#493: Joint Pain in Older Adults with Dr. Una Makris
An age-friendly approach to arthralgias.
Attack arthralgias with ease! Learn how to evaluate and manage common joint complaints in older adults. We’re joined by Dr Una Makris, @unamakris.bsky.social (UT Southwestern).
Claim CME for this episode at curbsiders.vcuhealth.org!
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Show Segments
Intro
Case 1 from Kashlak
General approach to joint pain in older adults
Diagnosing osteoarthritis
Management of osteoarthritis in older adults
Non-pharmacological interventions
Pharmacological interventions: topicals, orals, injectables
When to refer for joint replacement
Case 2 from Kashlak
Diagnosis of Late onset rheumatoid arthritis (LORA)
Differential Diagnosis and Distinguishing features
Lab work/Imaging
When to refer to rheumatology
Approach to managing LORA
The 5Ms framework
Initial treatment with glucocorticoids
Ageism as a driver of undertreatment in older adults
Treating to target
Key takeaways
Outro
Credits
Producers, Writers and Show Notes: Joseph (Lee) Young, MD, Leah Witt, MD, Rachel Miller, MD
Cover Art and Infographic: Leah Witt, MD
Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP
Reviewer: Emi Okamoto, MD
Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
Technical Production: PodPaste
Guest: Dr. Una Makris
Disclosures
Dr. Makris reports no relevant financial disclosures. The Curbsiders report no relevant financial disclosures.
Sponsor: Heart of Care
If you care about patient safety, team performance, and building a culture of readiness, subscribe to In the Heart of Care. Available now, wherever you get your podcasts.
Sponsor: FIGS
Curbsiders listeners can get 15% off. Just go to wearFIGS.com and use code FIGSRX.
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REBOOT: #454 Kidney Boy on Managing Diabetes and Hypertension in CKD
Here is a classic Curbsiders episode with one of our favourite guests of all time, Dr Joel Topf.
Learn how to manage diabetes and hypertension in chronic kidney disease with expert tips from Kidney Boy, Kashlak’s Chief of Nephrology, Dr. Joef Topf @kidney_boy.
Finerenone is FDA approved for managing CKD in patients with diabetes. **Update as of July 2025: The non-steroidal mineralocorticoid recepter antagonist, finerenone is now FDA approved to treat heart failure with LVEF at or above 40% based on results of the FINEARTS-HF trial. **
Claim CME for this episode at curbsiders.vcuhealth.org!
Heart of Care
If you care about patient safety, team performance, and building a culture of readiness, subscribe to In the Heart of Care. Available now, wherever you get your podcasts.
Quince
Go to Quince.com/curb for free shipping on your order and three hundred and sixty-five -day returns.
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#492 Hair and Nails with Helena Pasieka MD MS
Combing through common dermatologic complaints in Primary Care
Hone your framework for assessing generalized and patchy hair loss and learn how to counsel patients about the hair loss advice they hear on social media. We discuss useful tests and treatments, psychosocial factors in relation to hair loss, variations in hair types and mention relevant nail conditions.
Claim CME for this episode at curbsiders.vcuhealth.org!
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Show Segments
Intro
Examination of hair and nails, ethnic hair types and cultural hair styles and practices.
Lab tests- clinically useful tests, and those to avoid
Telogen Effluvium
Scaly itchy scalp, seborrheic dermatosis, psoriasis
Androgenic alopecia and age-related hair loss
Topical and oral treatments
Examining the nails, conditions related to nail polishes and prosthetics
Patchy hair loss, alopecia areata, Discoid Lupus Erythematosis
Dr Pasieka’s take home points
Outro
Credits
Written & Produced by: Kate Grant MBChB, MRCGP
Show Notes, Infographic & Cover Art : Kate Grant MBChB, MRCGP
Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP
Reviewer: Leah Witt MD
Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
Technical Production: PodPaste
Guest: Helena Pasieka MD MS
Disclosures
Dr. Pasieka reports no relevant financial disclosures. Dr. Pasieka’s views are her own and do not represent those of her employer or the department of defense.
The Curbsiders report no relevant financial disclosures.
Sponsor: Continuing Education Company
Curbsiders listeners get 45% off select online courses—that’s the biggest discount CEC has ever offered, and it’s exclusive to you with promo code Curb45, through July 30. You can also use Curb30 for 30% off all webcasts and on demand replay courses. Check it all out at CMEmeeting.org/curbsiders.
Sponsor: FIGS
Curbsiders listeners can get 15% off. Just go to wearFIGS.com and use code FIGSRX.
Sponsor Freed
Use code: CURB50 to get $50 off your first month when you subscribe!
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PATREON UNLOCKED #39 Exclusive! Travel Medicine
Matt and Paul recap top pearls from a recent episode on Travel Medicine with Dr. Boghuma Titanji (audio version) and share their picks of the week. Below are links to the original interview & show notes.
#449 Travel Medicine
Picks of the week:
Paul recommends: Clutch - Psychic Warfare; Harry Nilsson - The Point
Watto - Mr. McMahon (Netflix Docuseries)
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#491: Benign Hematology with Brad Beeler
Decode low neutrophils, recognize thalassemia without chasing iron, and sharpen your approach to bleeding disorders in primary care.
Crack the code on confusing labs. Learn from Dr. Bradley Beeler, an academic hematologist, how to recognize thalassemia without over-ordering tests, why a low neutrophil count in a healthy patient might not be a problem, and how to tackle bleeding disorders in primary care.
Claim CME for this episode at curbsiders.vcuhealth.org!
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Show Segments
Intro
Case 1: Duffy-null associated neutrophil count
Case 2: Bleeding disorders
Case 3: Thalassemia
Outro
Credits
Written and produced by Paul Wurtz MD. Show notes, cover art, and infographic also created by Paul Wurtz MD.
Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP
Reviewer: Sai S Achi MD, MBA, FACP
Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
Technical Production: PodPaste
Guest: Bradley Beeler MD
Disclosures
Dr. Beeler reports no relevant financial disclosures. The Curbsiders report no relevant financial disclosures.
Sponsor: Panacea
Search The Podcast for Doctors (By Doctors) on Spotify, Apple Podcasts, or wherever you listen.
Sponsor: Locumstory
Locumstory.com is simply a free, unbiased educational resource about locum tenens.
Sponsor: Continuing Education Company
Curbsiders listeners get 45% off select online courses — that’s the biggest discount CEC has ever offered, and it’s exclusive to you with promo code Curb45, through July 30. You can also use Curb30 for 30% off all webcasts and on demand replay courses. Check it all out at CMEmeeting.org/curbsiders.
Supercharge your learning and enhance your practice with this Internal Medicine Podcast featuring board certified Internists as they interview the experts to bring you clinical pearls, practice-changing knowledge, and bad puns. Doctors Matthew Watto, Paul Williams, and friends (a national network of students, residents, and clinician-educators) deliver a little knowledge food for your brain hole. Yummy! No boring lectures here, just high-value content and a healthy dose of humor. Fantastic for Internal Medicine, Family Medicine, Primary Care, and Hospital Medicine.