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Primary Medicine Podcast

Dr. Kevin and Dr. Dimitre: Canadian Medical Educators

4
Followers
11
Plays
Primary Medicine Podcast

Primary Medicine Podcast

Dr. Kevin and Dr. Dimitre: Canadian Medical Educators

4
Followers
11
Plays
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Medical Podcast

Latest Episodes

Podcast 69: C-Reactive Protein and Erythrocyte Sedimentation Rate

The C-Reactive Protein and the Erythrocyte Sedimentation Rate are both lab tests used to measure inflammation in the body. They are usually elevated during infectious, inflammatory, and malignant diseases.

15 min2 w ago
Comments
Podcast 69: C-Reactive Protein and Erythrocyte Sedimentation Rate

Podcast 68: Treatment of Male Hypogonadism

As a follow up to podcast 67, Eric Harvey, a 3rd year Mcgill medical student, is joining the Primary Medicine Podcast to go over the treatment approach for male hypogonadism. It is important to consider both benefits and risks of testosterone therapy, before initiating treatment. The clearest benefit is to men with abnormally low serum testosterone levels who present with sexual dysfunction. The clearest risks are erythrocytosis, cardiac, and prostate disease. It is important to do routine testosterone, lipids, hematocrit, and PSA levels. There are many different forms of testosterone therapy ranging from oral to intramuscular. The choice of medication is based on patient preference, cost, and side effect profile. We end the podcast with a brief discussion about Eric and his classmate’s experiences during the COVID shutdown. A situation without a recent historical precedent.

41 minAUG 6
Comments
Podcast 68: Treatment of Male Hypogonadism

Episode 67: Late-onset hypogonadism

In podcast 67, Dr. Dimitre will cover the diagnostic approach to late-onset hypogonadism also known as andropause. Late-onset hypogonadism (LOH), causes a gradual yearly decrease in testosterone levels of 1 to 2% in men over the age of 40. While this condition is commonly known as Andropause there is no cessation of hormone production. However, just like menopause, this change in hormone levels can lead to a significant reduction in the quality of life of patients.

16 minJUN 21
Comments
Episode 67: Late-onset hypogonadism

Episode 66: Constipation in the Elderly with Dr. Kevin

Dear Listeners, Constipation, or decrease in stool frequency and hardening in stool consistency, is a common issue in the elderly and can affect their quality of life significantly. Dr. Kevin has a 4 step approach to constipation in the elderly. Step one is making the diagnosis, remembering that constipation is a symptom with an underlying cause. Step two is ruling out any red flags, including ones that suggest a malignancy. Step three is identifying any contributing factors, including any physical barriers for the patient to go to the bathroom. Finally, step four is to treat the whole patient. A word of warning for the pun averse, avoid the last 1 minute of the podcast. Link to Physician Empowerment Please visit the membership page! Posted on 30/03/2020 by Dr. Dimitre This Podcast is eligible for 0,50 Mainpro Non-Certified credits. Login to CFPC to claim them.

35 minMAR 31
Comments
Episode 66: Constipation in the Elderly with Dr. Kevin

Episode 65: Secondary Headaches with Dr. Kevin

Betty Boop is having a horrid secondary headache! Dear Listeners, A headache is considered secondary when it is related to an underlying medical condition. About 10% of patients presenting with headache are suffering from a secondary cause. Dr. Kevin’s approach to secondary headaches is anatomical in nature. Moving from the outside in, he suggests considering environmental causes (Carbon Monoxide Poisoning), hypertensive disorders, infections of the upper respiratory tract, ocular diseases, and issues inside the skull. Dr. Kevin reminds us that primary headaches are a diagnosis, while secondary headaches are a symptom. Many medical conditions can cause headache, but there are usually clues in the medical history or examination to suggest secondary headache. These include visual changes, abrupt onset, onset after 50 years of age, and fever. Please visit the membership page! Posted on 19/01/2020 by Dr. Dimitre This Podcast is eligible for 0,50 Mainpro Non-Certified credits. Login toC...

