UCONN IM Residency: Recent Episodes
University of Connecticut Internal Medicine
UCONN Internal Medicine Residency podcast!
"All opinions and views expressed in our podcast are entirely the responsibility of the authors and do not represent the opinions of anyone else in the UConn Department of Medicine. The content presented is for educational purposes only and should not be taken as a medical advise."
Editor-in-Chief/Host: Dr. Alla Turshudzhyan, Chief Medical Resident at UCONN Associate Editors: Drs. Carolina Mendes Pessoa and Ritika Kompella
We would like to thank Matt Botsford for our background picture.
Benign prostate hyperplasia and lower urinary tract symptoms are commonly associated with one another. Take a listen to get a better understanding of the difference between the two! We walk through important considerations in the history and physical exam, discuss workup and when referral to urology is recommended, and we discuss management options! Thank you for listening!
Author: Nickolas Coombs, DO & Rob Harmon, DO
Host/Editor: Rob Harmon, DO
There are many options available to our patients who are interested in trying to lose weight. Outside of diet, exercise and medications what other options can we counsel our patients on? Well there are surgical weight loss options that may be of interest to our patients and today we will talk about a couple types of bariatric surgery that are available including a brief discussion on indications and complications. Thanks for listening!
Author/Host/Editor: Rob Harmon, DO
The presence of LAD can be frightening for your patients. With this framework, hopefully you are able to work through a comprehensive differential diagnosis and you are comfortable knowing when something is more likely to be more benign versus when you should be more concerned for your patient. Thank you again for listening today, I hope you have a wonderful day!
Author: Nickolas Coombs, DO & Rob Harmon, DO
Host/Editor: Rob Harmon, DO
Thank you for joining us, today we will be reviewing prostate cancer screening and potential benefits as well as any associated controversies. The main focus of our discussion today revolves around PSA, or prostate-specific antigen. Although treating prostate cancer at an early stage to avoid long-term consequences, including potential metastatic disease, is important, we must acknowledge that our screening tools are imperfect. We don’t want to diminish the importance of treating an aggressive prostate cancer, but simply want to highlight that screening should not be done without a thorough explanation between you and your patient.
Author: Nickolas Coombs, DO
Host/Editor: Rob Harmon, DO
When it comes to respiratory illness, it can be challenging to evaluate and triage patients in the outpatient setting. In this episode we work through some clinical pearls that can help you evaluate your patients. Remember that completing a thorough history and physical exam can be extremely helpful in guiding you in your diagnosis and management of pneumonia in the outpatient setting.
Author/Host/Editor: Rob Harmon, DO
We commonly diagnose and treat patients with hypertension in the outpatient setting. There are many classes of medications and related disease processes that we could talk about; however, today we will be primarily focusing on diagnosis and non-pharmacological management. Thank you for listening!
Author/Host/Editor: Rob Harmon, DO
Continuing on with our ambulatory series, today we will explore the topic of anemia. We cover everything from the history and physical exam to treatment of anemia in the outpatient setting with a focus on microcytic anemias, specifically: iron deficiency anemia. Thanks for listening!
Channel your inner neuro critical care specialist in this episode wherein Dr. Grover teaches us how to manage neurologic emergencies commonly seen in the ICU.
Author: Dr. Mari-Elena Pino, Internal Medicine PGY-3, UCONN
Host: Dr. Ritika Kompella, Internal Medicine PGY-3, UCONN
Guest speaker: Dr. Prashant Grover, Pulmonary Critical Care, St. Francis Hospital
Editor: Dr. Robert Harmon, Chief Medical Resident, UCONN
Welcome back to the UConn IM Podcast, this week we are taking a break from the pulmonary and critical care mini-series to kick off our ambulatory series! Today we will review vision loss in the primary care setting. We review the most common types of vision loss and discuss key components of the physical exam as well as treatment options. Thank you for listening!
Author/Host/Editor: Rob Harmon, DO
Understanding right heart catheterizations got you down? In this episode, Dr. Parikh takes us on a deep dive of pulmonary hypertension, giving you the tools to crush your next CCU, ICU and pulm rotations.
Author: Dr. Mari-Elena Pino, Internal Medicine PGY-3, UCONN
Host: Dr. Ritika Kompella, Internal Medicine PGY-3, UCONN
Guest speaker: Dr. Raj Parikh, Pulmonary Critical Care, Hartford Hospital
Editor: Dr. Robert Harmon, Chief Medical Resident at UCONN.
Develop your bartending skills in the ICU by learning how to create the ideal sedation cocktail. We sat down with Dr. Grover, one of the program’s favorite educators, to discuss how to achieve RASS goals and more.
Author: Dr. Siddharth Venkat Ramanan, Internal Medicine PGY-3, UCONN
Host: Dr. Ritika Kompella, Internal Medicine PGY-3, UCONN
Guest speaker: Dr. Prashant Grover, Pulmonary Critical Care, St. Francis Hospital
Editor: Dr. Robert Harmon, Chief Medical Resident at UCONN.
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Host/Editor: Dr. Robert Harmon, Chief Medical Resident at UCONN.
With this episode we will wrap up the ambulatory series for the 2022-2023 academic year. Huge shoutout to Alla Turshudzhyan for all of the work that she put into the podcast over the last year. We are very excited for her as she moves on to the next phase of her career!
For my inaugural episode, we will be discussing medical abortion. There are two medications that are approved by the FDA for medical abortion; mifepristone and misoprostol. Most commonly these are administered as part of a combined regimen in which misoprostol is administered 24-28 hours after mifepristone. It is important to know that patients can resume any form of contraception after medical abortion and fertility is not effected by past medical abortion! Patients are eligible for medical abortion up until 70 days of gestation, which is determined by the patient's first day of their last menstrual cycle. Ultrasound is not required unless gestational age is not able to be determined, the patient is at high risk for ectopic pregnancy or has clinical signs of an ectopic pregnancy.
