Inpatient Episodes

Dr. Nadine Palermo, an endocrinologist and the Associate Director of the Acute Diabetes Care program at Brigham and Women’s Hospital, talks with Joyce Zhou (host) and Jakub Glowala (case presenter) to discuss the management of inpatient diabetes patients. Dr. Palermo begins by discussing the way to think about hyperglycemic patients in the hospital, how we can arrive at new diagnoses of diabetes, in addition to why treating inpatient dysglycemia matters. Dr. Palermo provides us with a brief deto...

Dr. OP Hamnvik, an endocrinologist and medical educator at Brigham and Women’s Hospital, joins Joyce Zhou (host) and Dr. Emily Gutowski (case presenter) to discuss hypocalcemia. They run through a case of a patient with a recent thyroidectomy who presents with perioral paresthesia and hypocalcemia. Dr. Hamnvik takes us through the many causes of hypocalcemia, from the PTH-dependent to the PTH-independent causes, in addition to ways in which we can test for hypocalcemia at the bedside through Chv...

Dr. OP Hamnvik, an endocrinologist and medical educator at Brigham and Women’s Hospital, joins Emily Gutowski (host) and Joyce Zhou (case presenter) to discuss hypercalcemia. Through a case of an outpatient presenting with incidental hypercalcemia and no symptoms, Dr. Hamnvik walks through ways to differentiate the various causes of hypercalcemia, from primary hyperparathyroidism to non-PTH-mediated sources such as malignancy. Together, they discuss the normal regulation of calcium in the body a...

Dr. Rachel Blair, an endocrinology fellow at Brigham and Women’s Hospital, joins Emily Gutowski (host) and Katie Kester (case presenter) to discuss hyperthyroidism. Together, they walk through a case of a young patient with suspected thyrotoxicosis and discuss the diagnostic workup, from physical exam and labs to radioactive iodine uptake studies. They talk through causes of primary and secondary hyperthyroidism, when thyrotoxicosis is considered an endocrine emergency, and how to provide initia...

Dr. Rachel Blair, an endocrinology fellow at Brigham and Women’s Hospital, joins Dr. Navin Kumar (host) and Sarah Onorato (case presenter) to discuss hypothyroidism. Together, they use a sample case of a patient with hypothyroidism as a framework to guide discussion about primary vs. secondary hypothyroidism, associated lab findings, and management of unambiguous hypothyroidism vs. subclinical hypothyroidism. They wrap up their discussion with several clinical pearls, advocating for both a broad...

Dr. Ari Moskowitz, the Associate ICU Director in the division of pulmonary and critical care medicine at Beth Israel Deaconess Medical Center, talks with Dr. Navin Kumar about the management of patients with severe COVID-19. The two examine which patients require escalation to ICU-level care, in addition to the complications of severe COVID-19 and which organ systems can be affected. They discuss how to identify hypoxemic respiratory failure, the utility of the physical exam in the process, and ...

Dr. Mary Montgomery, an infectious disease physician at Brigham and Women’s Hospital, talks with Dr. Navin Kumar about the current COVID-19 pandemic. The two focus their discussion on inpatient diagnosis and management, covering the disease’s variable presentation, optimal time to test via nasopharyngeal swab, and current treatment paradigm from initial hospitalization to ICU. Possible therapeutic candidates, such as remdesivir, hydroxychloroquine, and IL-6 inhibitors, are also discussed.

Dr. Joshua Lang, cardiology fellow at Brigham and Women’s Hospital, joins us in this episode of Run the List to discuss common inpatient procedures on the wards. He is interviewed by Dr. Walker Redd and together they walk us through placing central/arterial lines, paracentesis & thoracentesis, ultrasound-guided procedures, and more! They emphasize the importance of doing dry runs early on, talking patients through the intended plan, and conclude with pro tips on becoming more comfortable with do...

Dr. Victor Nauffal, cardiology fellow at Brigham and Women's Hospital, is interviewed by Dr. David Wang about tachyarrhythmias. They work through a case and general approach to this topic, including a discussion about when to use electricity, distinguishing rhythms on an EKG, and treatment considerations. The case concludes with clinical pearls to take with you on the wards.

