Reboot #167 LIVE! CBC Abnormalities

The Curbsiders Internal Medicine Podcast

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

4.8 • 3.1K Ratings

🗓️ 23 August 2021

⏱️ 53 minutes

🔗️ Recording | iTunes | RSS

🧾️ Download transcript

Summary

Enjoy this Curbsiders classic and stay tuned this Wednesday, August 25, 2021 for a brand new CBC Abnormalities Triple Distilled episode.

Take a deep dive into common CBC abnormalities. We recorded LIVE at joint grand rounds between Walter Reed NMMC and Uniformed Services University with hematologist, Dr. Mary Kwok MD. Topics include: which parts of the complete blood count (CBC) are most important, interpreting the differential, when to order flow cytometry, who needs a hematology consult and simplified approaches to patients with leukocytosis, leukopenia, erythrocytosis and thrombocytopenia.

Credits

Written, Produced and Edited by: Matthew Watto MD, FACP
Cover Art and Infographic by: Matthew Watto MD, FACP
Hosts: Stuart Brigham MD; Matthew Watto MD, FACP; Paul Williams MD, FACP
Guest: Mary Kwok MD

Sponsor: American College of Physicians acponline.org/100curb

ACP CME 100 virtual video package includes 75 hours of practice-changing updates by expert faculty from Internal Medicine Meeting 2021 acponline.org/100CURB.

Plus enjoy an exclusive: 25 bonus CME sessions and access until June 1, 2024!

Sponsor: Birch by Helix birchliving.com/curb

Birch is giving $200 dollars off ALL mattresses and 2 free eco-rest pillows at birchliving.com/curb

Time Stamps*

Time Stamps refer to ad-free version

00:00 Intro; Paul shame’s the audience; Guest bio
03:17 Guest one-liner, book recommendation* –Emperor of All Maladies (book) by Siddhartha Mukherjee, When Breath Becomes Air (book) by Paul Kalanithi; Career advice -set goals for whatever you’re learning.
08:43 Picks of the week: John Wick 3 (film); The Movies That Made Me (podcast) by Joe Dante; The Tim Ferriss Podcast with Julie Rice of Soul Cycle; Infinity Chamber (film) by Travis Milloy
11:50 A case of asymptomatic leukocytosis; Red flags; Repeat the CBC until it’s normal
17:30 The peripheral smear; Leukemoid reaction
20:00 The physical exam; When to send flow cytometry?
22:18 A case of lymphopenia; benign ethnic neutropenia; What to look for in the history
27:10 A case of erythrocytosis; Checking EPO levels; JAK2 mutation; Differential Diagnosis; Therapeutic Phlebotomy; Physical findings of Polycythemia Vera
36:53 A case of thrombocytopenia; Lab workup; Differential diagnosis; Pathophysiology; Culprit meds
45:35 Advice for internists
46:36 Take Home Points
47:46 Dr. Kwok’s disclaimer
48:10 Outro and post credit scene

Transcript

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0:00.0	This Curb Siders episode is sponsored by the American College of Physicians, all new
0:05.6	CME 100 Video Package.
0:08.2	Order now to earn CME at your convenience at ACPOnline.org, forward slash 100 Curb, and
0:16.0	use the code 100 Curb.
0:18.6	The Curb Siders podcast is for entertainment education and information processing.
0:37.2	We do your own homework and let's know when we will.
1:01.7	Okay.
1:02.7	These are on.
1:05.7	Hey guys.
1:06.7	Hi.
1:07.7	Hi Matt.
1:08.7	Welcome back.
1:09.7	This feels totally natural.
1:10.7	I am totally at ease right now.
1:12.9	What about you Stewart?
1:14.7	Absolutely.
1:15.7	That's probably true.
1:17.7	Yeah, actually it is.
1:19.2	Yeah, I feel more at ease talking in front of a group of people than I do talking to my
1:24.1	computer screen in my office with my door closed and my kids screaming on the outside
1:28.0	and cat scratching on the door and dogs barking the background in my wife asking when we're
1:31.4	going to be done.
	...

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