I look forward to putting out some exciting content this year!
Thank you for listening.
Host/Editor: Dr. Alla Turshudzhyan, Chief Medical Resident at UCONN.
Understanding the difference between palliative care and hospice is crucial. Many patients and their families equate palliative care with end-of-life care. Palliative care focuses on symptom management and unlike hospice, it is provided based on patient’s needs, not based on prognosis. Palliative care is frequently done along with a curative therapy. In contrast with palliative care, hospice is a highly regulated Medicare benefit that is prognosis dependent and only applies to patients with survival prognosis of less than six months. Primary care providers can refer directly to hospice and can even function as a medical director on the case if they choose to do so. Lastly, keep an eye out for caregiver burn out and refer families to hospice or palliative care social worker for local resources available.
Thank you for listening.
Host/Editor: Dr. Alla Turshudzhyan, Chief Medical Resident at UCONN.
Let's talk about how to work up anorectal disease in the ambulatory setting. As primary care physicians, we have a unique opportunity to be the first ones to recognize anorectal pathology and start appropriate and timely work up.
Thank you for listening.
Host/Editor: Dr. Alla Turshudzhyan, Chief Medical Resident at UCONN.
Urinary incontinence is extremely common and is an underreported condition because of embarrassment associated with its symptoms and lack of knowledge about treatment options. There are many risk factors for urinary incontinence and some of them are modifiable, so it is crucial that we educate our patients about them. The main types of urinary incontinence are stress, urgency, and overflow incontinence. Patient with a combination of stress and urgency incontinence are described as having mixed urinary incontinence. When evaluating a patient with urinary incontinence, make sure to screen for other treatable causes such as vaginal atrophy, urinary tract infection; as well as reversible causes such as alcohol use, excessive caffeine intake, and severe constipation. Ask your patient to keep a voiding diary to help you better understand their voiding patterns. Bladder stress test can help you diagnose stress incontinence and post void residual can help you diagnose overflow incontinence. Urodynamic testing is reserved for cases with diagnostic uncertainty. Lastly, refer to urology when clinically indicated.
Thank you for listening.
Host/Editor: Dr. Alla Turshudzhyan, Chief Medical Resident at UCONN.
Working up shoulder pain can be deceivingly simple - you have to consider traumatic vs non-traumatic, extrinsic vs intrinsic shoulder pathology, and glenohumeral vs extra-glenohumeral pathology. Further diagnostic imaging should be guided by history, physical exam, and special tests. Consider ordering an US if your facility offers one as its diagnostic value is similar to MRI when assessing muscles and tendons around the shoulder. Make sure to refer your younger patients with acute rotator cuff tears for a surgical evaluation within 8 weeks of the symptom onset. Partial rotator cuff tears, complete tears under 1 cm or chronic degenerative tears should be managed conservatively while complete tears over 1 cm should be referred to orthopedic surgery for management.
Thank you for listening.
Host/Editor: Dr. Alla Turshudzhyan, Chief Medical Resident at UCONN.
Let's follow the White Rabbit down to the Wonderland that is DSM-5 and review criteria for personality disorders together!
Music for this episode is by Aleksey Chistilin and the opening quote is from Alice in Wonderland(the movie).
Thank you for listening.
Host/Editor: Dr. Alla Turshudzhyan, Chief Medical Resident at UCONN.
Majority of peripheral disease (PAD) cases are asymptomatic with only about 25% of patients presenting with claudication, rest pain, gangrene, and limb ulcerations. Ankle-brachial index (ABI) is a first-line diagnostic test. ABI of less than 0.9 is consistent with PAD. ABI greater than 1.3 is a sign of noncompressible calcified vessels. If patient’s story and exam are highly concerning for PAD, but ABI is normal, consider post-exercise ABI or a toe-brachial index. Use duplex US to help you identify location and severity of PAD. More advanced imaging may be warranted if non-invasive modalities are non-diagnostic or if patient needs an intervention. For symptomatic PAD patients, it is reasonable to consider clopidogrel over aspirin or low-dose rivaroxaban plus aspirin (while keeping in mind that rivaroxaban + ASA carries an increased risk of bleeding when compared to ASA alone). Antiplatelet therapy use in asymptomatic PAD is not routinely recommended. Treat claudication with supervised exercise program, followed by cilostazol or naftidrofuryl. If your patient progressed to the point that their symptoms are constant, disabling, and no longer responsive to lifestyle modification and pharmacotherapy, revascularization may be indicated. There are two options for revascularization – percutaneous and surgical. Most cases can be done percutaneously. Surgery is reserved for patient with long segment stenosis, multifocal stenosis, eccentric, calcified stenosis, or long segment occlusions.
We hope you enjoy this episode!
Thank you for listening.
Host/Editor: Dr. Alla Turshudzhyan, Chief Medical Resident at UCONN.