Balim Senman, second-year internal medicine resident at Brigham and Women’s Hospital, interviews Zaid Almarzooq, cardiology fellow, about atrial fibrillation. They work through a case presentation and talk about common precipitants and risks of this arrhythmia. This episode also includes a discussion about when to pursue cardioversion, how to decide on anticoagulation therapy, as well as rate versus rhythm control. The episode concludes with a helpful mnemonic and three take-home points.

In Part 2, Emily Gutowski continues her interview with Dr. Zaid Almarzooq, cardiology fellow at Brigham and Women’s Hospital, about evaluating a patient with chest pain. They discuss diagnostic testing and management, include a helpful mnemonic, and conclude the episode with a few clinical pearls.

In Part 1 of this topic, Emily Gutowski interviews Dr. Zaid Almarzooq, cardiology fellow at Brigham and Women's Hospital, about the evaluation of a patient with chest pain. They discuss a case of a woman in the emergency room with chest pain, important questions to ask on history, physical exam findings to look out for, as well as the differential diagnosis for chest pain. In Part 2, the topic will conclude with a discussion about diagnostic testing, management, and clinical pearls.

Dr. Jason Ryan, creator and CEO of Boards and Beyond, joins us in this episode to discuss cardiac causes of syncope. He is interviewed by Emily Gutowski and takes listeners through the diagnosis of syncope and features that should alert clinicians to a potential cardiac etiology. They work through important diagnostic measures, indications for AICD placement, and when to consult cardiology. The episode concludes with a few clinical pearls.

In this episode, Dr. Walker Redd interviews Dr. Emily Lau about the general management of stable patients with heart failure when they are not in an acute exacerbation. They discuss the mnemonic “PANIC DR. AIR,” which reminds clinicians of all the important aspects of caring for patients with heart failure. They also include advice that physicians can provide patients while living a life with heart failure at home.

Dr. Emily Lau, cardiologist and chief resident at Brigham and Women’s Hospital, is interviewed by Dr. Walker Redd about the management of a patient with acute decompensated heart failure. They work through the general framework for thinking about potential etiologies and triggers of heart failure exacerbations, as well as key points in the management of these patients. The episode concludes with three clinical pearls to bring with you to the wards.

In this episode, Dr. Sushrut Waikar takes us through his approach to interpreting a urinalysis. We work through classic patterns, caveats, and discuss when to consider a further workup. This episode is a helpful review of some of the basics with the addition of helpful clinical pearls that will help you on the wards.

Dr. Ankit Patel takes us through his approach to working through acid-base disorders. The episode begins with a general framework and concludes with four case vignettes, each describing a different physiology: metabolic acidosis, metabolic alkalosis, respiratory acidosis and respiratory alkalosis.

Emily Gutowski interviews Dr. Ankit Patel about the workup and management of a patient with hypernatremia. They break down this complex problem into four simple categories and work through the treatment of patients with elevated sodium levels.

Dr. Ankit Patel is interviewed by MS4 Emily Gutowski about the management of a patient with hyponatremia. They talk through a framework for thinking about potential etiologies, and delve into the range of treatments depending on symptoms and chronicity.

In this episode, Emily Gutowski interviews Dr. Ankit Patel about hypokalemia. They discuss a patient case, as well as the framework for thinking about the potential etiologies of low potassium.

Dr. Ankit Patel is interviewed by Emily Gutowski about hyperkalemia. They discuss a framework to determine potential etiologies, and work through the steps to stabilize and treat patients with elevated potassium. The episode concludes with a few clinical pearls.

In our first nephrology episode, MS4 Emily Gutowski interviews Dr. Sushrut Waikar about acute kidney injury. They discuss a broad differential for AKI, as well as the workup and management of various causes.

Dr. Navin Kumar is interviewed by Dr. Walker Redd about the workup, diagnosis, and management of a patient with acute cholecystitis. We discuss an overview of the types and terminology of biliary pathology, and conclude with a few clinical pearls you can take with you to the wards.

In this episode, our guest is Dr. Navin Kumar, attending gastroenterologist at Brigham and Women’s Hospital. We discuss the workup, diagnosis, and management of a patient with cirrhosis. We conclude with a few clinical pearls you can take with you to the wards.