28 minJAN 20
Comments
Episode 65: Secondary Headaches with Dr. Kevin

Episode 64: Aphthous Ulcers

Aphthous Ulcers, also known as canker sores, affect about 25% of the population. They are considered benign as long as they are small (less than 1 cm), self-limiting (resolve within 3-4 weeks), and not associated with any additional symptoms (such as fever). Consider the differential for mouth ulcers as being infectious or non-infectious. The most common infectious causes are herpes simplex, herpangina, and hand foot and mouth disease. Non-healing ulcers should be biopsied to rule out squamous cell carcinoma of the oral cavity. Treatment of benign ulcers is focused on pain relief with topical anaesthetic, steroids or antibiotics being the most effective. Posted on 30/10/2019 by Dr. Dimitre This Podcast is eligible for 0,25 Mainpro Non-Certified credits. Login toCFPCto claim them.

14 min2019 OCT 31
Comments
Episode 64: Aphthous Ulcers

Episode 63: Endocrine Emergencies with Dr. Pabani

Endocrine Emergencies are rare but deadly conditions that can be hard to diagnose and manage. This can lead to long treatment delays and potentially life-threatening complications. In podcast 63, Dr Wahid and Dr. Dimitre will cover some of the most common emergencies relating to the thyroid (myxedema coma, thyroid storm, thyroiditis), adrenal glands (adrenal crisis, pheochromocytoma), and pancreas (diabetic ketoacidosis, hyperglycaemic hyperosmolar non-ketotic coma, euglycemic DKA. Please visit the membership page! Posted on 15/06/2019 by Dr. Dimitre This Podcast is eligible for 0,5 Mainpro Non-Certified credits. Login to CFPC to claim them

30 min2019 AUG 16
Comments
Episode 63: Endocrine Emergencies with Dr. Pabani

Episode 62: New Urinary Tract Infection Guidelines

Approximately 60% of women will experience a urinary tract infection if their lifetime. Up to twenty percent of them will experience multiple current episodes on a yearly basis. For the first time, the American Urological Association (AUA) has issued a guideline for the diagnosis and treatment of uncomplicated recurrent urinary tract infections (UTIs), which emphasizes the importance of cultures and antibiotic stewardship. In this podcast episode, Dr. Dimitre will summarize the recommendations of the guideline and discuss who to incorporate them into everyday family practice. Please visit the membershippage! Posted on 15/06/2019 by Dr. Dimitre This Podcast is eligible for 0,25 Mainpro Non-Certified credits. Login toCFPCto claim them

31 min2019 JUN 16
Comments
Episode 62: New Urinary Tract Infection Guidelines

Episode 61: Familial hypercholesterolemia with Dr. Pabani

Clogged Arteries due to LDL deposits For podcast 61, Dr. Wahid makes a comeback to talk about Familial Hypercholesterolemia (FH) while Dr. Dimitre bemoans the weather in Ottawa yet again. Familial Hypercholesterolemia (FH) is a condition that affects about 1 in 500 Canadians and is an important cause of early cardiovascular death yet it is relatively unknown by primary care physicians. Patients should be screened according to current lipid guidelines and if they present with a premature cardiovascular event, physical stigmata of hypercholesterolemia, or premature cardiovascular disease in their immediate family members. Formal diagnosis requires the use of the Dutch Criteria Cardiovascular risk is underestimated by the usual risk calculators. Consider all patients with FH as high risk and treat accordingly. Posted on 18/04/2019 by Dr. Dimitre This Podcast is eligible for 0,25 Mainpro Non-Certified credits. Login to CFPC to claim them.

19 min2019 APR 18
Comments
Episode 61: Familial hypercholesterolemia with Dr. Pabani

Podcast 60: Aspirin in Primary Prevention for Cardiovascular Disease

Dear Listeners, After a bit of an unplanned hiatus, we are back with podcast number 60 and with Dr Pabani, rural doc extraordinaire. Aspirin is having a really tough time lately with three studies taking the shine off its role in primary prevention of cardiovascular disease. During the podcast, Dr. Dimitre and Dr. Wahid go over the ASCEND, ARRIVE, and ASPREE trial and discuss how they have changed their approach to using the venerable medication in their practice. Please visit themembershippage! Posted on 24/02/2019 by Dr. Dimitre

20 min2019 FEB 25
Comments
Podcast 60: Aspirin in Primary Prevention for Cardiovascular Disease

Latest Episodes

Podcast 69: C-Reactive Protein and Erythrocyte Sedimentation Rate

The C-Reactive Protein and the Erythrocyte Sedimentation Rate are both lab tests used to measure inflammation in the body. They are usually elevated during infectious, inflammatory, and malignant diseases.

