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The Curbsiders Internal Medicine Podcast

#399 Wisely Ordering Autoantibodies - ACP IM2023

The Curbsiders Internal Medicine Podcast

The Curbsiders Internal Medicine Podcast

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

4.83.1K Ratings

🗓️ 12 June 2023

⏱️ 53 minutes

🧾️ Download transcript

Summary

The ANA, anti-CCP, RF, and beyond!

We all have ‘rheum’ to grow when it comes to making sense of autoantibodies and common markers. We talk through the nuances with rheumatologist Dr. Matthew B. Carroll (biography here!). Our interview covers physical exam tips for inflammatory arthritis, basic interpretation of rheumatologic testing, and what to do with the dreaded ‘vaguely positive’ speckled ANA!

Claim free CME for this episode at curbsiders.vcuhealth.org!

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Show Segments
  • Intro
  • Case 1
  • History clues
  • Physical exam pearls; what does synovitis look like?
  • Interpreting mixed labs
  • Rheumatoid Factor tips
  • Role for imaging
  • Importance of early diagnosis
  • New testing modalities
  • Case 2
  • Oh no– a vaguely positive ANA!
  • ANA testing basics
  • Outro
Credits
  • Showrunners, Hosts, Producers and Writers: Matthew Watto MD, FACP; Paul Williams MD, FACP
  • Show Notes, Infographic, Cover Art: Beth Garbitelli MD
  • Reviewer: Emi Okamoto MD
  • Technical Production: PodPaste
  • Guest: Matthew B. Carroll MD

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Sponsor: Glass Health
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Transcript

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0:00.0

Hey Paul, I'm excited to tell you that we are launching a curbsiders' Patreon.

0:04.4

Have you heard about this?

0:05.4

I did, because I work with you, but tell me more about it.

0:09.6

All right, Paul. Well, we want to be able to keep offering this great free content,

0:13.4

and we're doing things like upgrading our website. We offer transcripts now for episodes,

0:17.7

recording new seasons of our mini-series, teach, and addiction medicine.

0:21.5

The digest is growing at staff and Paul. Now we're on video. People could see us as we're talking

0:25.7

right here.

0:26.4

What a treat for our listeners.

0:27.6

That's right. So with CashLac admitting privileges, they're going to get all episodes ad-free.

0:32.4

That's the whole back catalog. Plus future episodes. And twice monthly, there's going to be bonus

0:36.3

episodes where me and you recap a show and answer some listener questions.

0:40.2

So people should sign up today at patreon.com slash curbsiders. And you get a whole lot of more

0:46.4

of Paul, America's PCP.

0:48.6

First one that came up. This is from 11 hilarious arthritis puns.

1:00.4

You know, Paul, apparently, there is bipartisan agreement in Congress for medical cannabis

1:05.7

that it should be allowed for the purpose of relieving arthritis pain.

1:11.3

You know why? Tell me more.

1:13.2

In other words, Paul, there is joint support for joint support.

1:16.5

For joint support. That's terrific.

1:20.7

Okay. There we go.

1:21.9

All right.

...

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