Episode 115 - Aug. 1, 2020 AFP: American Family Physician

AFP: American Family Physician Podcast

American Academy of Family Physicians

Medicine, Americanfamilyphysician, Afppodcast, Familymedicinepodcast, Afp, Clinicalpodcast, Aafp, Health & Fitness, Primarycarepodcast, Medicinepodcast, Aafppodcast

2.4 • 649 Ratings

🗓️ 10 August 2020

⏱️ 21 minutes

🔗️ Recording | iTunes | RSS

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Summary

Acute pyelonephritis (1:40), fetal fibronectin testing in preterm labor (6:00), intrapartum fetal monitoring (7:50), race-based treatment decisions perpetuate structural racism (11:40), neck pain (14:10), and antibiotic adverse effects (18:20).

Transcript

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0:00.0	The AFP podcast is supported by the American Academy of Family Physicians, and by PDW and RPS on
0:09.0	demand, a library of 22 self-paced workshops on topics that are important to residency programs,
0:16.2	including residency curriculum, resident assessment, program administration, and more.
0:22.7	Full info at aafp.org slash 2020 on demand.
0:32.6	Welcome to the American Family Physician Podcast for the August 1st 2020 issue.
0:46.1	I'm Steve.
0:47.1	I'm Amy.
0:48.0	And I'm E. Lynn.
0:48.6	We are residents and faculty, mostly residents from the University of Arizona College of Medicine Phoenix
0:54.9	Family Medicine residency. This time on the podcast, we're going to talk about acute pylonephritis,
1:01.7	fetal fibernectin testing, intrapartum fetal monitoring, race-based treatment decisions,
1:09.0	neck pain, and antibiotic adverse effect.
1:12.8	The opinions expressed in the podcast are our own and do not represent the opinions of the American Academy of Family Physicians, the editor of American Family Physician or Banner Health.
1:19.8	Do not use this podcast for medical advice. Instead, see your own family doctor for medical care.
1:25.7	We're on a mission to live in the best from American Femitization. From Dr. Dr. Hernus, We're going to start this episode with acute pylonephritis in adults, rapid evidence review
1:46.5	from Dr. Hernes, Butolf, and Hammer. Acute pylonephritis is a common but serious
1:52.7	bacterial infection of the kidney and renal pelvis with E. coli accounting for a majority of cases.
1:58.1	Diagnosis involves differentiating pylenephritis from other urinary tract infections.
2:02.6	A suggestive combination is flank pain or tenderness and pyreia. The classic urinary frequency,
2:09.6	urgency, and dysuria are also common but can be absent in up to one and five cases.
2:15.6	Other symptoms of pylenephritis could include fever, chills,
2:19.5	malaise, nausea, vomiting, abdominal or superpubic tenderness, tachycardia, or hypotension.
	...

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