Core IM | Internal Medicine Podcast

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 “m...

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 &amp...

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/ Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840 Our Sponsors: * Check out CovePure and use my code CovePure.com/coreim for a great deal: https://covepure.com * Check out ElevenReade...

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 fu...

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 CI...

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...

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 adre...

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...

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 mortali...

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/ Find th...

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  t...

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...

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.coreimp...

Cement your knowledge on Hepatic Encephalopathy (HE)!  Quiz yourself on the following 5 Pearls we’ll be covering on HE :  Time Stamps What 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...

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/ Find the...

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...

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.c...

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 appr...

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: Shre...