Mayo Clinic Talks

Host: Darryl S. Chutka, M.D. 

Guest: Josh P. Wiedermann, M.D.

Neck masses in children are commonly seen in a primary care practice. Fortunately, most are benign, although serious causes, including malignancy, always remain a possibility. Based on medical history, physical examination, and occasionally imaging studies, the cause is usually able to be ide...

Host: Darryl S. Chutka, M.D. 

Guest: Karthik Ravi, M.D. 

Eosinophilic Esophagitis is often misdiagnosed or undiagnosed in primary care settings, yet it’s a common cause of esophageal symptoms. It’s commonly mistaken for the more common gastroesophageal reflux disease as it can present with symptoms of reflux and dysphagia. How can we differentiate eosinophilic esophagitis fro...

Host: Darryl S. Chutka, M.D. 

Guest: Dawn Davis, M.D. 

Psoriasis is a health condition commonly seen in primary care but one which has evolved significantly in both how we understand the disease as well as how it’s managed. At one time, psoriasis was considered primarily a skin disorder; however, we now know it’s part of a systemic inflammatory disease with pot...

Host: Darryl S. Chutka, M.D. 

Guest: Dawn Davis, M.D. 

Acne and rosacea are two very common skin conditions seen in primary care, yet at times both the diagnosis and management can be challenging. While acne most commonly develops in adolescence, it can present in adulthood. Rosacea is often misdiagnosed or at times completely unrecognized. What are the common presenting symptoms of these two conditions? What are the trea...

Host: Darryl S. Chutka, M.D. 

Guests: Jake Eide, M.D. & Rijul Kshirsagar, M.D. 

Skull base tumors are not commonly seen in a primary care practice, yet it’s important for us to recognize them when they do present. These tumors can be either benign or malignant, however because of their proximity to important structures in the brain, even benign tumors can cause serious complications. The...

Host: Darryl S. Chutka, M.D. 

Guest: Regis Fernandes, M.D. 

We’ve known for some time that patients who have hypertension and diabetes are at increased risk for developing subsequent cardiovascular disease and chronic kidney disease. It’s now being thought that these health problems are related and interconnected, representing Kidney-Cardiovascular Metabolic Syndrome. They fo...

Host: Darryl S. Chutka, M.D. 

Guest: Joshua M. Romero, M.D. 

Pickleball has become one of the fastest growing sports in the U.S., especially among older adults. This rapid rise in popularity has also resulted in a significant number and variety of sports-related injuries. It’s important for primary care clinicians to recognize the most common injuries and their risk factors. W...

Host: Darryl S. Chutka, M.D. 

Guest: Stacey Rizza, M.D. 

Although vector-borne illnesses can be acquired by travel to distant parts of the world, some can be acquired here in the U.S. As a result, these infections become pertinent to primary care clinicians as they can produce serious complications. When should we suspect a vector-borne illness in a patient? How ...

Host: Darryl S. Chutka, M.D. 

Guest: Stacey Rizza, M.D. 

Lyme Disease is a tick-borne illness commonly seen in various parts of the country. Despite its common occurrence in the primary care practice, it’s associated with confusion and controversy. From the presenting symptoms, occasional ambiguous serologic results, to managing patients with persistent symptoms following treatment, primary care clinicians are often...

Host: Darryl S. Chutka, M.D. 

Guest: Stacey Rizza, M.D. 

We’ve now had our second outbreak of a potentially deadly infectious disease. Hantavirus has been diagnosed in several individuals and most recently just under 100 cases of Ebola Virus have been confirmed along with several hundred suspected cases. Ebola virus is caused by several species of the Ebola Virus and is frequently fatal.  Ea...

Host: Darryl S. Chutka, M.D. 

Guest: Benjamin Lai, M.D. 

Substance use disorders are chronic and often relapsing conditions associated with compulsive substance use. They result from a complex interaction of chemistry within the brain, often combined with genetic and environmental issues. Common substances involve alcohol, stimulants, sedatives and opioids; opioids commonly prescribed by health care cl...

Host: Darryl S. Chutka, M.D. 

Guest: Michael Mueller, M.D. 

Fibromyalgia is a chronic health problem commonly seen in a primary care setting. It can be challenging to diagnose and even more so to manage. It can have a devastating effect on a patient’s lifestyle, and patients will commonly go from provider to provider seeking relief for their chronic symptoms. We now have a better understanding of the patho...

Host: Darryl S. Chutka, M.D 

Guest: Mark D. Tyson, III, M.D., M.P.H. 

Bladder cancer is one of the most common malignancies worldwide, and primary care clinicians are often the first to evaluate patients with bladder cancer. The symptoms are usually subtle and may include either gross or microscopic hematuria. The decision in whether to investigate these presenting symptoms can...

Host: Darryl S. Chutka, M.D. 

Guest: Stacey Rizza, M.D. 

Hantavirus has been in the news lately. Although it’s rare, it can cause serious disease which can be life-threatening.  Early symptoms are similar to other common viral infections including fever, myalgias, headache, and fatigue. As a result, the ability to establish an early diagnosis is challenging. Who’s at risk of acquiring Hantavirus? Doe...

Host: Darryl S. Chutka, M.D.  

Guest: Joseph Murray, M.D. 

Celiac Disease affects approximately 1% of the population worldwide and can present at any age, frequently with very subtle, atypical or at times entirely non-GI symptoms. The presentation can be extremely diverse and may involve a variety of organ systems. If not recognized and effectively treated, multiple potentially serious compli...

Host: Darryl S. Chutka, M.D. 

Guest: Uma Thanarajasingham, M.D., Ph.D. 

Systemic lupus is a chronic autoimmune disease with a variety of immunologic and laboratory abnormalities. It has numerous clinical manifestations potentially involving multiple organs. It’s known as the great imitator because it can mimic a variety of other diseases, and it’s not uncommon ...

Host: Darryl S. Chutka, M.D. 

Guest: Carl H. Cramer, III, M.D. 

Kidney transplantation has significantly improved the outlook for children with end-stage renal failure. The journey these children follow to transplantation starts in primary care with the recognition of chronic kidney disease, timely referral to nephrology, and long-term coordination of care with the transplant team. What ...

Host: Darryl S. Chutka, M.D. 

Guest: Rebecca Ameduri, M.D. 

Most primary care clinicians see very few children with advanced heart failure or complicated congenital heart disease. However, when they are a part of our practice, they require timely referral and coordination with other medical specialties, as well as ongoing longitudinal and supportive care not only for the patient but also for their...

Host: Darryl S. Chutka, M.D. 

Guest: Lauren Jackson, M.D. 

Deep brain stimulation is an established management option for Parkinson’s Disease. It’s a neurosurgical procedure in which thin electrodes are implanted into various areas of the brain and then connected to a pulse generator that produces electrical stimulation which modulates abnormal brain activity. The p...