with Dr. Richard August. I think that's okay for an intro. Yeah, it's not bad.

5:10.0

You wonder a lot of pressure.

...

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