PCOS is a complex condition and is quite common. It’s presenting symptoms are ovulatory and menstrual irregularity, subfertility or infertility, clinical hyperandrogenism, metabolic dysfunction, and/or polycystic ovaries. Since the condition was first described in 1935, a lot has changed in our understanding of the pathophysiology. Diagnosis of PCOS can be made by Rotterdam Criteria. More specifically, two out of three of the following criteria have to be met – 1) oligomenorrhea and/or anovulation, 2) clinical and/or biochemical signs of hyperandrogenism, 3) polycystic ovaries on TVUS. Important take away here is you don’t have to visualize polycystic ovaries to make the diagnosis. We no longer use LH:FSH ratio in working up PCOS. If patient has hyperandrogenic features, you can order a total testosterone. In cases where patient has virilization and severely elevated testosterone, other causes need to be investigated. If your patient also has oligomenorrhea, you should add an early morning 17-hydroxyprogesterone to rule out nonclassic congenital adrenal hyperplasia. Measurements of DHEA or free testosterone are not routinely recommended. You can consider adding hCG, TSH, FSH to your lab work. Treatment options will vary based on whether or not the patient is pursuing pregnancy. If pregnancy is not desired, COC should be prescribed for menstrual dysfunction, endometrial protection, and contraception. Metformin can be added if patient has glucose intolerance. Spironolactone or other antiandrogen medications can be added for androgen excess manifestations if COC are not enough. Weigh loss is another key component of PCOS treatment. Pay close attention to signs of depression or anxiety in your patients with PCOS. If your patients desire pregnancy, there are ovulation induction medications that can be tried first followed by laparoscopic surgery or exogenous gonadotropins. If all those steps fail, patients should be referred to IVF for further options.
We hope you enjoy this episode!
Thank you for listening.
Host/Editor: Dr. Alla Turshudzhyan, Chief Medical Resident at UCONN.
Kidney stones are common and majority of the stones are made up of calcium oxalate, followed by calcium phosphate, uric acid, cystine, and struvite stones. The recurrence rate of kidney stones is quite high, but there are a lot of modifiable risk factors that are crucial we educate our patients about. Some of the modifiable risk factors include decreased fluid intake, low calcium diets, increased oxalate and Vitamin C ingestion, diets low in potassium, high dietary sodium, high dietary non-diary animal protein. When managing a case of kidney stones, it is important to assess patient's discomfort level and escalate pain management as needed starting with NSAIDs. Indications for inpatient admission are poor pain control, inability to tolerate PO, or fever. Stones that are 5-10mm may need an alpha blocker, CCB, or a PDE5 inhibitor to facilitate passage. If stone does not pass after 4 weeks or if stone is more than 10mm, urology consult is indicated. CT abdomen remains the modality of choice for initial image, unless your patient is pregnant. Follow up imaging to confirm stone passage can be done with digital tomosynthesis coupled with an US.
We hope you enjoy this episode!
Thank you for listening.
Host/Editor: Dr. Alla Turshudzhyan, Chief Medical Resident at UCONN.
Functional bowel disorders are common. They are still poorly understood and remain a highly stigmatized condition. Establishing a trusting relationship with your patient can help set realistic expectations from the start and work towards symptom control to improve quality of life. Multidisciplinary approach is recommended with treating functional bowel disorders, such as exercise, psyllium, low FODMAP diet, psychological therapies, and pharmacotherapy that is tailored to patients symptoms.
We hope you enjoy this episode!
Thank you for listening.
Host/Editor: Dr. Alla Turshudzhyan, Chief Medical Resident at UCONN.
There are two major categories of hearing loss – conductive and sensorineural. By far, the most common is presbycusis, which is an age related sensorineural hearing loss. Sudden sensorineural hearing loss can be caused by viral infection, medications, barotrauma, loud noise, as well as some autoimmune conditions such as Sjogren or Cogan syndromes. Timely steroid therapy is crucial and should be initiated within 2 weeks, ideally, but can be given up to 8 weeks from the symptom onset. Valacyclovir can be a consideration but only in patients who present within 48 hour from symptom onset. Over the counter hearing aids have become a promising alternative to prescription hearing aids, but the data on their efficacy is limited. Lastly, auditory rehabilitation should be considered in any patients with hearing loss.
We hope you enjoy this episode!
Thank you for listening.
Host/Editor: Dr. Alla Turshudzhyan, Chief Medical Resident at UCONN.
Let’s talk about diarrhea, more specifically acute diarrhea. When approaching acute diarrhea, it is helpful to break down each case into infectious vs. non-infectious and inflammatory vs. non-inflammatory. Work up is usually escalated to match the severity of presentation. Stool studies are reserved for severe cases and should be collected prior to initiation of empiric antibiotics. For mild to moderate cases of acute diarrhea, oral rehydration remains the cornerstone therapy. Make sure to educate patients on free water consumption and on how to prepare oral rehydration therapy at home to avoid worsening of symptoms.
We hope you enjoy this episode!
Thank you for listening.
Host/Editor: Dr. Alla Turshudzhyan, Chief Medical Resident at UCONN.
Majority of skin and soft tissue infections are caused by MRSA, MSSA, group A strep or other beta-hemolytic strep. Some of these infections are more likely to present with abscess formation, while others are unlikely to be purulent. Let's talk about typical presentations for skin infections and their management.
We hope you enjoy this episode!
Thank you for listening.
Host/Editor: Dr. Alla Turshudzhyan, Chief Medical Resident at UCONN.
While breast cancer is the most common cancer diagnosis, only about 5-15% of breast masses that are biopsied result in diagnosis of cancer. This means that 85-95% of all breast masses that are biopsied are benign. Diagnosing breast mass can be tricky, so let's discuss what diagnostic tools we have and how to use them.
We hope you enjoy this episode!
Thank you for listening.
Host/Editor: Dr. Alla Turshudzhyan, Chief Medical Resident at UCONN.
Let's discuss proposed pathophysiology of Bell's palsy, its differential diagnosis, and options for therapy.
We hope you enjoy this episode!
Thank you for listening.
Host/Editor: Dr. Alla Turshudzhyan, Chief Medical Resident at UCONN.
