Core IM | Internal Medicine Podcast

Latest Episodes:

#28 What Would You Tell Your Younger Self? Nov 21, 2018

Show notes

Women in medicine inspire us with what they would tell their younger selves. Some of the speakers with Shreya Trivedi MD @ShreyaTrivediMD at the Women in Medicine GirlMedLive Conference:

Qaali Hussein MD @QaaliHussein1 Clinical Pearl @ClinicalPearl Marguerite Duane MD @mduanemd Kate Prior MBBS @doctorwibble C. Nicole Swiner MD @docswiner Carmen Landrau MD @DrLandrau Jessica Willett MD @jkwillettmd Ilene Brenner MD @irb123 Joannie Yeh MD @BetaMomma Karen Davidson, Esq karend@kdavidsonlaw.com Suzanne Feigofsky MD @DrSuzyFeigofsky GirlMedLive: https://www.girlmedmedia.com/

Episode page: https://www.coreimpodcast.com/2018/11/21/what-would-you-tell-your-younger-self/

Tags: career development, professional development, lifelong learning, burnout, imposter syndrome, mentorship, worklife balance

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#27 Treatment of Alcohol Use Disorder: 5 Pearls Segment Nov 07, 2018

Show notes

Solidify your knowledge on Alcohol Use Disorder (AUD) treatment and more! Quiz yourself on the 5 pearls we will be covering:

Throwback: At what levels of drinking does unhealthy alcohol use start, and how do you screen for unhealthy alcohol use? (1:47)
What does the brief intervention and counseling part of SBIRT entail? (4:43)
What are the first line medications for AUD and contraindications to them? (11:11)
What are the second-line medications for AUD and their limitations? (18:14)
What new therapies are being studied for for alcohol use disorder? (22:09)
Pearls Recap (25:06)

For full transcript of the podcast, show notes and references: https://www.coreimpodcast.com/2018/11/07/5-pearls-on-treatment-of-alcohol-use-disorder/

tag: naltrexone, acamprosate, gabapentin, topiramate, SBIRT, neuromodulation, nalmafene, psychaedelics, audit-c

#26 A 85F with AMS Part 2: Hoofbeats Segment Oct 24, 2018

Show notes

Dissect a working diagnosis through a process of validation!

Time Stamps:

Your collective differential [0:40]
The test results (that you asked for) are in... [2:13]
The hospital course, and the diagnosis (or is it?) [7:10]
Validating a diagnosis: Base rate, adequacy, and coherence [8:30]
Revisiting the differential [14:44]
What to do when there is no final diagnosis? [17:39]

For full show notes: https://www.coreimpodcast.com/2018/10/24/hoofbeats-85f-with-acute-ams-part-2/

Tags: Clinical reasoning, Diagnostic Uncertainty

#25 A 85F with AMS Part 1: Hoofbeats segment Oct 10, 2018

Show notes

Submit your diagnosis or differential for this episode's case at HumanDx.org (free registration required): http://hdx.org/2VP ! Part 2 (releasing 10/24) will have the final diagnosis!

Time stamps:

A new challenge and the rules of the game (1:13)
Introduction to Human Dx (3:06)
The case: An 85 year-old woman with paranoid delusions (5:28)
What exactly is problem representation? (15:15)
Building the differential (19:53)
For full show notes: https://www.coreimpodcast.com/2018/10/10/hoofbeats-85f-with-acute-ams/

#24 Meet the Producers Sep 27, 2018

Show notes

Join us in this episode with Doctors Who Create where we explore how Core IM was started and some things that happen behind the scenes!

Episode page: https://www.coreimpodcast.com/2018/09/27/meet-the-producers/

#23 UTIs and Delirium: Mind the Gap Segment Sep 11, 2018

Show notes

Let's go deeper into the world of UTIs and delirium!

The basics – what are the official (IDSA) definitions for bacteriuria, pyuria, and UTI? (02:07)
The lay of the land – how common are bacteriuria and delirium? (07:09)
The big money question – do UTIs really cause delirium and what does the evidence tell us? (10:50)
Review of teaching points (15:59)

Full show notes: https://www.coreimpodcast.com/2018/09/12/mind-the-gap-uti-delirium/

#22 Proton-Pump Inhibitors: 5 Pearls segment Aug 29, 2018

Show notes

Solidify your knowledge on Proton-Pump Inhibitors (PPIs) and more! Quiz yourself on the 5 pearls we will be covering:

What are associated adverse effects for patients are on long-term PPIs? (2:02)
What are strategies to get your patient off PPIs? (10:57)
How do histamine-2 (H2) receptor antagonists blockers work and how can it explain why H2 blockers might not be as effective as PPIs? (13:30)
How should you educate patients to take PPIs to get the maximize benefit? (16:48)
How do you manage ongoing symptoms in patients on PPIs? (21:41)

For full transcript of the podcast and references: https://www.coreimpodcast.com/2018/08/29/5-pearls-on-ppis/

#21 57F with confusion: Hoofbeats segment Aug 15, 2018

Show notes

Dissect an interesting case and think about the way clinicians think! Many clinical reasoning pearls here:

Case history and exam 00:40
Causal models 11:24
Facets versus diagnoses 13:25
Problem representation 16:37
Part two of the case 17:10
Occam’s razor, Hickam’s dictum, and Crabtree’s bludgeon 23:00
Diagnostic uncertainty 27:10
Learning points 34:24

For show notes: https://www.coreimpodcast.com/2018/08/15/hoofbeats-57f-with-confusion/

#20 Vancomycin: Mind the Gap Segment Aug 01, 2018

Show notes

Lets go deeper into the misunderstood side of Vancomycin!

Where did vancomycin come from, and why is it so controversial? (0:28)
What is vancomycin-induced nephrotoxicity and how common is it? (4:37)
Vancomycin trough monitoring – what is it good for? (7:28)
AUC to MIC ratio – the real math behind vancomycin dosing (7:53)
Review of teaching points (10:27)

Full show notes: https://www.coreimpodcast.com/2018/08/01/mind-the-gap-vancomycin/

#19 Unhealthy Alcohol Use: 5 Pearls segment Jul 11, 2018

Show notes

Solidy your understanding of unhealthy alcohol use! Quiz yourself of the 5 Pearls we will be covering:

What is alcohol use disorder (AUD), and how is it different from unhealthy alcohol use?
Who should we screen for unhealthy alcohol use, and which screening tools are preferred?
What are the consequences of unhealthy alcohol use?
Can moderate alcohol be good for patients, and if so, how much is “moderate”?
Who, how and how often should patients with chronic hepatitis B infection be screened for hepatocellular carcinoma?

For full show notes: https://www.coreimpodcast.com/2018/07/11/5-pearls-unhealthy-alcohol-use/

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