Episode 20 - August 15, 2016 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

🗓️ 29 August 2016

⏱️ 27 minutes

🔗️ Recording | iTunes | RSS

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Summary

Lupus (1:10), screening for depression (3:50), corticosteroids for asthma (5:20), meniscal tear (7:10), alirocumab (8:20), well-child visits (11:20), failure to thrive (13:10), hospital readmission (17:40), delirium (19:50), pioglitazone (21:10), behavioral management of dementia (22:10).

Transcript

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0:00.0	Welcome to the American Family Physician podcast for the August 15th, 2016 issue.
0:18.1	I'm Steve.
0:19.0	This is Kalina.
0:20.0	I'm Brett.
0:23.3	We are residents and faculty, mostly residents,
0:28.3	from the University of Arizona College of Medicine Phoenix Family Medicine Residency.
0:34.5	This episode on the podcast, we're going to try something crazy. It's so crazy, it just might work. We are going to set a world record for EBPPM, evidence-based podcast pearls per minute.
0:44.2	Buckle up.
0:45.3	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.
0:52.3	Do not use this podcast for medical advice.
0:56.1	Instead, see your own family doctor for medical care.
1:17.9	Our first feature article is systemic lupus erymatosis, primary care approach to diagnosis and management from doctors Voo Lam, Getu, and Bieniac from Bethlehem, Pennsylvania.
1:24.9	Our role as primary care doctors as the comprehensiveists and the generalists of our
1:31.0	health system with lupus is to aid in early diagnosis, treat and monitor patients with mild
1:36.8	disease, recognize warning signs, appropriately collaborate with subspecialty colleagues,
1:43.2	help monitor disease activity and
1:45.6	treatment in patients with moderate to severe disease, and of course, continue a continuous
1:51.5	healing relationship with our patients who have lupus. I added that last part.
1:56.9	Lupus diagnosis can be difficult because many of the symptoms are non-specific. It's helpful to know that 90% of patients present with systemic symptoms like fatigue, weight loss, fever, and over 95% of patients present with arthralgia and myalgia. The dermatologic signs and symptoms are actually less common presenting complaints. But if you see these, the diagnosis
2:18.7	is much more clear. A discoid rash has a positive likelihood ratio of 18, and a mallar rash has a
2:26.0	positive likelihood ratio of 14. Photosensitivity has a positive likelihood ratio of 11.
2:32.0	This is when you look up your ACR criteria. Four of 11 criteria is
	...

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