Episode 33 - March 1, 2017 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

🗓️ 3 March 2017

⏱️ 23 minutes

🔗️ Recording | iTunes | RSS

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Summary

Deep vein thrombosis and pulmonary embolism (1:10), addressing the needs of LGBT patients (6:20), syncope (8:50), brief resolved unexplained events (BRUEs) (14:20), buprenorphine (17:10), and seborrheic dermatitis (20:00).

Transcript

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0:00.0	Welcome to the American Family Physician podcast for the March 1st 2017 issue.
0:17.6	I'm Steve.
0:18.4	I'm Evan.
0:19.1	I'm Kalina.
0:19.8	I'm Brett.
0:20.3	We are residents and faculty, mostly
0:22.4	residents of the University of Arizona College of Medicine Phoenix Family Medicine Residency.
0:27.7	This time on the podcast, we're going to discuss DVT and PE, addressing the needs of LGBT
0:34.5	patients, syncope, brewies, buprenorphine, and seboric dermatitis.
0:41.1	The opinions expressed in the podcast are our own and do not represent the opinions of the American
0:44.6	Academy of Family Physicians, the editor of American Family Physician or Banner Health.
0:48.3	Do not use this podcast for medical advice. Instead, see your own family doctor for medical care.
1:22.2	We're on. Instead, see your own family doctor for medical care. Let's start with our first feature article, Vane Thromosis and Pulmonary Embellism, current therapy, from Dr. Wilbur and Shee from the University of Iowa.
1:28.8	One third of patients with VTE present with PE and 40% of patients with a DBT have an associated PE.
1:33.7	Thankfully, both proxmal DVT and clinically stable PE are treated similarly.
1:39.4	Yeah, treatment is focused on preventing thrombus extension, relieving acute symptoms,
1:44.0	preventing cardiopulmonary collapse, and reducing the risk of long-term complications.
1:48.7	Okay, so we just diagnose a DVT in a patient. What's next?
1:53.9	Well, if this is an isolated distal DVT, that is, it's confined to the calf veins,
2:00.3	and it's asymptomatic and there's no risk factors for extension, they can just have repeat imaging over a course of two weeks.
2:02.1	And if there's no extension of that clot, anticoagulation is actually not recommended.
2:07.9	Okay. So how do we start anticoagulation if we find a PE or a more proximal DVT?
	...

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