15 min2 w ago
Comments
Podcast 69: C-Reactive Protein and Erythrocyte Sedimentation Rate

Podcast 68: Treatment of Male Hypogonadism

As a follow up to podcast 67, Eric Harvey, a 3rd year Mcgill medical student, is joining the Primary Medicine Podcast to go over the treatment approach for male hypogonadism. It is important to consider both benefits and risks of testosterone therapy, before initiating treatment. The clearest benefit is to men with abnormally low serum testosterone levels who present with sexual dysfunction. The clearest risks are erythrocytosis, cardiac, and prostate disease. It is important to do routine testosterone, lipids, hematocrit, and PSA levels. There are many different forms of testosterone therapy ranging from oral to intramuscular. The choice of medication is based on patient preference, cost, and side effect profile. We end the podcast with a brief discussion about Eric and his classmate’s experiences during the COVID shutdown. A situation without a recent historical precedent.

41 minAUG 6
Comments
Podcast 68: Treatment of Male Hypogonadism

Episode 67: Late-onset hypogonadism

In podcast 67, Dr. Dimitre will cover the diagnostic approach to late-onset hypogonadism also known as andropause. Late-onset hypogonadism (LOH), causes a gradual yearly decrease in testosterone levels of 1 to 2% in men over the age of 40. While this condition is commonly known as Andropause there is no cessation of hormone production. However, just like menopause, this change in hormone levels can lead to a significant reduction in the quality of life of patients.

16 minJUN 21
Comments
Episode 67: Late-onset hypogonadism

Episode 66: Constipation in the Elderly with Dr. Kevin

Dear Listeners, Constipation, or decrease in stool frequency and hardening in stool consistency, is a common issue in the elderly and can affect their quality of life significantly. Dr. Kevin has a 4 step approach to constipation in the elderly. Step one is making the diagnosis, remembering that constipation is a symptom with an underlying cause. Step two is ruling out any red flags, including ones that suggest a malignancy. Step three is identifying any contributing factors, including any physical barriers for the patient to go to the bathroom. Finally, step four is to treat the whole patient. A word of warning for the pun averse, avoid the last 1 minute of the podcast. Link to Physician Empowerment Please visit the membership page! Posted on 30/03/2020 by Dr. Dimitre This Podcast is eligible for 0,50 Mainpro Non-Certified credits. Login to CFPC to claim them.

35 minMAR 31
Comments
Episode 66: Constipation in the Elderly with Dr. Kevin

Episode 65: Secondary Headaches with Dr. Kevin

Betty Boop is having a horrid secondary headache! Dear Listeners, A headache is considered secondary when it is related to an underlying medical condition. About 10% of patients presenting with headache are suffering from a secondary cause. Dr. Kevin’s approach to secondary headaches is anatomical in nature. Moving from the outside in, he suggests considering environmental causes (Carbon Monoxide Poisoning), hypertensive disorders, infections of the upper respiratory tract, ocular diseases, and issues inside the skull. Dr. Kevin reminds us that primary headaches are a diagnosis, while secondary headaches are a symptom. Many medical conditions can cause headache, but there are usually clues in the medical history or examination to suggest secondary headache. These include visual changes, abrupt onset, onset after 50 years of age, and fever. Please visit the membership page! Posted on 19/01/2020 by Dr. Dimitre This Podcast is eligible for 0,50 Mainpro Non-Certified credits. Login toC...