What is monkeypox? Let's talk about its diagnosis, treatments available and options to prevent transmission.
We hope you enjoy this episode!
Thank you for listening.
Host/Editor: Dr. Alla Turshudzhyan, Chief Medical Resident at UCONN.
Adults need vaccines too! Let’s discuss vaccination schedules, what to do if vaccination series is incomplete, contraindications and precautions for each of the vaccine types.
We hope you enjoy this episode!
Thank you for listening.
Host/Editor: Dr. Alla Turshudzhyan, Chief Medical Resident at UCONN.
Let's discuss PTSD, its diagnostic criteria and management options.
We hope you enjoy this episode!
Thank you for listening.
Host/Editor: Dr. Alla Turshudzhyan, Chief Medical Resident at UCONN.
Dermatology is not easy and requires a lot of practice. Just when you think you’ve mastered a particular rash or skin growth, you realize it’s much more complicated. While you may not be a dermatology expert by the end of this episode, I hope this information will solidify some of the common associations between systemic diseases and their dermatological presentations and some diagnostic patterns for lesions you may see in primary care.
We hope you enjoy this episode!
Thank you for listening.
Guest Speaker: Dr. Danison Emmerson, former Chief Neurology Resident at UCONN and currently a vascular fellow at UCONN/Hartford Hospital
Host/Editor: Dr. Alla Turshudzhyan, Chief Medical Resident at UCONN
The phrase “time is brain” emphasizes the emergency of a cerebrovascular event and the need to act fast to preserve as much of the healthy brain tissue as possible. While medicine residents rarely manage patients during stroke alerts, they are oftentimes responsible for recognizing the early symptoms of stroke and initiating a STAT neurology consult. We want to dedicate this episode to discussion of stroke, its' etiologies, diagnostic approaches, and options for prevention and therapy.
More on neurology to come... stay tuned!
Thank you for listening.
Host/Editor: Dr. Alla Turshudzhyan, Chief Medical Resident at UCONN.
For the visual learners out there, I'm sorry! It's a challenge to describe flow-volume loops and lung volume components without using a diagram. If you are able, pull up examples of pulmonary function test (PFT) and follow along. Let's brush up on PFT, its components, and learn how to interpret the results.
We hope you enjoy this episode!
Thank you for listening.
Host/Editor: Dr. Alla Turshudzhyan, Chief Medical Resident at UCONN.
Time to impress patients with your diagnostic skills! Let's review oh so familiar knee pain work up and see if we can learn something knew.
We hope you enjoy this episode!
Thank you for listening.
Guest Speaker: Dr. Danison Emmerson, former Chief Neurology Resident at UCONN and currently a vascular fellow at UCONN/Hartford Hospital
Host/Editor: Dr. Alla Turshudzhyan, Chief Medical Resident at UCONN
Now that you have Mambo No.5 stuck in your head, we are excited to introduce our neurology mini-series! Our first episode will be focused on headache. We will discuss some of the most common headache types as well as some you may not have heard of previously (plus a completely made up "neuralgia interna medicinica" type of headache). We will cover diagnostic approaches and options for therapy.
More on neurology to come... stay tuned!
Thank you for listening.
Host/Editor: Dr. Alla Turshudzhyan, Chief Medical Resident at UCONN.
In this podcast, we will discuss work up of chronic primary insomnia and approaches to treatment.
We hope you enjoy this episode!
Thank you for listening.
Host/Editor: Dr. Alla Turshudzhyan, Chief Medical Resident at UCONN.
In this podcast, we will discuss most common etiologies of hyperthyroidism, diagnostic approaches, and treatment options.
We hope you enjoy this episode!
Thank you for listening.
Host: Dr. Ritika Kompella, Internal Medicine PGY-2, UCONN
Guest Speaker: Dr. Erika Faircloth, former Chief Medical Resident at UCONN and a second-year cardiology fellow at Hartford Hospital
Editor: Dr. Alla Turshudzhyan, Chief Medical Resident at UCONN
Let's dive into the world of lipids and have a guided tour by one of our former chiefs!
This concludes our cardiology mini-series, but worry not - we'll be back with more on cardiology later in the year...
Thank you for listening.
Host/Editor: Dr. Alla Turshudzhyan, Chief Medical Resident at UCONN.
In this podcast, we will discuss the epidemiology of suicide in the US, screening methods, and options for counseling.
We hope you learn something new!
Thank you for listening.
Host/Editor: Dr. Alla Turshudzhyan, Chief Medical Resident at UCONN.
In this podcast, we will discuss most common etiologies of chronic kidney disease (CKD), diagnostic approaches, and treatment options.
We hope you enjoy this episode!
Thank you for listening.
Host: Dr. Ritika Kompella, Internal Medicine PGY-2, UCONN
Guest Speaker: Dr. Erika Faircloth, former Chief Medical Resident at UCONN and a second-year cardiology fellow at Hartford Hospital
Editor: Dr. Alla Turshudzhyan, Chief Medical Resident at UCONN
This week, let's discuss heart failure, its' etiologies, and approaches to management.
More on cardiology to come... stay tuned.
Thank you for listening.
Host: Dr. Ritika Kompella, Internal Medicine PGY-2, UCONN
Guest Speaker: Dr. Erika Faircloth, former Chief Medical Resident at UCONN and a second-year cardiology fellow at Hartford Hospital
Editor: Dr. Alla Turshudzhyan, Chief Medical Resident at UCONN
There are many reasons for heartache, but there's one that should not be missed! Let's review one of the most serious etiologies for chest pain - acute coronary syndrome and discuss diagnostic approaches and interventions.
