Core IM | Internal Medicine Podcast

Core IM Team
  • 4.8 (1.2K)
  • Medicine
  • Updated Biweekly

Core Internal Medicine via following series: 5 Pearls || Clinically relevant pearls Mind the Gap || Why do we do what we do? Gray Matters || Management Reasoning Hoofbeats || Dissecting clinical reasoning At the Bedside || Explore everyday challenges

  1. 4d ago

    #219 Updates in Triglycerides

    “The triglycerides are high. Now what?” This episode breaks down a practical approach to elevated TGs, from knowing when to check ApoB or non-HDL-C to choosing lifestyle changes, lipid-lowering medications, and when to suspect an underlying genetic disorder.  🔹Transcript and Show Notes 02:17 | Check a non-HDL-C or ApoB if TGs are ≥150 mg/dL  07:18 | Address waist circumference and lifestyle before meds for high TGs 10:52 | Dr. Watson’s 3-day carbohydrate responsiveness trial  17:07 | Order a fasting or nonfasting lipid panel? 19:00 | When do you reach for TG-lowering medications?  25:26 | Familial chylomicronemia syndrome (FCS) Tags: CoreIM, Medical Education, Hypertriglyceridemia, ACC AHA lipid guidelines, lipid guidelines 2026, cardiovascular risk  Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840 Our Sponsors: * Check out ElevenReader and use my code PODCAST for a great deal: https://elevenreader.io Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

    #219 Updates in Triglycerides

  2. Sep 23

    #218 Early-Onset CRC: 5 Pearls Segment Part 1

    “Too young for colon cancer.” This episode unpacks the red flags of early-onset CRC, from blood in the stool and iron deficiency anemia to persistent abdominal pain and changes in bowel habits, and offers practical pearls for closing the clinical loop. Also learn why a “negative” family history may need a yearly refresh. 🔹Sponsor: Search “Amazon Pharmacy Nationwide Home Delivery" in your EHR to get home delivery (often same-day). Learn more here! 🔹Transcript and Show Notes 01:45 | Colorectal cancer rising in younger adults  06:42 | Why screening starts at age 45 08:15 | What may be driving early-onset colorectal cancer  13:37| Key takeaways: symptoms, follow-up, and family history  Tags: Colorectal Cancer Screening, Internal Medicine, Gastroenterology, Cancer Screening, Oncology Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840 Our Sponsors: * Check out ElevenReader and use my code PODCAST for a great deal: https://elevenreader.io Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

    #218 Early-Onset CRC: 5 Pearls Segment Part 1

  3. Sep 16

    #217 Treatment for Alcohol Use Disorder: 5 Pearls Segment

    “It didn’t work.” This episode breaks down practical treatment options (dosing options for naltrexone, acamprosate, topiramate, gabapentin) and counseling pearls to help you meet patients where they are and support their recovery. Also discover blind spots in detox and rehab centers. 🔹Transcript and Show Notes 🔹 Explore ACP’s Substance Use Disorder Education Hub for videos and an AI-powered patient simulation to practice alcohol-use conversations: https://www.coreimpodcast.com/SUDhub Alcohol Use and Chronic Health Conditions Mini Video Series 01:55 | #1: Naltrexone 12:06 | #2 Acamprosate 16:15 | #3: Topiramate 21:12 | #4: Other meds 29:31 | #5: Detox and rehab blind spots  Tags: CoreIM, Medical Education, Addiction Medicine, Alcohol Withdrawal, Addiction Treatment, GLP-1, pharmacology Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840 Our Sponsors: * Check out ElevenReader and use my code PODCAST for a great deal: https://elevenreader.io Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

    #217 Treatment for Alcohol Use Disorder: 5 Pearls Segment

  4. Sep 8

    #216 Clinician Grief: At the Beside Segment

    Have you ever lost a patient and found yourself thinking about them long after the shift ended? This episode explores the grief clinicians can carry after a patient dies, including the losses that aren’t always obvious. We also discuss ways to work through that grief, recognize when it becomes complicated, and lean on your team for support.   🔹Transcript and Shownotes 04:12 | What is Clinician Grief? 10:02 | Types of Losses 10:22 | Loss of a close relationship with a particular patient 12:56 | Loss due to a professional's identification with the pain of family members 13:56 | Loss of one's unmet goals and expectations and one's professional self-image and role 18:47 | Loss related to one's personal system of beliefs and assumptions about life 21:30 | Past unresolved losses or anticipated future losses 23:29 | The death of the self 25:44 | Coping Tags: CoreIM, Medical Education, Clinician Wellbeing, Burnout, Secondary Traumatic Stress, Complicated Grief, Coping With Grief, Medical humanities, medical ethics Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840 Our Sponsors: * Check out ElevenReader and use my code PODCAST for a great deal: https://elevenreader.io Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

    #216 Clinician Grief: At the Beside Segment

  5. Aug 25

    #215 Gallbladder & Biliary Testing: 5 Pearls Segment

    How to choose between RUQ ultrasound, CT, HIDA, MRCP, EUS, and ERCP based on the clinical picture? When should you move from diagnostic imaging to therapeutic ERCP, and what should you know about sphincterotomy, stents, and stone removal? Plus, how to interpret bile duct dilation without jumping straight to obstruction? 🔹Sponsor: Oakstone CME Use the code "CORE25" for 25% off: https://www.coreimpodcast.com/MKSAP 🔹Transcript and Shownotes 02:11 | Pearl 1: Gallbladder Problems Spectrum 07:33 | Pearl 2: Choose Imaging Strategically: Start with RUQUS, Escalate as Needed 14:34 | Pearl 3: Biliary Tree Diagnostics 19:19 | Pearl 4: Invasives that are Diagnostic and Therapeutic 27:06 | Pearl 5: Stenting in ERCP Tags: CoreIM, Internal Medicine, Medical Education, Gallstones, Cholecystitis, Biliary Disease, ERCP, Biliary Imaging Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840 Our Sponsors: * Check out ElevenReader and use my code PODCAST for a great deal: https://elevenreader.io Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

