woman sitting at a family bonfire

 

Rheumatologic problems are some of the most common health conditions we see as primary care professionals. In many cases, taking months and sometimes years to properly diagnose, rheumatologic conditions can become frustrating for both the provider and the patient. There are a variety of new tests available to help us establish a diagnosis, as well as multiple new and effective treatment options. This special edition is a seven-episode mini-series on Mayo Clinic Talks dedicated to rheumatologic health problems to aid in the recognition, diagnosis, and treatment for your patients. Please stayed tuned for all seven episodes! 

Listening is free and no CME Credit is available for this series.  

Mayo Clinic Talks is a podcast series targeted to the primary care clinician community. To listen to additional episodes with CME credit available, visit Mayo Clinic Talks Season 3


 

Lynne S. Peterson, M.D.          

Lynne S. Peterson, M.D. 

Clement J Michet JR, M.D.   

Clement J Michet JR, M.D.

 

 

Episode 1: What everyone should know about gout  

Gout is the most common inflammatory arthritis and is a result of the deposition of monosodium urate crystals in and around the joints. It’s typically a mono-articular arthritis and is more common in men. Many patients who have had an acute attack of gout say it’s the worst pain they have ever experienced. Management consists of both treating acute episodes as well as preventing future attacks. The topic of this podcast is “What Everyone Should Know About Gout” and our guests include Lynne Peterson, M.D., and Clement Michet, M.D., both rheumatologists from the Mayo Clinic. We’ll discuss the pathophysiology of gout, its typical presentation, how to establish a diagnosis and management tips.

January 9, 2024

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Ashima Makol, M.B.B.S.

Ashima Makol, M.B.B.S.

Matthew J. Koster, M.D.

Matthew J. Koster, M.D.

Episode 2: When are rheumatology labs indicated?  

We have multiple laboratory tests available to help us diagnose rheumatologic conditions; rheumatoid factor, ANA, ESR, CRP and more. It’s gotten quite confusing trying to decide which tests to order when we suspect a specific rheumatologic problem. When are these tests helpful? How specific are these tests for the condition we’re trying to diagnose and what does it mean when we have a positive but low titer test in an asymptomatic patient? In today’s podcast, we’ll answer these questions and more with our guests, Ashima Makol, M.B.B.S., and Matthew J. Koster, M.D., both from the Division of Rheumatology at the Mayo Clinic.

January 11, 2024

 

Ali A. Duarte Garcia, M.D.

Ali A. Duarte Garcia, M.D.

Episode 3: Is it always lupus?  

Systemic lupus erythematosus (SLE) is a chronic systemic autoimmune disease with a variety of immunological and laboratory abnormalities, as well as numerous clinical manifestations. It can affect almost every organ and has the potential to cause severe organ damage. Most patients experience flares of the disease alternating with periods of remission. Lupus is much more common in women than men and there are significant geographical and ethnic differences in the incidence and eventual outcome of the disease. It’s known as the great imitator because it can mimic a variety of other diseases and it’s not uncommon for patients to have symptoms for over 5 years, before a diagnosis of lupus is established. The topic for this podcast is systemic lupus and our guest is Ali A. Duarte Garcia, M.D., a rheumatologist from the Mayo Clinic.

January 18, 2024

 

Vanessa L. Kronzer, M.D.

Vanessa L. Kronzer, M.D.

Episode 4: When to suspect RA  

Rheumatoid arthritis is a chronic inflammatory, autoimmune disorder. While it typically results in a symmetric and erosive arthritis, many patients have an atypical presentation and up to 40% of those with rheumatoid arthritis have extra-articular manifestations. It tends to be progressive over years and can be quite debilitating. Fortunately, there are some new treatments available which have given our patients hope of a remission from this disease. This podcast will explore rheumatoid arthritis and we’ll discuss its clinical manifestations, how to establish a diagnosis and its management. Our guest is Vanessa L. Kronzer, M.D., from the Division of Rheumatology at the Mayo Clinic.

January 25, 2024

Alicia M. Hinze, M.D., M.H.S.

Alicia M. Hinze, M.D., M.H.S.

Episode 5: Sjogren’s syndrome: the Basics

Sjogren’s is an autoimmune disorder that has a somewhat unusual presentation. In addition to arthralgias, patients often develop a dry mouth and dry eyes and symptoms can vary from person to person. It also commonly mimics other medical conditions, and this may account for its typically delayed diagnosis. Like most other autoimmune diseases, the exact cause isn’t known, but Sjogren’s is treatable. In this podcast, we’ll review the presentation of Sjogren’s, how to establish a diagnosis and how patients with the condition should be managed. Our guest is Alicia M. Hinze, M.D., M.H.S., from the Division of Rheumatology at the Mayo Clinic.

February 1, 2024

Cornelia M. Weyand, M.D., Ph.D.

Cornelia M. Weyand, M.D., Ph.D.

Kenneth J. Warrington, M.D.

Kenneth J. Warrington, M.D.

Episode 6: What primary providers need to know about Polymyalgia Rheumatica  

Polymyalgia rheumatica was first described in 1966 as a case report. It can have a wide range of symptoms and at times, can be challenging to diagnose. As with most rheumatologic disorders, the exact cause isn’t known. While there are no specific laboratory tests which establish a diagnosis, there are some that are very useful. One of the most important features of polymyalgia is its relationship with vasculitis and temporal arteritis. In this podcast, we’ll discuss polymyalgia rheumatica with rheumatologists Cornelia M. Weyand, M.D., Ph.D., and Kenneth J. Warrington, M.D., from the Mayo Clinic. We’ll review the typical presenting symptoms, how to establish a diagnosis, helpful laboratory tests and its management.

February 8, 2024

Cornelia M. Weyand, M.D., Ph.D.

Cornelia M. Weyand, M.D., Ph.D.

Kenneth J. Warrington, M.D.

Kenneth J. Warrington, M.D.

Episode 7: What Primary Providers Need to Know About GCA  

Temporal arteritis is an inflammatory rheumatologic disorder that typically occurs in those over the age of 50. It can have devastating complications including loss of vision and stroke. It can have various presentations and at times can be challenging to diagnose. It also has an interesting relationship with polymyalgia rheumatica. Although there are abnormal lab tests associated with temporal arteritis, there is no one diagnostic test. A temporal artery biopsy is performed to establish a definitive diagnosis. Our topic for today’s podcast is temporal arteritis and my guests include Cornelia M. Weyand, M.D., Ph.D. and Kenneth J. Warrington, M.D., both from the Division of Rheumatology at the Mayo Clinic. We’ll discuss the typical symptoms of temporal arteritis, its potential complications, how to make a diagnosis and its treatment.

February 15, 2024