More on cardiology to come... stay tuned.
Thank you for listening.
Host/Editor: Dr. Alla Turshudzhyan, Chief Medical Resident at UCONN.
In this podcast, we will discuss common etiologies of syncope, its prevalence in general population, and diagnostic approaches.
We hope you enjoy this episode!
Thank you for listening.
Host/Editor: Dr. Alla Turshudzhyan, Chief Medical Resident at UCONN.
In this podcast, we will discuss the outpatient management of type 2 diabetes mellitus, go over available medication classes, their side effect profile and benefits. We will also cover a recently FDA approved medication for type 2 diabetes mellitus.
We hope you enjoy this episode!
Thank you for listening.
Host: Dr. Ritika Kompella, Internal Medicine PGY-2, UCONN
Guest Speaker: Dr. Erika Faircloth, former Chief Medical Resident at UCONN and a second-year cardiology fellow at Hartford Hospital
Editor: Dr. Alla Turshudzhyan, Chief Medical Resident at UCONN
Tachyarrhythmias still giving you palpitations? Well, our former chief has got you covered. Learn how to triage tachyarrhythmias like a true cardiology fellow!
More on cardiology to come... stay tuned.
Thank you for listening.
Host: Dr. Carolina Mendes-Pessoa, Internal Medicine PGY-3 at UCONN.
Guest Speaker: Dr. Faryal Mirza, Endocrinologist at UCONN.
Editor: Dr. Alla Turshudzhyan, Chief Medical Resident at UCONN.
In this episode, we will discuss the pathophysiology, symptoms, diagnostic approach, and management of hypercalcemia.
We hope you enjoy this episode.
Thank you for listening!
Title idea: courtesy of our Pulm/Crit Fellow, Dr. Garrett Fiscus!
Host: Dr. Carolina Mendes-Pessoa, Internal Medicine PGY-3 at UCONN.
Guest Speaker: Dr. Parvathy Madhavan, Endocrinologist at UCONN.
Editor: Dr. Alla Turshudzhyan, Chief Medical Resident at UCONN.
In this episode, we will discuss the pathophysiology, symptoms, diagnostic approach, and management of thyroid nodules.
We hope you enjoy this episode.
Thank you for listening!
Host: Dr. Carolina Mendes-Pessoa, Internal Medicine PGY-3 at UCONN.
Guest Speaker: Dr. Asma Syeda, Endocrinology Fellow PGY-4 at UCONN.
Editor: Dr. Alla Turshudzhyan, Chief Medical Resident at UCONN.
In this episode, we will discuss the pathophysiology, symptoms, complications, and management of DKA and HHS.
We hope you enjoy this episode.
Thank you for listening!
Host: Dr. Alla Turshudzhyan, Chief Medical Resident at UCONN.
Guest Speaker: Dr. Deep Phachu, Nephrology Specialist at St. Vincent's Hospital, Worcester, MA.
In this episode, we will discuss the non-anion gap metabolic acidosis (NAGMA). More specifically, we will discuss the underlying pathophysiology, common etiologies, and laboratory abnormalities associates with NAGMA.
We hope you enjoy this episode.
Thank you for listening!
Host: Dr. Alla Turshudzhyan, Chief Medical Resident at UCONN.
Guest Speaker: Dr. Deep Phachu, Nephrology Specialist at St. Vincent's Hospital, Worcester, MA.
In this episode, we will discuss the three channelopathies: Bartters, Gitelman, and Liddle syndromes. More specifically, we will discuss the underlying pathophysiology, patient presentation, and laboratory abnormalities associates with each of the syndromes.
We hope you enjoy this episode.
Thank you for listening!
Title idea: courtesy of our Pulm/Crit Fellow, Dr. Garrett Fiscus!
Host: Dr. Alla Turshudzhyan, Chief Medical Resident at UCONN.
Guest Speaker: Dr. Deep Phachu, Nephrology Specialist at St. Vincent's Hospital, Worcester, MA.
In this episode, we will discuss a much feared topic of renal tubular acidosis. More specifically, we will discuss common etiologies, patient presentations, and laboratory abnormalities associated with different types of renal tubular acidosis.
We hope you enjoy this episode!
Thank you for listening.
Host: Dr. Ritika Kompella, Internal Medicine PGY-2, UCONN
Editor: Dr. Alla Turshudzhyan, Chief Medical Resident at UCONN/VA.
Starting in the ICU as a brand new intern can be intimidating. Dr. Kompella comes to the rescue with some tips and tricks on how to come out victorious at the end of your ICU block!
We hope you learn from the episode and best of luck to the interns currently in the units.
Thank you for listening.
Host: Dr. Alla Turshudzhyan, Chief Medical Resident at UCONN/VA.
Guest Speakers: Dr. David Bowers, Dr. Suong Nguyen (Chief Medical Residents at UCONN/HH), Dr. Marissa Hobocan (Chief Medical Resident at UCONN/SFH), Dr. Sean Harford (Chief Medical Resident at UCONN/JDH).
In this episode, we will discuss commonly asked questions by the intern class and offer some tips and tricks on how to make the most of the residency training at UCONN.
We hope you enjoy this episode!
Thank you for listening.
Speaker: Dr. Alla Turshudzhyan, Chief Medical Resident at UCONN.
Guest Speaker: Dr. Paul Anthony, Infectious Disease Specialist at Hartford Hospital.
In this episode, we will discuss current outpatient management of COVID-19, the state of pandemic at present, and how our approach to treatment of COVID-19 changed over the course of pandemic.
We hope you enjoy this episode!
Thank you for listening.
