CME | Onychomycosis, This Little Piggy Needs Terbinafine

In this episode of CME on the Go, our hosts discuss the common yet rarely discussed subject of toenail fungus (onychomycosis). The episode is filled with clinical insights and thorough discussions on diagnosing and treating toenail fungus in family medicine. They cover the effectiveness of topical versus oral treatments, the value of podiatrist referrals, and even delve into home remedies. Topics By Timestamp 00:00 Introduction and Hosts Introduction 00:42 Opening Joke and Light Banter 01:28 Discussing Toenail Fungus 03:04 Causes and Diagnosis of Toenail Fungus 08:55 Treatment Options: Topicals vs. Orals 10:39 Oral Medications and Their Efficacy 14:17 Toenail Removal and Specialist Referrals 17:52 Alternative Treatments and Home Remedies 21:24 Final Thoughts and Gratitude 25:21 Conclusion and Credits After listening to the podcast episode, claim 0.5 AAFP credit by following the provided link. https://www.aafp.org/assessment/take/18339/e Learning Objectives 1. Identify clinical signs and underlying causes of onychomycosis to support accurate diagnosis and patient education. 2. Differentiate between topical and oral antifungal treatments, and explain the rationale for treatment selection—including realistic expectations and monitoring protocols. 3. Discuss indications for nail removal and referral, and counsel patients with chronic fungal nail infections using clear, compassionate communication. Disclosure: It is the policy of the AAFP that all individuals in a position to control content disclose any relationships with commercial interests upon nomination/invitation of participation. Disclosure documents are reviewed for potential conflicts of interest and, if identified, conflicts are resolved prior to confirmation of participation. Only those participants who had no conflict of interest or who agreed to an identified resolution process prior to their participation were involved in this CME activity.  All individuals in a position to control content for this session have indicated they have no relevant financial relationships to disclose.  Disclaimer: Copyright 2025. AAFP. The views presented in this broadcast are the speaker’s own and do not represent those of AAFP.  The information presented is for general, educational, or entertainment purposes and should not be considered legal, health, financial, or other advice.  AAFP makes no representation as to the accuracy or completeness of the information and is not responsible for results that may arise from its use.  Consult an appropriate professional concerning your specific situation and respective governing bodies for applicable laws. Reference to any specific product or entity does not constitute an endorsement or recommendation by AAFP unless specifically stated otherwise. AAFP and the AAFP logo are registered trademarks of American Academy of Family Physicians.