28 minJAN 20
Comments
Episode 65: Secondary Headaches with Dr. Kevin

Episode 64: Aphthous Ulcers

Aphthous Ulcers, also known as canker sores, affect about 25% of the population. They are considered benign as long as they are small (less than 1 cm), self-limiting (resolve within 3-4 weeks), and not associated with any additional symptoms (such as fever). Consider the differential for mouth ulcers as being infectious or non-infectious. The most common infectious causes are herpes simplex, herpangina, and hand foot and mouth disease. Non-healing ulcers should be biopsied to rule out squamous cell carcinoma of the oral cavity. Treatment of benign ulcers is focused on pain relief with topical anaesthetic, steroids or antibiotics being the most effective. Posted on 30/10/2019 by Dr. Dimitre This Podcast is eligible for 0,25 Mainpro Non-Certified credits. Login toCFPCto claim them.

14 min2019 OCT 31
Comments
Episode 64: Aphthous Ulcers

Episode 63: Endocrine Emergencies with Dr. Pabani

Endocrine Emergencies are rare but deadly conditions that can be hard to diagnose and manage. This can lead to long treatment delays and potentially life-threatening complications. In podcast 63, Dr Wahid and Dr. Dimitre will cover some of the most common emergencies relating to the thyroid (myxedema coma, thyroid storm, thyroiditis), adrenal glands (adrenal crisis, pheochromocytoma), and pancreas (diabetic ketoacidosis, hyperglycaemic hyperosmolar non-ketotic coma, euglycemic DKA. Please visit the membership page! Posted on 15/06/2019 by Dr. Dimitre This Podcast is eligible for 0,5 Mainpro Non-Certified credits. Login to CFPC to claim them

30 min2019 AUG 16
Comments
Episode 63: Endocrine Emergencies with Dr. Pabani

Episode 62: New Urinary Tract Infection Guidelines

Approximately 60% of women will experience a urinary tract infection if their lifetime. Up to twenty percent of them will experience multiple current episodes on a yearly basis. For the first time, the American Urological Association (AUA) has issued a guideline for the diagnosis and treatment of uncomplicated recurrent urinary tract infections (UTIs), which emphasizes the importance of cultures and antibiotic stewardship. In this podcast episode, Dr. Dimitre will summarize the recommendations of the guideline and discuss who to incorporate them into everyday family practice. Please visit the membershippage! Posted on 15/06/2019 by Dr. Dimitre This Podcast is eligible for 0,25 Mainpro Non-Certified credits. Login toCFPCto claim them

31 min2019 JUN 16
Comments
Episode 62: New Urinary Tract Infection Guidelines

Episode 61: Familial hypercholesterolemia with Dr. Pabani

Clogged Arteries due to LDL deposits For podcast 61, Dr. Wahid makes a comeback to talk about Familial Hypercholesterolemia (FH) while Dr. Dimitre bemoans the weather in Ottawa yet again. Familial Hypercholesterolemia (FH) is a condition that affects about 1 in 500 Canadians and is an important cause of early cardiovascular death yet it is relatively unknown by primary care physicians. Patients should be screened according to current lipid guidelines and if they present with a premature cardiovascular event, physical stigmata of hypercholesterolemia, or premature cardiovascular disease in their immediate family members. Formal diagnosis requires the use of the Dutch Criteria Cardiovascular risk is underestimated by the usual risk calculators. Consider all patients with FH as high risk and treat accordingly. Posted on 18/04/2019 by Dr. Dimitre This Podcast is eligible for 0,25 Mainpro Non-Certified credits. Login to CFPC to claim them.

19 min2019 APR 18
Comments
Episode 61: Familial hypercholesterolemia with Dr. Pabani

Podcast 60: Aspirin in Primary Prevention for Cardiovascular Disease

Dear Listeners, After a bit of an unplanned hiatus, we are back with podcast number 60 and with Dr Pabani, rural doc extraordinaire. Aspirin is having a really tough time lately with three studies taking the shine off its role in primary prevention of cardiovascular disease. During the podcast, Dr. Dimitre and Dr. Wahid go over the ASCEND, ARRIVE, and ASPREE trial and discuss how they have changed their approach to using the venerable medication in their practice. Please visit themembershippage! Posted on 24/02/2019 by Dr. Dimitre

20 min2019 FEB 25
Comments
Podcast 60: Aspirin in Primary Prevention for Cardiovascular Disease
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