Speaker: Dr. Alla Turshudzhyan, Chief Medical Resident at UCONN.
In this podcast, we will discuss the definition of elder abuse. We will focus on the screening, reporting requirements, and preventative measures.
We hope you enjoy this episode!
Thank you for listening.
Speaker: Dr. Juan Chango, PGY-4 Chief Medical Resident at UCONN.
In this podcast, we will discuss the treatment of opiate use disorder. We will focus on the screening, severity of opiate use disorders, and the treatment options that are currently available.
We hope you enjoy this episode!
Thank you for listening.
Speaker: Dr. Maria Gabriela Fernandez Manrique, PGY-3 Internal Medicine Resident at UCONN and future Endocrinology Fellow at Brown University.
Editor: Dr. Juan Chango, PGY-4 Chief Medical Resident at UCONN.
In this podcast, we will discuss hyperlipidemia with a focus on how to perform risk assessment and treatment with lipid-lowering agents and other recommendations.
We hope you enjoy this episode!
Thank you for listening.
Speaker: Dr. Juan Chango, PGY-4 Chief Medical Resident at UCONN.
In this podcast, we will talk about health literacy. We will discuss why this topic is so important in medicine and particularly primary care, its epidemiology, risk factors, health outcomes, and how to approach it.
We hope you enjoy this episode!
Thank you for listening.
Speaker: Dr. Maria Gabriela Fernandez Manrique, PGY-3 Internal Medicine Resident at UCONN and future Endocrinology Fellow at Brown University.
Editor: Dr. Juan Chango, PGY-4 Chief Medical Resident at UCONN.
In this podcast, we will discuss an important topic: Refugee and Immigrant Health. We will focus on relevant considerations and the approach to refugee and immigrant health in the outpatient setting.
We hope you enjoy this episode!
Thank you for listening.
Speaker: Dr. Ritika Kompella, PGY-1 Internal Medicine Resident at UCONN.
Editor: Dr. Juan Chango, PGY-4 Chief Medical Resident at UCONN.
In this podcast, we will talk about a crucial activity during residency and patient care: presentations. This episode will focus on floor presentations (also known as presentations on the wards). We will talk about what they are, how to perform them effectively, what needs to be included, and a few examples to help you understand them more! Please, note that the cases used in this podcast were fabricated by the host and no patient-protected information is exposed.
We hope you enjoy this episode!
Thank you for listening
DISCLAIMERS:
PATIENT PROTECTED INFORMATION
This podcast does not include or discuss any medical information from actual patients. The cases and presentations you may listen to during our episodes are fabricated for educational purposes by the authors.
THIS PODCAST DOES NOT PROVIDE MEDICAL ADVICE
The information and data contained in this podcast are for informational purposes only. No material on this podcast is intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified healthcare providers with any questions you may have regarding a medical condition or treatment before undertaking a new health care regimen, and never disregard professional medical advice or delay in seeking it because of something you have listened to in this podcast.
Speaker: Dr. Juan Chango, PGY-4 Chief Medical Resident at UCONN.
In this podcast, we will talk about the importance of occupational and environmental medicine in the primary care setting. We will focus on taking a history of both occupational and environmental factors and what are their effects on our health.
We hope you enjoy this episode!
Thank you for listening.
Speaker: Dr. Juan Chango, PGY-4 Chief Medical Resident at UCONN.
In this podcast, we will talk about asthma covering its definition, epidemiology, clinical manifestations, diagnosis, and management in the outpatient setting.
We hope you enjoy this episode!
Thank you for listening.
Speaker: Dr. Juan Chango, PGY-4 Chief Medical Resident at UCONN.
In this podcast, we will talk about the primary care of transgender patients. This is an important subject in which we as physicians do not feel as comfortable and need to continue learning and practicing.
We hope you enjoy this episode!
Thank you for listening.
Speaker: Dr. Maria Gabriela Fernandez Marique, PGY-3 Internal Medicine Resident at UCONN.
In this podcast, we will talk about fibromyalgia covering its clinical manifestations, diagnosis, and management of the disease.
We hope you enjoy this episode!
Thank you for listening.
Speaker: Dr. Juan Chango, PGY-4 Chief Medical Resident at UCONN.
In this podcast, we will talk about colorectal cancer screening. We will focus on why colon cancer screening is needed, what are the current guideline recommendations, what are the test modalities we can consider for screening, and screening in high-risk patients.
We hope you enjoy this episode!
Thank you for listening.
Speaker: Dr. Ritika Kompella, PGY-1 Internal Medicine Resident at UCONN.
Editor: Dr. Juan Chango, PGY-4 Chief Medical Resident at UCONN.
In this podcast, we will talk about a critical activity during residency and patient care: sign-outs. We will talk about what they are, how to perform them effectively, what needs to be included, and a few examples to help you understand them more!
We hope you enjoy this episode!
Thank you for listening
Speaker: Dr. Maria Gabriela Fernandez Manrique, PGY-3 Internal Medicine Resident at UCONN and future Endocrinology Fellow at Brown University.
Editor: Dr. Juan Chango, PGY-4 Chief Medical Resident at UCONN.
In this podcast, we will discuss the outpatient management of heart failure. We will focus on the clinical manifestations, diagnosis, classification, and management of heart failure.
We hope you enjoy this episode!
Thank you for listening.
Speaker: Dr. Juan Chango, PGY-4 Chief Medical Resident at UCONN.
In this podcast, we will discuss the epidemiology, clinical manifestations, diagnosis, and treatment of Lyme disease.
We hope you enjoy this episode!
Thank you for listening.
Speaker: Dr. Juan Chango, PGY-4 Chief Medical Resident at UCONN.
