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Primary Medicine Podcast

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Episode 33: Spirometry Interpretation

During this week`s podcast, Dr. Dimitre huffs and puffs about the importance of Spirometry in Primary Care. He briefly reviews lung physiology and then goes through a simple and intuitive method for interpreting spirometry results. Dr. Wahid drops by to talk about our new app we made to help Residents with their Certification Examination in Family Medicine. Please visit our membership page to access the podcast. Posted on 31/10/2016 by Dr. Dimitre The post Episode 33: Spirometry Interpretation appeared first on Primary Medicine Podcast.

22mins

1 Nov 2016

Rank #1

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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 membership page! Posted on 15/06/2019 by Dr. Dimitre This Podcast is eligible for 0,25 Mainpro Non-Certified credits. Login to CFPC to claim them The post Episode 62: New Urinary Tract Infection Guidelines appeared first on Primary Medicine Podcast.

31mins

16 Jun 2019

Rank #2

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Podcast 53: Spondylolisthesis with Dr. Kevin

Dr. Kevin is back for our 53rd podcast. This time we will be talking about Spondylolisthesis. Spondylolisthesis is anterior displacement of a vertebral body relative to the adjacent inferior vertebral body. It is a common condition of young athletes that can present with intermittent back pain.  Diagnosis is based on imaging with lumbar X-Ray being the gold standard. Be aware of the risks of imaging the spine, however. You have a high chance of findings that are not related to the patient’s symptoms. Please visit the membership page! Posted on 30/04/2018 by Dr. Dimitre The post Podcast 53: Spondylolisthesis with Dr. Kevin appeared first on Primary Medicine Podcast.

21mins

1 May 2018

Rank #3

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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. DimitreThis Podcast is eligible for 0,25 Mainpro Non-Certified credits. Login to CFPC to claim them.The post Episode 64: Aphthous Ulcers appeared first on Primary Medicine Podcast.

14mins

31 Oct 2019

Rank #4

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Episode 35: Scabies!

During this week’s podcast, Dr. Dimitre is itching to talk about Scabies after a harrowing near encounter with this horrid enteroparasitic disorder. Scabies is a highly infectious, highly pruritic condition that can be challenging to treat. Please visit our membership page to access the podcast. Posted on 30/11/2016 by Dr. Dimitre The post Episode 35: Scabies! appeared first on Primary Medicine Podcast.

17mins

1 Dec 2016

Rank #5

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Episode 44: Plantar Fasciitis!

Ouch! For our latest podcast, Dr. Dimitre talks about the most common cause of heel pain. Plantar Fasciitis, is an easy clinical diagnosis to make but a rather challenging condition to treat. It tends to affect middle-aged persons, athletes, and individuals who stand for prolonged periods of time during the day. Treatment is often conservative, with time and rest being the most effective. Easier said than done! Some patients will benefit from steroid injections.Very few will require surgery. Please visit our membership page to access the podcast. Posted on 08/06/2017 by Dr. Dimitre The post Episode 44: Plantar Fasciitis! appeared first on Primary Medicine Podcast.

17mins

8 Jun 2017

Rank #6

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Episode 39: Cardiac Risk Stratification Part 1 with Dr. Kevin

Dr Kevin takes us deep into the rabbit hole this week! He talks to us about four different front line modalities available to physicians to preform cardiac risk stratification for ischemic heart disease. He goes over some of their advantages and disadvantages and stops short before getting into the raw numbers and math. We have saved that heady trip for our next podcast! Please visit our membership page to access the podcast. Posted on 15/02/2017 by Dr. Dimitre The post Episode 39: Cardiac Risk Stratification Part 1 with Dr. Kevin appeared first on Primary Medicine Podcast.

22mins

15 Feb 2017

Rank #7

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Episode 47: Hand Foot and Mouth Disease!

Dr. Dimitre survived the plague that is hand foot and mouth disease and he is back to tell the tale. Hand foot and mouth disease is a summertime viral infection that presents with painful lesions on the palms, soles, and the oral cavity. It usually affects children under 10. Thankfully it rarely lasts more than a week and is usually treated with supportive management. Please visit our membership page to access the podcast. Posted on 05/08/2017 by Dr. Dimitre The post Episode 47: Hand Foot and Mouth Disease! appeared first on Primary Medicine Podcast.

13mins

6 Sep 2017

Rank #8

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Podcast 54: Subclinical Hypothyroidism

After a short hiatus, Dr. Dimitre is back to talk about subclinical hypothyroidism. Sometimes referred to as mild thyroid failure, it is diagnosed when peripheral thyroid hormone (T3 and T4) levels are within the normal range, but thyroid stimulating hormone (TSH) is mildly elevated. It is common, occurring in 10% of the population, and carries a risk of progression to overt hypothyroidism of around 5% per year. There is no consensus on which patients should be treated, although there are some recommendations. Please visit the membership page! Posted on 17/06/2018 by Dr. Dimitre The post Podcast 54: Subclinical Hypothyroidism appeared first on Primary Medicine Podcast.

17mins

18 Jun 2018

Rank #9

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Episode 40 Cardiac Risk Stratification Part 2 with Dr. Kevin!

