109 episodi

Core Internal Medicine via following segments:
5 Pearls || Clinically relevant pearls on IM topics!
Mind the Gap || Why do we do what we do?
Hoofbeats || Dissecting clinical reasoning!
At the Bedside || Explore everyday challenges

Core IM | Internal Medicine Podcast Core IM Team

    • Salute e benessere
    • 5,0 • 3 valutazioni

Core Internal Medicine via following segments:
5 Pearls || Clinically relevant pearls on IM topics!
Mind the Gap || Why do we do what we do?
Hoofbeats || Dissecting clinical reasoning!
At the Bedside || Explore everyday challenges

    #104 Guideline-Directed Medical Therapy for HFrEF Part 1: 5 Pearls Segment

    #104 Guideline-Directed Medical Therapy for HFrEF Part 1: 5 Pearls Segment

    How do you counsel patients on beta blockers? Is one beta-blocker better than the other? What is preferred: ACEi, ARBs or ARNIs? What are the pros and cons of each? How does spironolactone compare to eplerenone? When do you stop mineralocorticoid receptor antagonist? What are risks with SGLT2 inhibitors? How do you initiate GDMT? Which meds do you start first and in what order?Show notes, Transcript and References:  https://www.coreimpodcast.com/2022/05/11/5-pearls-on-guideline-directed-medical-therapy/Sponsor: https://go.amboss.com/GDMT (https://go.amboss.com/GDMT)Get CME-MOC credit with ACP: https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/core-im Time stamps:* 03:13 Pearl 1* 12:14 Pearl 2* 20:36 Pearl 3* 26:42 Pearl 4* 32:16 Pearl 5Tags: IM Core, CoreIM, heart failure with reduced ejection fraction, GDMT, treatment, cardiology

    • 38 min
    #103 Fluids: 5 Pearls Segment

    #103 Fluids: 5 Pearls Segment

    How much of D5W vs. isotonic saline contributes to intravascular volume? How do you distinguish between oncotic pressure and tonicity? What balanced solutions do you reach for? What is the data behind using colloids like albumin as an intravascular expander? How much do pRBCs stay in the plasma? Show notes, Transcript and References:  https://www.coreimpodcast.com/2022/04/27/fluids-colloids-5-pearls-segment/Get CME-MOC credit with ACP: https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/core-im Time stamps:* 02:14 Intro* 04:26 Pearl 1* 11:08 Pearl 2* 20:43 Pearl 3* 31:06 Pearl 4* 35:06 Pearl 5Tags: IM Core, CoreIM, fluids, hypertonic, volume, crystalloid, tonicity, blood, nephrology, hospital medicine

    • 39 min
    #102 Echo in Pulmonary Hypertension: 5 Pearls Segment

    #102 Echo in Pulmonary Hypertension: 5 Pearls Segment

    What do you include in your initial basic work-up for suspected pulmonary hypertension? Do you know how to calculate the PASP on the ECHO? What physiological insults that can cause high pulmonary pressures? How can we interpret the E/e’ ratio? Show notes, Transcript and References: https://www.coreimpodcast.com/2022/04/06/pulmonary-hypertension/ (https://www.coreimpodcast.com/2022/04/06/pulmonary-hypertension/)Get CME-MOC credit with ACP: https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/core-im (https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/core-im)Time stamps:* 02:18 Intro* 05:27 Pearl 1 * 12:17 Pearl 2* 16:13 Pearl 3* 24:04 Pearl 4* 30:08 Pearl 5* Tags: IM Core, CoreIM, PASP, Echo, hypoxia, PA pressure, vascular resistance

    • 40 min
    #101 Nutrition - 2021 SGIM Recap

    #101 Nutrition - 2021 SGIM Recap

    How can we use food as medicine? How can we best counsel our patients on their diets? Which pre-set diets can we recommend for or against? How can we make the changes sustainable? Show notes, Transcript and References: https://www.coreimpodcast.com/2022/03/23/obesity-and-nutr…-2021-sgim-recap/ (https://www.coreimpodcast.com/2022/03/23/obesity-and-nutrition-2021-sgim-recap/)Time stamps:* 03:10 Trends in weight and dieting* 06:01 Counseling patients on diet* 09:35 Food group recommendations* 14:53 Pre-set diets* 20:47 Making sustainable changesTags: Core IM, IM Core, diet, salt intake, fiber, weight

    • 23 min
    #100 Top 10 Telemedicine Tips - 2021 SGIM Recap

    #100 Top 10 Telemedicine Tips - 2021 SGIM Recap

    What are some tricks to help you perform a virtual physical exam? What role do these visits play in our overall care for the patient? What tools do we have at our disposal for a more thorough evaluation?Show notes, Transcript and References: https://www.coreimpodcast.com/2022/03/09/telemedicine-and…-2021-sgim-recap/ (https://www.coreimpodcast.com/2022/03/09/telemedicine-and-health-2021-sgim-recap/)Tags: IM Core, CoreIM, tele visit, gizmos, history taking, virtual, physical exam, assessment, functional status, tips

    • 27 min
    #99 Bleeding vs. Clotting Risk: Grey Matters Segment

    #99 Bleeding vs. Clotting Risk: Grey Matters Segment

    How long should you anticoagulant for a PE? When can you safely stop anticoagulation for thrombogenic patients who need an urgent biopsy? Should an IVC filter be placed to prefer further embolization of a DVT? What percentage of patients with cancer associated blood clots will have progression while on anticoagulation?Show Notes, Transcript, and References: https://www.coreimpodcast.com/2022/02/23/24433/ (https://www.coreimpodcast.com/2022/02/23/24433/)Get CME-MOC credit with ACP: https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/core-im (https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/core-im)Time Stamps:* 02:40 Deep Dive #1 Anticoagulation* 08:50 Deep Dive #2 DOACs* 14:08 Deep Dive #3 IVC Filter* 17:49 Deep Dive #4 Biopsy* 25:00 RecapTags: Core IM, IM Core, Anticoagulation, Bleeding, DOACs, IVC, reflections, clots

    • 29 min

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