In this podcast, we will discuss the epidemiology, clinical manifestations, diagnosis, and treatment of hypothyroidism.
We hope you enjoy this episode!
Thank you for listening.
Speaker: Dr. Juan Chango, PGY-4 Chief Medical Resident at UCONN.
In this podcast, we will discuss the screening, evaluation, and treatment of hepatitis C infection in the primary care setting.
We hope you enjoy this episode!
Thank you for listening.
Speaker: Dr. Juan Chango, PGY-4 Chief Medical Resident at UCONN.
In this podcast, we will discuss headaches in the primary care setting focusing on the classification of headaches, what are the red flags and who needs urgent workup or referral, and the treatment options for the most common types of headaches.
We hope you enjoy this episode!
Thank you for listening.
Speaker: Dr. Meghan Snuckel, PGY-4 Chief Medical Resident at UCONN.
In this podcast, we will talk about discussing prognosis with a critically ill patient.
We hope you enjoy this episode!
Thank you for listening.
Speaker: Dr. Juan Chango, PGY-4 Chief Medical Resident at UCONN.
In this podcast, we will talk about falls in the elderly. We will focus on which patients need to be screened for falls and review screening questions, which functional assessments can be used to identify patients at elevated fall risk and describe interventions that can help reduce the risk of falls.
We hope you enjoy this episode!
Thank you for listening.
Speaker: Dr. Juan Chango, PGY-4 Chief Medical Resident at UCONN.
In this podcast, we will talk about preoperative cardiovascular evaluation with a focus on how to identify the patient's risks, surgical risk, and functional status. We will cover the 2014 ACC/AHA guideline algorithm guideline on perioperative cardiovascular evaluation and management of patients undergoing noncardiac surgery.
We hope you enjoy this episode!
Thank you for listening.
Speaker: Dr. Juan Chango, PGY-4 Chief Medical Resident at UCONN.
In this podcast, we will talk about the perioperative management of non-cardiac conditions. We will review perioperative management goals and importance, focusing on non-cardiac conditions providing an approach to the evaluation of those risks, how to assess surgical risk, medication management, and the strategies for risk mitigation.
We hope you enjoy this episode!
Thank you for listening.
Speaker: Dr. Juan Chango, PGY-4 Chief Medical Resident at UCONN.
In this podcast, we will talk about the treatment of unipolar major depressive disorder describing the pharmacologic and non-pharmacologic therapeutic options.
Thank you for listening.
We hope you enjoy this episode.
Speaker: Dr. Juan Chango, PGY-4 Chief Medical Resident at UCONN.
In this podcast, we will talk about the screening and diagnosis of depression. We will cover what are the risk factors for depression, the importance of screening for depression in the primary care setting, what are the tools available for screening, the clinical manifestations, and the diagnosis of depression.
Thank you for listening.
We hope you enjoy this episode.
Speaker: Our wonderful Dr. Kaitlyn Klibanoff-Dombrowski, PGY-2 Internal Medicine Resident at UCONN.
Editor: Dr. Juan Chango, PGY-4 Chief Medical Resident at UCONN.
In this podcast, we will discuss racism and anti-racism in medicine. Raising awareness and promoting change.
Thank you for listening.
We hope you enjoy this episode.
Speaker: Dr. Meghan Snuckel, PGY4 Chief Medical Resident at UCONN.
Editor: Dr. Meghan Snuckel, PGY4 Chief Medical Resident at UCONN
In this podcast, we will discuss the approach to neck pain with regard to what questions to ask in your history and how to approach the physical exam. We will also discuss the differential diagnosis, and identification of red flags that would require immediate imaging/referral.
Thank you for listening.
We hope you enjoy this episode.
Speaker: Dr. Kaitlyn Klibanoff-Dombrowski, PGY-2 Internal Medicine Resident at UCONN.
Editor: Dr. Juan Chango, PGY-4 Chief Medical Resident at UCONN.
In this podcast, we will discuss the red eye going from the history and physical exam considerations, differential diagnosis, identification of alarm signs and when to refer to ophthalmology, and a review of conjunctivitis.
Thank you for listening.
We hope you enjoy this episode.
Speaker: Dr. Kaitlyn Klibanoff-Dombrowski, PGY-2 Internal Medicine Resident at UCONN.
Editor: Dr. Juan Chango, PGY-4 Chief Medical Resident at UCONN.
In this podcast, we will talk about chest pain. We will focus on the differential diagnosis, risk stratification, scoring systems for both inpatient and outpatient settings, and stress testing.
Thank you for listening. We hope you enjoy this episode.
Interviewer:
Lucie Henry, DO
Chief Medical Resident, University of Connecticut
Meghan Snuckel, MD
Chief Medical Resident, University of Connecticut
Interviewee:
Heather Swales, MD
Cardiologist for Hartford Healthcare Medical Group
Director of Women's Heart Wellness
Associate Fellowship Director for Cardiology at Hartford Hospital
In this podcast, we sit down with Dr. Swales to discuss her journey through medicine and how she navigates the waters of being a subspecialist, as well as some strategies on handling imposter syndrome and burn out in medicine.
Speaker: Dr. Meghan Snuckel. Chief Medical Resident at UCONN.
In this podcast, we will talk about intimate partner violence. We will cover important concepts and how to screen and manage these difficult situations.
Thank you for listening. We hope you enjoy this episode.
Speaker: Dr. Juan Chango. Chief Medical Resident at UCONN.
In this podcast, we will talk about crystal arthropathies such as gout and calcium pyrophosphate crystal disease or pseudogout. We will cover epidemiology, risk factors, clinical manifestation, diagnosis, and management.
