Core IM | Internal Medicine Podcast

Latest Episodes:

#18: A 54M with diarrhea: Hoofbeats segment Jun 27, 2018

Show notes

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

Part one of case (0:56)
Cognitive ease and strain (03:51)
Metacognition and routine diagnostic timeout (08:15)
Think outside the box of organ systems (11:19)
Illness behavior (12:30)
Part two of case (14:06)
Algorithms (17:57)
Fast thinking & pattern recognition (19:30)
Slow thinking & analytical reasoning (21:31)
Diagnosis (25:15)
Takeaways (26:52)
For full show notes: https://www.coreimpodcast.com/2018/06/27/hoofbeats-54m-with-diarrhea/

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#17: Celebrating #ProudtobeGIM Jun 20, 2018

Show notes

Be inspired by why so many are proud to be in General Internal Medicine (GIM)!

Episode page: https://www.coreimpodcast.com/2018/06/23/celebrating-proudtobegim/

#16 Steroids in COPD: Mind the Gap Segment May 30, 2018

Show notes

Let’s take your breath away… with a review on steroids in treating COPD exacerbations!

Time Stamps

How does GOLD (Global Initiative for Chronic Obstructive Lung Disease) define a COPD exacerbation? (2:44)
What outcomes do steroids actually improve in treating a COPD exacerbation? (5:08)
What is the evidence behind a 5 day steroid “burst”? (7:20)
Are IV steroids more powerful than PO? (9:00)

For full show notes: https://www.coreimpodcast.com/2018/05/30/mind-the-gap-steriods-in-copd/

#15 Contrast-Induced Nephropathy: 5 Pearls segment May 16, 2018

Show notes

Solidify your understanding of contrast-induced nephropathy (CIN)! Quiz yourself on the 5 pearls we will be covering:

Are there diagnostic criteria for CIN? (2:11)
Is there a difference between exposure to intra-arterial vs. intra-venous contrast in terms of risk of CIN? (6:28)
What are the biggest risk factors for CIN? (14:48)
What preventive measures have been shown to best reduce the risk of CIN? (19:41)
Can ESRD patients on hemodialysis still suffer from CIN? (23:32)
Recap (25:49)

For full show notes: https://www.coreimpodcast.com/2018/05/16/5-pearls-contrast-induced-nephropathy/

#14 A 36F with weakness: Hoofbeats segment May 02, 2018

Show notes

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

Part 1 Case (2:05)
Framing bias (7:07)
Data-driving reasoning (11:48)
Hypothesis-driven approach (12:38)
Periodic paralysis syndromes (16:08)
Representativeness heuristic (17:26)
Part 2 Case (20:51)
Pivot Points (31:36)
Diagnosis (35:55)
Take aways (37:20)

Check out the key teaching points: https://www.coreimpodcast.com/2018/05/02/hoofbeats-a-36f-with-weakness/

#13 Chronic Adrenal Insufficiency: 5 Pearls segment Apr 18, 2018

Show notes

Solidify your knowledge on adrenal insufficiency! Quiz yourself on the 5 pearls we will be covering:

What are signs and symptoms of chronic adrenal insufficiency (AI)? What is the most sensitive? (2:02)
How do we diagnose and differentiate types of adrenal insufficiency? (6:05)
How sensitive and specific are the diagnostic tests for AI & at what cutoffs? (12:06)
Can we both test and treat adrenal insufficiency at the same time? (16:40)
Throwback: How do hypokalemia and hepatic encephalopathy connected? (24:55)
Dr. Nidhi Agrawal Recap (19:20)

For full show notes: https://www.coreimpodcast.com/2018/04/18/5-pearls-chronic-adrenal-insufficiency/

#12 Latent TB: 5 Pearls segment Mar 28, 2018

Show notes

Solidify your knowledge on latent TB! Quiz yourself on the 5 pearls we will be covering:

Who should be screened for latent tuberculosis infection (LTBI)? (1:45)
What screening tests are available and how do they differ? (6:30)
What are the LTBI treatment options available? (10:24)
What are the major adverse drug effects to consider? (13:28)
How frequently should you check liver function tests in a patient being treated for LTBI? What do you do with the results? 17:43
Dr. Caplan-Shaw Recap (21:29)

For full show notes: https://www.coreimpodcast.com/2018/03/28/5-pearls-latent-tuberculosis-infection/

#10 Albuminuria: 5 Pearls segment Feb 28, 2018

Show notes

Solidify your knowledge on albuminuria! Quiz yourself on the 5 Pearls we will be covering:

How good is a dipstick, urinalysis and UACR in detecting albuminuria? (1:42)
What conditions that lead to transient proteinuria? What is the appropriate interval to recheck and how should be it be repeated? (5:14)
Who should be screened for albuminuria and can it prognosticate risk for cardiovascular mortality? (7:47)
Does increasing RAAS inhibition improve renal outcomes? (10:57)
Throwback Question: How do you prescribe oral iron and what tips do you tell your patients? (13:11)

For full show notes: https://www.coreimpodcast.com/2018/02/28/5-pearls-albuminuria/

#9 COPD Classifications: Mind the Gap segment Feb 14, 2018

Show notes

Let’s go deeper into to why we think about diseases the way we do: COPD Classifications through the years!

Time Stamps:

How did prior understanding of COPD pathophysiology lead to COPD classifications in the past? (3:25)
How is COPD diagnosed? (6:13)
How has COPD been classified and why? (6:42)

For full show notes: https://www.coreimpodcast.com/2018/02/14/mind-the-gap-copd-classifications/

#8 Chronic Hepatitis B (Part 2) Management: 5 Pearls segment Jan 31, 2018

Show notes

Quiz yourself on the following 5 Pearls on Chronic Hepatitis B (HBV) Management!

What is the focused history, physical and lab workup in a patient with chronic HBV? (1:40)
What is the best imaging to evaluate for intermediate stages of liver fibrosis? (4:06)

What scoring tools can you use to estimate fibrosis and what are their limitations?

What factors do you use to assess which patients get treatment? (7:41)
What drugs are available for HBV treatment and how do you choose? (11:18)
Which chronic HBV patient should be screened for HCC, and how often? (14:45)

For full show notes: https://www.coreimpodcast.com/2018/01/31/5-pearls-on-chronic-hepatitis-b-2/

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