Podcast
The Point of Care Podcast
Hosted by RMO Medical Education · EN
The Point of Care Podcast provides high-yield medical information to help clinicians effectively and efficiently manage patients with common medical complaints. The show is based on the templates featured on pointofcaremedicine.com, which aim to standardize common patient encounters and promote evidence-based practices.
12episodes
Episodes
Newest firstAll episodes
What is Asterixis, Actually?
Mar 1100:04:13Tap to summarizeExplore 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 and emphasize why this finding is key to a complete diagnostic assessment. Subscribe to our Substack: https://substack.com/@rokeefemd
Transcribe →Why are ammonia levels not useful for diagnosing or trending hepatic encephalopathy?
Mar 900:02:23Tap to summarizeNavigating 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 relying on them for routine diagnosis or trending can lead clinicians astray, diverting focus from essential clinical assessment. Subscribe to our Substack: https://substack.com/@rokeefemd
Transcribe →Why Do Simple, Seemingly Benign Triggers Lead to Hepatic Encephalopathy?
Feb 1100:02:30Tap to summarizeHepatic 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.
Transcribe →Why do lactulose and rifaximin specifically help to treat hepatic encephalopathy?
Feb 900:07:05Tap to summarizeIn 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 fell out of favor, where polyethylene glycol fits, and how to think mechanistically about the best risk–reward strategy for preventing and treating HE.Subscribe to the Point of Care Medicine Substack
Transcribe →Opioid Withdrawal (Quick Admit)
Nov 500:10:01Tap to summarizeA 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 and ConclusionSubscribe to our Substack to receive updates and IM/Hospital Medicine recaps directly to your inbox.POCM Opioid Withdrawal Inpatient AdmissionPOCM Opioid Use Disorder and Withdrawal Clinical Review13 Essential Facts for Managing Opioid Withdrawal in 2025
Transcribe →6 Facts Every Clinician Needs to Know About Tumor Lysis Syndrome
Oct 2200:08:23Tap to summarizeThis 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 ContentTumor Lysis Syndrome Admission Template
Transcribe →Stop Missing Primary Aldosteronism - IM Recaps
Oct 1900:03:14Tap to summarizeMany 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://pubmed.ncbi.nlm.nih.gov/40113595/Subscribe to our Substack: https://rokeefemd.substack.com/
Transcribe →12 Key Principles for Diagnosing and Managing Vertigo and Dizziness
Jul 1800:15:57Tap to summarizeToday'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/dizziness-and-vertigo Dizziness and Vertigo Clinical Review https://www.pointofcaremedicine.com/review-article/dizziness-and-vertigo
Transcribe →Vertigo and Dizziness Workup and Management (Quick Admit)
Jul 1500:11:05Tap to summarizeToday'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 - Initial Workup10:22 - TreatmentRelated ContentDizziness and Vertigo Clinical Review https://www.pointofcaremedicine.com/review-article/dizziness-and-vertigo12 Key Principles for Diagnosing and Managing Dizziness and Vertigo https://www.pointofcaremedicine.com/blog-post/12-key-principles-for-diagnosing-and-managing-vertigo-and-dizziness
Transcribe →AFib with RVR - Quick Admit
Mar 24, 202500:06:54Tap to summarizeAFib 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/inpatient-admission/atrial-fibrillation to see the admission template discussed in this episode.Our mission is to create accessible and easy-to-use digital resources that help healthcare professionals tackle common clinical presentations at the point of care, without getting bogged down by unnecessary details or trivia.Timestamps00:00 Introduction to AFib Management00:24 Initial Assessment and Triage01:06 Reviewing Patient History01:59 Admission Orders and Labs02:29 Initial Treatment Considerations03:41 History of Present Illness (HPI)04:30 Physical Examination04:58 Etiology and Causes05:33 If You Remember Nothing Else06:49 Conclusion and Follow-UpDisclaimer: The content of this video and any associated media is meant for educational and information purposes only. RMO Medical Education does not provide medical advice, diagnosis, or treatment.
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