Thank you for listening. We hope you enjoy this episode.
Interviewer:
Meghan Snuckel, MD
Chief Medical Resident, University of Connecticut
Interviewee:
Rebecca Andrews MS,MD FACP
Director of Ambulatory Education
Associate Program Director, Internal Medicine Residency
Professor of Medicine
Chair, Board of Governors, American College of Physicians
In this podcast, we sit down with Dr. Andrews to discuss her journey through medicine and how she navigates the waters of being a female leader.
Speaker: Dr. Juan Chango. Chief Medical Resident at UCONN.
In this podcast, we will cover hepatitis B with a focus on its epidemiology, risk factors, clinical manifestations, diagnosis, management, and prevention.
Thank you for listening.
Speaker: Dr. Juan Chango. Chief Medical Resident at UCONN.
In this podcast, we will cover ankle pain focusing on epidemiology, mechanisms, types of injuries, diagnosis, and management of the underlying lesions.
Thank you for listening.
Speaker: Dr. Meghan Snuckel. Chief Medical Resident at UCONN.
In this podcast, we will review the prevention, diagnosis, and treatment of common sexually transmitted infections.
Thank you for listening.
Speaker: Dr. Juan Chango. Chief Medical Resident at UCONN.
In this podcast, we discuss the epidemiology, clinical manifestations, diagnosis, and management of vitamin B12 deficiency.
Thank you for listening.
Speaker: Dr. Juan Chango. Chief Medical Resident at UCONN.
In this podcast, we will recommend an approach to skin rashes with a focus on history and physical examination recommendations.
Thank you for listening.
Speaker: Dr. Meghan Snuckel. Chief Medical Resident at UCONN.
In this podcast, we will review the definitions, clinical presentation, workup, and some clinical pearls about seizures.
Thank you for listening.
Speaker: Dr. Juan Chango. Chief Medical Resident at UCONN.
In this podcast, we discuss the definitions, clinical manifestations, diagnosis, and management of menopause.
Thank you for listening.
Speaker: Dr. Juan Chango. Chief Medical Resident at UCONN.
In this podcast, we discuss bariatric surgery in the treatment of obesity.
Thank you for listening.
Speaker: Dr. Juan Chango. Chief Medical Resident at UCONN.
In this podcast, we cover the diagnosis and management of HIV infection with a particular focus on acute HIV infection.
Thank you for listening.
Speaker: Dr. Meghan Snuckel. Chief Medical Resident at UCONN.
In this podcast, we will talk about an approach to hematuria, its causes, and recommended workup.
Thank you for listening.
Speaker: Dr. Juan Chango. Chief Medical Resident at UCONN.
In this podcast, we will talk about chronic dyspnea including definitions, pathophysiology, causes, diagnostic approach, and some key considerations.
Thank you for listening.
Speaker: Dr. Meghan Snuckel. Chief Medical Resident at UCONN.
This is a short podcast that explains the important terms, considerations, and recommendations about advanced directives summarizing key elements for our medical practice.
Thank you for listening.
Speaker: Dr. Courtenay Ryan-Fisher. Chief Medical Resident at UCONN.
This is a short podcast about alcohol use disorders that summarizes key elements of this common medical condition.
Thank you for listening.
Enjoy!
UCONN Internal Medicine Summer Survival Series!
Topic: Electrolyte Emergencies (Other than Hyponatremia)
Speaker: Dr. Perry Fumuso.
Speaker: Dr. Juan Chango. Chief Medical Resident at UCONN.
This is a short podcast about erectile dysfunction, one of the main men's sexual health problems.
Thank you for listening.
Speaker: Dr. Courtenay Ryan-Fisher. Chief Medical Resident at UCONN.
This is a short podcast about the management of hypertension in patients with chronic kidney disease.
Thank you for listening.
Speaker: Dr. Juan Chango. Chief Medical Resident at UCONN.
This is a short podcast about the clinical presentation, diagnosis, and management of VTE (DVT and PE).
Enjoy =)
Speaker: Dr. Meghan Snuckel, Chief Medical Resident
This is a short podcast about the treatment of type 2 diabetes mellitus. The goal is to describe a general approach to treatment, treatment options, indications, and important considerations.
UCONN Internal Medicine Summer Survival Series!
Topic: Interpretation of Basic Chest Imaging Studies.
Speaker: Dr. Belinda Nwagbara.
UCONN Internal Medicine Summer Survival Series!
Topic: Syncope.
Speaker: Dr. David Bowers.
UCONN Internal Medicine Summer Survival Series!
Topic: Bradycardia and Heart Blocks.
Speaker: Dr. Radhika Kulkarni.
UCONN Internal Medicine Summer Survival Series!
Topic: Diagnosis and Management of Non-ST Segment Elevation Myocardial Infarction and Unstable Angina.
Speaker: Dr. Sana Hyder.
UCONN Internal Medicine Summer Survival Series!
Topic: Narrow Complex Tachycardias.
Speaker: Dr. Manasvi Gupta.
UCONN Internal Medicine Summer Survival Series!
Topic: Wide Complex Tachycardias.
Speaker: Dr. Brenda Nyatanga.
Speaker: Dr. Juan Chango, Chief Medical Resident
This is a short podcast about the diagnosis of type 2 diabetes mellitus and prediabetes. The goal is to describe the clinical presentation of diabetes, diagnosis, and initial evaluation in a short and concise manner.
UCONN IM Residency is a podcast created by our Chief Medical Residents.
Our goal is to maximize the educational experience in our program.
We welcome all of you to our Podcast and hope you enjoy it a lot!
See you soon!