Core IM | Internal Medicine Podcast

Latest Episodes:

#7: Chronic Hepatitis B Part 1: 5 Pearls segment Jan 17, 2018

Show notes

Solidify your knowledge on Chronic Hepatitis B (HBV) screening and vaccinations! Quiz yourself on the 5 Pearls we will be covering:

Who do you screen for HBV? (3:37)

How is HBV transmitted and who is at risk for HBV reactivation?

What tests do you order when screening for HBV? (10:48)

In which populations is HBV vaccination recommended?

What are the four possible meanings of an isolated positive total anti-HBc? (13:55)
In an asymptomatic adult, is it necessary to send an anti-HBc IgM to distinguish acute from chronic HBV infection? (15:01)
What are the implications of seroconversion of HBeAg from positive to negative? (16:19)

For full show notes: https://www.coreimpodcast.com/2018/01/17/5-pearls-on-chronic-hepatitis-b/

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#6 The Wonderful World of Albumin: Mind the Gap segment Jan 03, 2018

Show notes

Let's go deeper as to why we do what we do: albumin in spontaneous bacterial peritonitis (SBP) ! Time Stamps:1. How much albumin is recommended in SBP? (1:45)2. What antibiotics are used for the treatment of SBP? (2:30)3. Why do we give albumin in SBP? (4:15) - How does albumin compare to crystalloid? (7:15) - Do we always have to give to albumin? (9:00) For full shownotes: https://www.coreimpodcast.com/2018/01/03/mind-the-gap-albumin-in-sbp/

Hepatic Encephalopathy: 5 Pearls Edition Ep3 Dec 13, 2017

Show notes

Cement your knowledge on Hepatic Encephalopathy (HE)! Quiz yourself on the following 5 Pearls we’ll be covering on HE: Time StampsWhat are other causes of altered mental status in cirrhotics? (1:45)

What are common precipitants for an acute episode of HE?

What is asterixis? (6:10)

What is the diagnostic utility of a cirrhotic with asterixis?

How do lactulose & rifaximin reduce symptoms of HE? (11:00)

What are their indications?

What is the connection between hypokalemia and HE? (14:10)
What is the discriminatory power of an ammonia level in HE? (16:40)

In what situation does the NH3 has stronger predictive value?

For full shownotes: https://www.coreimpodcast.com/2017/12/13/5-pearls-on-hepatic-encephalopathy/

Mind The Gap Ep2: Part 2 of Paracentesis Nov 29, 2017

Show notes

Part 2 on Abdominal Paracentesis ! Let's go deeper

Time Stamps

Should a cirrhotic’s INR and platelets deter you from doing a paracentesis? (3:15)

Do generalist have worse procedure complications than specialists? (5:40)

Do you need to send ascites fluid in blood culture bottles? (6:10)

For full shownotes: https://www.coreimpodcast.com/2017/11/29/mind-the-gap-abdominal-paracentesis-2/

5 Pearls Ep2: Iron Deficiency Anemia Nov 15, 2017

Show notes

Solidify your knowledge on iron deficiency anemia! Quiz yourself on the 5 Pearls we will be covering:

Should patients be screened for iron deficiency? If so, who and how often? (1:40)
What are the indications for diagnostic endoscopy in iron deficient patients? (3:23)
How should you advice patients to take oral iron? (5:53)

What is optimal dosing for oral iron?

In which patients would you consider IV iron? What are the risks? (11:41)
Throwback Question: What is a medication-overuse HA? (14:44)

For full shownotes: https://www.coreimpodcast.com/2017/11/15/5-pearls-on-iron-deficiency-anemia/

CORE IM podcast: Mind The Gap on Admission Paracentesis Nov 01, 2017

Show notes

You have always been told to do a diagnostic paracentesis on admission in cirrhotics with ascites, but why? Can you just get away with clinical judgement to rule out SBP? Is faculty judgement any better? And if you’re going to do a paracentesis on admission, do you need to do it right away? Go deeper with Dr. Steve Liu and Dr. Janine Knudsen!

Click the link for the full show notes: https://www.coreimpodcast.com/2017/11/01/mind-the-gap-admission-paracentesis/

Time Stamps

What do guidelines say about diagnostic paracentesis in cirrhotics with ascites? (1:51)
Can we just use clinical judgement to decide if paracentesis is warranted? (3:13)

Do attendings have better clinical judgement than residents to rule out SBP?

Does timing of paracentesis on admission matter for mortality? (6:33)

Show notes

Cement your knowledge on headaches with 5 Pearls on when imaging is indicated, approach to abortive medications, medication overuse headaches, when to use migraine prophylaxis and effective non-pharmacological treatment for migraines!

For full shownotes: https://www.coreimpodcast.com/2017/10/18/5-pearls-on-headaches/

Time Stamps

What are the indications for imaging for HA? (1:36)
What is your approach to abortive therapy for migraines? (4:45)
How do you diagnose medication overuse HA? (6:41)
What is your approach to migraine prophylaxis? (8:29)
What are some evidence based nonpharmacological therapies for migraines? (10:42)

Show notes

CORE IM is an independent consortium of educators aligned to create internal medicine-specific portable learning tools in the form of podcasts, corresponding show notes and illustrations. Segments include 5 Pearls and Mind The Gap.

For more information: https://www.coreimpodcast.com/2017/10/13/introducing-the-core-im-podcasts-5-pearls-mind-the-gap/

Sincerely,

CORE IM team:

Executive Producer: Shreya P. Trivedi, MD (@ShreyaTrivediMD)

Five Pearls Producer: Marty Fried, MD (@Marty_Fried)

Mind the Gap Producer: Steve Liu, MD

Advisors: Neil Shapiro MD, John Hwang MD, Vincent Santillo MD

Podcast editing and technical set-up: Harit Shah and Steven Liu MD

Director of Sound Design, Theme song: Shaun Finnegan

Artistic director: Dr. Mike Natter (@mike_natter)