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The Curbsiders Internal Medicine Podcast

#54: Upper Respiratory Infections: Coughs, colds, gargling, and antibiotic underuse?!

The Curbsiders Internal Medicine Podcast

The Curbsiders Internal Medicine Podcast

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

4.83.1K Ratings

🗓️ 28 August 2017

⏱️ 69 minutes

🧾️ Download transcript

Summary

Don’t miss life threatening upper respiratory infections, and stop underusing antibiotics with tools and tips from our wonderful guests: Dr. Robert Centor, Professor of Medicine at University of Alabama, known for developing the Centor Criteria for pharyngitis, and his excellent blog and Twitter feed @medrants; and Dr. Alexandra Lane, Assistant Professor of Medicine, and Director of the Resident Clinic at Cooper University Hospital. We cover red flag signs in upper respiratory tract infections, diagnostic testing, physical exam maneuvers, antibiotic therapy, and symptom management. Plus, we’ll teach you have to counsel patients about upper respiratory infections and recommend some great learning resources.

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

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Case from Kashlak Memorial Hospital: 39 yo F with obesity, HTN, fibromyalgia who presents with 3 days of chills, subjective fevers, sinus pressure/congestion, post-nasal drip, and cough with some green/yellow mucus. She says, “I get this every year and it only goes away with antibiotics. They usually give me a z-pack”.

Tags: upper, respiratory, infections, cough, cold, nasal, pharyngitis, bronchitis, rhinosinusitis, sinusitis, decongestant, spray, symptoms, management, pneumonia, pertussis, influenza, antibiotics, overuse, assistant, care, education, doctor, family, foam, foamed, health, hospitalist, hospital, internal, internist, nurse, medicine, medical, primary, physician, resident, student

Transcript

Click on a timestamp to play from that location

0:00.0

Remember that if we do give nasal sprays, we should teach our patients how to use them correctly,

0:04.8

because they don't know if you're using that one correctly.

0:07.1

And that's why the taste is so bad.

0:10.4

Wait, you're supposed to snort as hard as you can when you use it, right?

0:30.0

Welcome back to the curbsiders.

0:31.9

Well, hello, Matthew. How are you doing today?

0:33.6

Hi, Stewart. I was ready for it.

0:35.2

You didn't surprise me today with that one.

0:36.9

Oh, good. Yeah.

0:38.0

I'll change it up next time.

0:39.7

And we should probably tell the audience this is the internal medicine podcast that uses

0:44.0

expert interviews to bring you clinical pearls and practice changing knowledge.

0:48.6

I'm Dr. Matthew Frank Wato here with Mike Co-host.

0:52.1

Dr. Stewart Kent Brigham and Dr. Paul Nelson Williams.

0:58.4

Hey, Nelson. Not Stewart.

1:00.1

Yeah. Not Stewart. Is that what you want us to call you tonight?

1:03.8

Not Stewart.

1:05.2

I feel like it's implied.

1:06.8

Well, as always, at least recently, Stewart, would you like to read us some listener feedback?

1:15.0

Absolutely. I think it'd be just a pleasure for me to do that on air.

1:18.6

So we have this listener feedback from, uh, looks like one of our nurse practitioner listeners.

1:24.1

Not that matters too much.

...

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