Acid-Base Disorders

Dr. Noa Rippel, hematologist at Mount Sinai Hospital in New York, joins Dr. Emily Gutowski to talk through the broad differential diagnosis of leukocytosis, from infection to hematologic malignancies. Together, they discuss the initial workup of leukocytosis, how to interpret a CBC differential, when to be concerned about leukostasis, and when to call hematology.

In this episode, Dr. Emily Gutowski interviews Dr. Malika Madhava about the logistics of TB in the inpatient setting. Together, they break down the approach to suspected tuberculosis, including when to consider TB, how to select isolation precautions, and navigating diagnostic testing.

Dr. Sam Sanders, internist at Bellevue Hospital in NYC, takes us through a case-based review of metabolic dysfunction–associated steatotic liver disease (MASLD), an increasingly common condition. We cover updated terminology, risk stratification using FIB-4 scoring and FibroScans, indications for hepatology referral, and new management strategies to prevent fibrosis progression and cirrhosis.

Gastroenterologist Dr. Sith Sekar joins Navin Kumar to review the management of celiac disease, including tips on the gluten-free diet, the need to check for micronutrient deficiencies, and how to approach the patient with celiac disease who is not responding to a gluten-free diet.

Gastroenterologist Dr. Sith Sekar joins Navin Kumar to review the diagnosis of celiac disease, including the presenting signs and symptoms, the optimal serology screening approach, the role of celiac genetic testing, and how to confirm the diagnosis. They then move into management of celiac disease, including tips on the gluten-free diet, the need to check for micronutrient deficiencies, and how to approach the patient with celiac disease who is not responding to a gluten-free diet.