    #215 Gallbladder & Biliary Testing: 5 Pearls Segment

  6. Aug 12

    #214 Hyponatremia Management: A Core IM Classic

    Throwback: Should you really fluid-restrict every patient with SIADH? When can IV fluids make hyponatremia better or worse? Are salt tabs actually doing enough? And what can urine studies tell you before you start treatment? Join us for a practical, physiology-driven approach to hyponatremia management, from fluids and solutes to loop diuretics and identifying the underlying cause.  🔹Sponsor: Search “Amazon Pharmacy Nationwide Home Delivery" in your EHR to get home delivery (often same-day). Learn more here. 🔹Transcript and Shownotes 6:46 | Pearl 1: Key Principles 15:13 | Pearl 2: Fluids in hyponatremia 26: 03 | Pearl 3: Solutes in hyponatremia management 35:49 | Pearl 4: Lasix in hyponatremia management 40:05 | Pearl 5: Etiologies Tags: CoreIM, Internal Medicine, Medical Education, SIADH, Fluid Restriction, Nephrology, Hospital Medicine, Urine Osmolality Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840 Our Sponsors: * Check out ElevenReader and use my code PODCAST for a great deal: https://elevenreader.io Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

    #214 Hyponatremia Management: A Core IM Classic

  7. Jul 28

    #213 Hypertension First-Line Medications Troubleshooting | Bread & Butter Series

    Why can lower-dose combinations be more effective and better tolerated than maximizing one medication? How to troubleshoot common challenges such as amlodipine edema, gout, electrolyte abnormalities, and the patient who says they cannot tolerate anything? Why ACT (ARBs, Calcium Channel Blockers, Thiazides) is the preferred first-line framework, and how to personalize medication choices based on comorbidities and side effects. 🔹Sponsor: Oakstone CME Use the code "CORE25" for 25% off: https://www.coreimpodcast.com/MKSAP  🔹Transcript and Shownotes 03:00 | Diagnosing Hypertension  04:10 | When to Start Combination Therapy Instead of Monotherapy  07:00 | Choosing First-Line Therapy Using the ACT Framework  13:23 | Why ARBs Are Often Preferred Over ACE Inhibitors  16:02 | Choosing the Right ARB: Candesartan vs Losartan  18:39 | Comparing Potency & Duration Across First-Line Antihypertensives  20:54 | Amlodipine Edema: Why It Happens and How to Fix It  23:54 | Thiazides: Practical Tips, Electrolyte Problems & Class-Killer Side Effects  29:33 | Managing Patients Who 'Can't Tolerate' Blood Pressure Medications  Tags: Hypertension Management, High Blood Pressure, Primary Care, Internal Medicine, Core IM Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840 Our Sponsors: * Check out ElevenReader and use my code PODCAST for a great deal: https://elevenreader.io Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

    #213 Hypertension First-Line Medications Troubleshooting | Bread & Butter Series

  8. Jul 15

    #212 Top 10 Highlights of the New Lipid Guidelines

    Learn from primary care docs what has been practiced and changed from the 2026 ACC/AHA Lipid Guidelines! Learn how the new CPR framework (Calculate, Personalize, Reclassify) and PREVENT risk calculator change statin decisions, why LDL targets are back, and when to use Lp(a), ApoB, and coronary artery calcium (CAC) testing. Discover updated risk-enhancing factors, expanded indications for non-statin therapies, and practical strategies to personalize lipid management for both primary and secondary 🔹Sponsor: Search “Amazon Pharmacy Nationwide Home Delivery" in your EHR to get home delivery (often same-day). Learn more here. 🔹Transcript and Shownotes:   01:17 | Highlight #1 & #2: CPR and PREVENT Score 03:14 | Highlight #3: Updated ASCVD Risk Categories Using the PREVENT Score 05:30 | Highlight #4: LDL Targets Are Back 07:20 | Highlight #5: High-Risk Conditions That Bypass the PREVENT Score 08:41 | Highlight #6: Lp(a) Screening for Everyone 11:51 | Highlight #7: When to Use ApoB Testing 13:16 | Highlight #8: Reproductive Risk Factors 15:29 | Highlight #9: Using CAC to Guide Statin Therapy 19:09 | Highlight #10: Non-Statin Therapies Tags: CoreIM, Internal Medicine, Medical Education, Cholesterol, Statins, LDL, ASCVD, Preventive Cardiology, LpA, ApoB, CAC, ACC2026, Cardiology, PrimaryCare  Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840 Our Sponsors: * Check out ElevenReader and use my code PODCAST for a great deal: https://elevenreader.io Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

    #212 Top 10 Highlights of the New Lipid Guidelines
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About

Core Internal Medicine via following series: 5 Pearls || Clinically relevant pearls Mind the Gap || Why do we do what we do? Gray Matters || Management Reasoning Hoofbeats || Dissecting clinical reasoning At the Bedside || Explore everyday challenges

Information

  • Creator
    Core IM Team
  • Years Active
    2017 - 2026
  • Episodes
    227
  • Rating
    Clean
  • Copyright
    © Copyright 2023 Core IM | Internal Medicine Podcast
  • Show Website
    Core IM | Internal Medicine Podcast

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