Core IM | Internal Medicine Podcast Core IM Team

What are the 3 different types of inhaler devices and what should you educate patients about each? When do you stop the inhaled steroid in COPD? And when do you think of increasing the dose? What is important to communicate at the time of diagnosis, and during goals of care discussions? Show notes, Transcript and References:https://www.coreimpodcast.com/2022/06/22/5-pearls-on-copd-management/ (https://www.coreimpodcast.com/2022/06/22/5-pearls-on-copd-management/)Sponsor: Use the code “COREIM-AMBOSS (https://go.amboss.com/CoreIM-E3)” to get a free month of access on https://go.amboss.com/CoreIM-E3 (https://go.amboss.com/CoreIM-E3)Timestamps:* Pearl 1: 3:20* Pearl 2: 8:20* Pearl 3: 15:47* Pearl 4: 26:55* Pearl 5: 34:10Tags: IMCore, CoreIM, Pulmonary, medication management, spirometry

How do you ask about spiritual health? How is spirituality different from religion?Show notes, Transcript and References: https://www.coreimpodcast.com/2022/06/15/spirituality/Time stamps* 00:01 What is spirituality?* 7:12 Why does spirituality matter?* 12:09 How do we screen for it?* 18:50 Chaplains* 27:49 Conclusion Tags: IM Core, CoreIM, ethics, medical humanities

What are the indications for a simple transfusion? And what the indications for an exchange transfusion? What is your approach to pain management in patients with sickle cell? What are the treatment options for sickle cell and which ones actually decrease sickle crisis and improve mortality? What are some of the major sickle cell complications to watch out for and how can we prevent some of them?Show notes, Transcript and References: https://www.coreimpodcast.com/2022/06/01/5-pearls-on-sickle-cell-anemia/Sponsor: https://go.amboss.com/CoreIM-E2 (https://go.amboss.com/CoreIM-E2)Timestamps:* 1:33 Pearl 1* 4:48 Pearl 2* 18:43 Pearl 3* 29:45 Pearl 4* 35:22 Pearl 5Tags: IM Core, CoreIM, hematology oncology, health inequity, vaso-occlusive crisis

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

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

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