In part 2 of our podcast on Cardiac Risk Stratification, Dr Kevin takes us deeper into the rabbit hole! He talks about his approach to patients presenting with symptoms suggestive of Ischaemic Heart Disease. He finishes off by summarizing the limits of cardiac tests. None of them are 100% sensitive! Please visit our membership page to access the podcast. Posted on 02/03/2017 by Dr. Dimitre The post Episode 40 Cardiac Risk Stratification Part 2 with Dr. Kevin! appeared first on Primary Medicine Podcast.

23mins

2 Mar 2017

Rank #10

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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. DimitreThis Podcast is eligible for 0,5 Mainpro Non-Certified credits. Login to CFPC to claim themThe post Episode 63: Endocrine Emergencies with Dr. Pabani appeared first on Primary Medicine Podcast.

30mins

16 Aug 2019

Rank #11

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Episode 43: Sudden Sensorineural Hearing Loss with Dr. Pabani

Dr Wahid is back! During our latest podcast, he and Dr. Dimitre converse about Sudden Sensorineural Hearing Loss. SSNHL presents with unexplained hearing loss, often unilateral, which tends to develop over a period of 3 days. Most cases are idiopathic and self-limiting, but some can be caused by serious and life-threatening conditions. Prompt diagnosis and treatment can often prevent severe hearing loss. Please visit our membership page to access the podcast. Posted on 10/05/2017 by Dr. Dimitre The post Episode 43: Sudden Sensorineural Hearing Loss with Dr. Pabani appeared first on Primary Medicine Podcast.

21mins

11 May 2017

Rank #12

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Episode 37: Dental Pain

For our first podcast of 2017, Dr. Dimitre talks about the different causes of a toothache. Dental pain is a relatively common presentation in the walk in clinic and its important to know that it is not always caused by a cavity and that there are certain things doctors can do to help patients before they are sent to see a dentist. Please visit our membership page to access the podcast. Posted on 14/01/2017 by Dr. Dimitre The post Episode 37: Dental Pain appeared first on Primary Medicine Podcast.

15mins

15 Jan 2017

Rank #13

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Podcast 52: Pruritis with Dr. Dimitre

For our latest podcast, Dr. Dimitre is itching to talk about itching! Pruritus is a challenging presentation for two reasons. Firstly, the differential is broad encompassing conditions both benign and malignant. Secondly, the patient is often suffering and looking for a quick solution to his problem. It is thus important to have a clear and efficient approach. Generally, the differential can be divided into dermatological causes, which are many, and systemic causes, which are usually concerning. Consider that Hodgkin lymphoma has a strong association pruritus, which occurs in up to 30 percent of patients with the disease. Consider also that generalized itching in an older individual is considered a red flag for a serious medical issue. Prompt bloodwork and close follow up is highly suggested in those individuals.   Please visit the membership page! Posted on 28/03/2018 by Dr. Dimitre The post Podcast 52: Pruritis with Dr. Dimitre appeared first on Primary Medicine Podcast.

22mins

28 Mar 2018

Rank #14

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Episode 49: Syncope with Dr. Kevin

Episode 49 of our podcast showcases Dr. Kevin’s prowess with children as he presents his approach to syncope while taking care of his grouchy 12 mo! Syncope has many causes from the mundane to the deadly and requires a systematic detailed workup. Dr. Kevin takes the time to review the broad differential of this presentation. Not all syncope is vasovagal. All patients should have an ECG! Please visit our membership page to access the podcast. Posted on 14/11/2017 by Dr. Dimitre The post Episode 49: Syncope with Dr. Kevin appeared first on Primary Medicine Podcast.

41mins

15 Nov 2017

Rank #15

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Episode 34: Fever in the Newborn

During this week’s podcast, Dr. Kevin trots in from the Western prairies to talk to namby pamby city slicker Dr. Dimitre about his approach to fever in the newborn. This is a fairly common presentation in the office that can be a great challenge for clinicians and caregivers. Please visit our membership page to access the podcast. Posted on 17/11/2016 by Dr. Dimitre The post Episode 34: Fever in the Newborn appeared first on Primary Medicine Podcast.

31mins

18 Nov 2016

Rank #16

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Podcast 56: Nocturnal Leg Cramps with Dr. Pabani

Dr. Wahid Pabani, rural doctor extraordinaire, is back for our 56th podcast to talk about Nocturnal Leg Cramps! OUCH! This very common and distressing condition has many causes from the mundane (such as muscle fatigue) to the serious (such as peripheral vascular disease, or Parkinson Disease). Thankfully, a focused history and physical exam can help rule out most worrisome etiologies.  Unfortunately, Nocturnal Leg Cramps can be difficult to manage due uncertainties in optimal treatments. There is some limited evidence that exercise and stretching, vitamin B12 and Magnesium, and Calcium Channel blockers may be helpful. Please visit the membership page! Posted on 18/08/2018 by Dr. Dimitre The post Podcast 56: Nocturnal Leg Cramps with Dr. Pabani appeared first on Primary Medicine Podcast.

21mins

19 Aug 2018

Rank #17