Core IM | Internal Medicine Podcast

Dive deeper into why we prescribe medications in the morning vs. at night !Why do we dose warfarin at night? (2:45)Back to the basics - what are the pharmacodynamics of warfarin and how does vitamin K intake matter? (4:28)Practical matters - so what should we tell patients (6:14)Dippers and non-dippers - what happens to blood pressure (BP) at night? (9:32)The surprising link between dipping and cardiovascular outcomes (11:15)Timing is everything… or is it? The evidence behind taking BP meds at night (11:58)Review of teaching points (15:58)What is your prescribing practice with blood pressure medications? Leave a comment, tweet us or share with us on instagram or facebook on how you dose BP meds?Transcript with references and show notesFind the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840Advertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

Solidify your knowledge on stress tests! Quiz yourself on the 5 pearls we will be covering:What are the indications for a stress test? (2:18)How to choose stress protocol in a stress test? (8:29)How to choose diagnostic modality in a stress test? (14:46)How do we interpret results from stress tests, and how should this be communicated to patients? (24:08)Pearl Recap (31:13)Risk of contrast induced nephropathy between arterial and venous contrast load (36:02)For full transcript, infographic and show notes: https://www.coreimpodcast.com/2019/04/24/stress-testing/ Tags: Internal Medicine, Internist, Primary Care Physician, Hospitalists, Emergency Medicine, Nurse Practitioner, Physician Assistant, Family Physician, CardiologyFind the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840Advertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

Dissect 3 interesting cases and improve your clinical reasoning skills! Time Stamps:New features in this episode [0:30]Case one: 66M w RUQ pain [1:09]Case two: 41M w Afib in RVR [9:26]Case three: 50M w Syncope [14:33]Reveal [19:57]Retrieving illness scripts [22:29]Typical versus Atypical presentation of diseases [26:12]For full transcript and show notes: https://www.coreimpodcast.com/?p=21028Tag: medical education, clinical cases, expert clinicians, internal medicine podcastFind the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840Advertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

Check out part 1: Acute Coronary Syndrome and TIMI Risk ScoreLets go deeper into1) How the chest pain history correlates with pathophysiology? [2:40]2) How has high-sensitivity troponin changed the way we think about unstable angina? [7:34]For transcript, infographic and show notes: https://www.coreimpodcast.com/2019/03/27/unstable-angina/Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840Advertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

Solidify your knowledge on inpatient pain management! Quiz yourself on the 5 pearls we will be covering:How effective are non-opioids? ( 3:17)Are NSAIDs contraindicated in patients with kidney, liver or heart disease? If not, how can we use them safely? (10:51)What are the best practices for patients who require opioid analgesia? (19:00)When prescribing opioids at discharge what can we do to minimize harm? (25:02)Throwback to mechanism of acetaminophen and NSAIDs (27:14)How do we believe tylenol works and how does that compare to NSAIDS? (28:27)For full transcript of the audio and show notes: https://www.coreimpodcast.com/2019/03/13/5-pearls-on-pain-management/Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840Advertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

Dive into the complexities of acute coronary syndrome as the podcast unpacks the nuances of chest pain and its implications in emergency settings. Explore the TIMI risk score and its role in identifying high-risk patients, while confronting its limitations. Learn about the difference between unstable angina and NSTEMI through the essential role of troponins in diagnosis. The discussion emphasizes risk stratification and clinical context, blending humor with valuable insights to enhance understanding of heart emergencies.

Dissect an interesting case and improve your clinical reasoning skills!Time Stamps:New features in this episode [00:25]Data point 1: Early hypothesis generation? [03:20]Data point 2: Pertinent negatives? [11:18]Data point 3: Representativeness heuristic over-represented in medical education? [13:28]Data point 4: Economical hypothesis generation by expert clinicians [19:20]Data point 5: Diagnosing diagnostic error [22:10]Data point 6: Moving toward a final diagnosis [27:11]Case resolution [29:50]For full transcript and show notes: https://www.coreimpodcast.com/2019/02/13/hoofbeats-47m-with-chest-pain/Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840Advertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

Solidify your knowledge on Barrett's Esophagus and more! Quiz yourself on the 5 pearls we will be covering:What is Barrett’s esophagus and why should we care? (4:12)Who do we screen for Barrett’s, and why? (8:41)How do we screen for Barrett’s and counsel? (13:50)How do we treat and monitor Barrett’s esophagus? (18:21)Take Aways (21:45)Throwback to trending troponins (23:05)For full transcript of the podcast, show notes and references: https://www.coreimpodcast.com/2019/01/30/5-pearls-on-barretts-esophagus/Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840Advertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

Dissect an interesting case and improve your clinical reasoning skills!Time stamps:Player three has entered the game! [0:15]Case presentation, part 1 [1:20]First impressions [3:24]Rethinking another provider’s diagnosis [4:36]Interpreting the test of treatment [8:48]Keeping your instincts on a leash? [10:58]Case presentation, part 2 [12:33]Diagnostic schemas [14:30]Our discussant’s differential and the final diagnosis [17:46]Shira’s cognitive autopsy [23:02]For full transcript and show notes: https://www.coreimpodcast.com/2019/01/16/hoofbeats-34m-with-fever-headache-and-myalgias/Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840Advertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

Solidify your knowledge on troponins and more! Quiz yourself on the 5 pearls we will be covering:What aspects of the history are concerning in a patient with a positive troponin? (4:00)What is the difference between the TIMI, GRACE, and HEART scores, and how should we use them in the evaluation of a patient with an elevated serum troponin? (8:42)How does the change in troponin over time help with diagnosis, and what should we consider in a patient with uptrending troponins but an unremarkable ECG? (14:48)What can a “negative but detectable” troponin tell you about any patient, not just those with suspected ACS? (21:31)Pearls Recap (25:26)Throwback – what are the first-line medications for alcohol use disorder? (28:36)For full transcript of the podcast, show notes and references: https://www.coreimpodcast.com/2019/01/04/5-pearls-on-troponins/Tags: chest pain, cardiology, myocardial infarction, acute coronary syndromeFind the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840Advertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy