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The Point of Care Podcast

The Point of Care Podcast

RMO Medical Education 39 Episodes Mar 11, 2026

The Point of Care Podcast delivers high-yield medical information to help clinicians manage common patient complaints efficiently. Based on templates from pointofcaremedicine.com, the show aims to standardize patient encounters and promote evidence-based practices.

Episodes

What is Asterixis, Actually? Mar 11, 2026 00:04:13 Explore asterixis, often called the 'liver flap,' a critical neurological sign indicating toxic-metabolic encephalopathy. Learn why this 'negative myoclonus' isn't a tremor, how to spot its distinctive 'flapping' motion, and its diverse etiologies, from liver and kidney disease to hypoglycemia and medications. We demystify its strong historical link to hepatic issues an
Why are ammonia levels not useful for diagnosing or trending hepatic encephalopathy? Mar 9, 2026 00:02:23 Navigating hepatic encephalopathy can be complex, and the role of ammonia levels is often misunderstood. In this concise episode, we clarify why hepatic encephalopathy is fundamentally a clinical diagnosis, not one based solely on lab values, and reveal the crucial limitations of ammonia testing. Learn when ammonia levels are genuinely helpful - specifically in acute liver failure - and why relyin
Why Do Simple, Seemingly Benign Triggers Lead to Hepatic Encephalopathy? Feb 11, 2026 00:02:30 Hepatic encephalopathy (HE) can feel like it comes out of nowhere: one day a patient is baseline, the next they’re confused after “just” constipation, a little dehydration, or a routine diuretic tweak. In this episode, we unpack why seemingly benign stressors can flip a fragile gut–liver–brain system past its tipping point.Subscribe to the Point of Care Medicine Substack.
Why do lactulose and rifaximin specifically help to treat hepatic encephalopathy? Feb 9, 2026 00:07:05 In this episode, we break down why lactulose and rifaximin work specifically for HE: lactulose acidifies the colon to “trap” ammonia as ammonium (NH4⁺) and rapidly clears nitrogen substrates via catharsis, while rifaximin reshapes the gut microbiome and dampens gut-derived inflammatory signaling - benefits that don’t always correlate with serum ammonia levels. We also cover why other antibiotics f
Opioid Withdrawal (Quick Admit) Nov 5, 2025 00:10:01 A comprehensive guide on how to complete a thorough history and physical (H+P) for patients presenting to the hospital with opioid withdrawal.00:15 Admission Checklist for Opioid Withdrawal00:40 Triage and Chart Check02:01 Critical Considerations and Admission Orders03:10 Initial Treatment Options for Opioid Withdrawal05:32 Detailed HPI Intake Questions07:33 Physical Exam Notes08:35 Key Takeaways
6 Facts Every Clinician Needs to Know About Tumor Lysis Syndrome Oct 22, 2025 00:08:23 This is a text-to-speech (TTS) AI reading of our most recent blog post: 6 Facts Every Clinician Needs to Know About Tumor Lysis Syndrome.https://www.pointofcaremedicine.com/blog-post/6-facts-every-clinician-needs-to-know-about-tumor-lysis-syndrome-2025Tumor Lysis Syndrome (NEJM, 2025)Bociek RG, Lunning M. Tumor Lysis Syndrome. N Engl J Med. 2025;393(11):1104-1116. doi:10.1056/NEJMra2300923‍Related
Stop Missing Primary Aldosteronism - IM Recaps Oct 19, 2025 00:03:14 Many patients with hypertension have primary aldosteronism, but most at-risk patients are never tested. Learn who needs screening, how to order an ARR without unnecessary washouts, and why timely diagnosis prevents heart, vessel, and kidney damage. Based on “Things We Do For No Reason – Failing to Consider Primary Aldosteronism in Hypertension” (Journal of Hospital Medicine). Source: https://pubme
12 Key Principles for Diagnosing and Managing Vertigo and Dizziness Jul 18, 2025 00:15:57 Today's episode is an AI text-to-speech (TTS) reading of our most recent blog post: 12 Key Principles for Diagnosing and Managing Vertigo and Dizziness.Read along here:https://www.pointofcaremedicine.com/blog-post/12-key-principles-for-diagnosing-and-managing-vertigo-and-dizzinessRelated ContentDizziness and Vertigo Admission Templatehttps://www.pointofcaremedicine.com/inpatient-admission/dizz
Vertigo and Dizziness Workup and Management (Quick Admit) Jul 15, 2025 00:11:05 Today's quick admit episode is a rapid review on the evaluation of vertigo and dizziness in a hospital setting.Visit https://www.pointofcaremedicine.com/inpatient-admission/dizziness-and-vertigo to see the online admission template and follow along.Timestamps00:00 - Intro and Summary02:13 - Admission Checklist02:51 - HPI Intake06:54 - Focused Physical Exam09:06 - Differential Diagnosis09:49 -
AFib with RVR - Quick Admit Mar 24, 2025 00:06:54 AFib with RVR: Quick AdmitThis Quick Admit episode on AFib with RVR will focus on only the highest yield information you need when admitting a patient to the hospital.To take your understanding of the disease to the next level, check out the full-length episode for more information including a discussion of the most important clinical pearls and literature.Visit https://www.pointofcaremedicine.com
Atrial Fibrillation - Clinical Review Mar 24, 2025 00:35:05 Atrial Fibrillation: Clinical ReviewThis full-length clinical review episode on atrial fibrillations is designed to help take your fund of knowledge to the next level!Visit https://www.pointofcaremedicine.com/review-article/atrial-fibrillation to see the online Clinical Review Article.Our mission is to create accessible and easy-to-use digital resources that help healthcare professionals tackle co
Acute Pancreatitis - Quick Admit Jan 7, 2024 00:08:12 This Quick-Admit episode on acute pancreatitis will focus on only the highest-yield information you need when admitting a patient to the hospital. To take your understanding of the disease to the next level, check out the full-length episode for more information including a discussion of the most important clinical pearls and literature. Visit pointofcaremedicine.com to see the templates, pearls,

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