Outpatient Episodes

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.

In this episode, Dr. Navin Kumar interviews Dr. Sanjay Divakaran, cardiology fellow at Brigham and Women's Hospital, about his approach to a non-invasive evaluation of chest pain. They discuss how to think about a patient's pre-test probability to help guide diagnostic testing, as well as guidelines in interpreting reports and how to counsel patients about chest pain. As always, the episode concludes with a few clinical pearls to take with you.

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.

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.

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.