Core IM | Internal Medicine Podcast

Exploring the efficacy of acetaminophen in reducing fevers and improving patient outcomes, compared to NSAIDs. Delving into the mechanism of action of acetaminophen and its role in managing fevers. Discussing the data supporting acetaminophen as a fever reducer and its impact on patient health.

Dissect an interesting case and think about the way clinicians think! Many clinical reasoning pearls here:Time stamps:Case [1:19]Diagnostic weight [8:42]Hypothesis driven reasoning [12:26]Anomalous clinical data [19:30]Final diagnosis [22:20]Take away points [31:21]Human Dx Case link: https://www.humandx.org/o/co7yrer3dim2y59t5c0sbd370?s=FEEDFor show notes: https://www.coreimpodcast.com/2018/12/05/hoofbeats-43m-with-diarrhea/Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840Our Sponsors:* Check out Branch Basics: https://branchbasics.com/COREIM and use the code CoreIM for 15% * Check out FIGS and use my code FIGSRX for a great deal: https://wearfigs.com* Check out Uncommon Goods: https://uncommongoods.com/COREIM* Check out Washington Red Raspberries: https://redrazz.orgAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

Women in medicine inspire us with what they would tell their younger selves. Some of the speakers with Shreya Trivedi MD @ShreyaTrivediMD at the Women in Medicine GirlMedLive Conference:Qaali Hussein MD @QaaliHussein1 Clinical Pearl @ClinicalPearl Marguerite Duane MD @mduanemd Kate Prior MBBS @doctorwibble C. Nicole Swiner MD @docswiner Carmen Landrau MD @DrLandrau Jessica Willett MD @jkwillettmd Ilene Brenner MD @irb123 Joannie Yeh MD @BetaMomma Karen Davidson, Esq karend@kdavidsonlaw.com Suzanne Feigofsky MD @DrSuzyFeigofsky GirlMedLive: https://www.girlmedmedia.com/Episode page: https://www.coreimpodcast.com/2018/11/21/what-would-you-tell-your-younger-self/Tags: career development, professional development, lifelong learning, burnout, imposter syndrome, mentorship, worklife balanceFind the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840Our Sponsors:* Check out Branch Basics: https://branchbasics.com/COREIM and use the code CoreIM for 15% * Check out FIGS and use my code FIGSRX for a great deal: https://wearfigs.com* Check out Uncommon Goods: https://uncommongoods.com/COREIM* Check out Washington Red Raspberries: https://redrazz.orgAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

Dive into the complexities of treating Alcohol Use Disorder (AUD). Discover when unhealthy drinking starts and effective screening methods. Learn about first and second-line medications, alongside their benefits and drawbacks. Explore innovative therapies on the horizon, including neuromodulation and psychedelics. The discussion emphasizes the need for tailored treatments and the SBIRT framework to enhance patient outcomes. Don't miss the insights on motivating interventions that can transform care!

Dissect a working diagnosis through a process of validation!Time Stamps:Your collective differential [0:40]The test results (that you asked for) are in... [2:13]The hospital course, and the diagnosis (or is it?) [7:10]Validating a diagnosis: Base rate, adequacy, and coherence [8:30]Revisiting the differential [14:44]What to do when there is no final diagnosis? [17:39]For full show notes: https://www.coreimpodcast.com/2018/10/24/hoofbeats-85f-with-acute-ams-part-2/Tags: Clinical reasoning, Diagnostic UncertaintyFind the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840Our Sponsors:* Check out Branch Basics: https://branchbasics.com/COREIM and use the code CoreIM for 15% * Check out FIGS and use my code FIGSRX for a great deal: https://wearfigs.com* Check out Uncommon Goods: https://uncommongoods.com/COREIM* Check out Washington Red Raspberries: https://redrazz.orgAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

Submit your diagnosis or differential for this episode's case at HumanDx.org (free registration required): http://hdx.org/2VP ! Part 2 (releasing 10/24) will have the final diagnosis!Time stamps:A new challenge and the rules of the game (1:13)Introduction to Human Dx (3:06)The case: An 85 year-old woman with paranoid delusions (5:28)What exactly is problem representation? (15:15)Building the differential (19:53)For full show notes: https://www.coreimpodcast.com/2018/10/10/hoofbeats-85f-with-acute-ams/ Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840Our Sponsors:* Check out Branch Basics: https://branchbasics.com/COREIM and use the code CoreIM for 15% * Check out FIGS and use my code FIGSRX for a great deal: https://wearfigs.com* Check out Uncommon Goods: https://uncommongoods.com/COREIM* Check out Washington Red Raspberries: https://redrazz.orgAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

Join us in this episode with Doctors Who Create where we explore how Core IM was started and some things that happen behind the scenes!Episode page: https://www.coreimpodcast.com/2018/09/27/meet-the-producers/Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840Our Sponsors:* Check out Branch Basics: https://branchbasics.com/COREIM and use the code CoreIM for 15% * Check out FIGS and use my code FIGSRX for a great deal: https://wearfigs.com* Check out Uncommon Goods: https://uncommongoods.com/COREIM* Check out Washington Red Raspberries: https://redrazz.orgAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

 Let's go deeper into the world of UTIs and delirium!The basics – what are the official (IDSA) definitions for bacteriuria, pyuria, and UTI? (02:07)The lay of the land – how common are bacteriuria and delirium? (07:09)The big money question – do UTIs really cause delirium and what does the evidence tell us? (10:50)Review of teaching points (15:59)Full show notes: https://www.coreimpodcast.com/2018/09/12/mind-the-gap-uti-delirium/ Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840Our Sponsors:* Check out Branch Basics: https://branchbasics.com/COREIM and use the code CoreIM for 15% * Check out FIGS and use my code FIGSRX for a great deal: https://wearfigs.com* Check out Uncommon Goods: https://uncommongoods.com/COREIM* Check out Washington Red Raspberries: https://redrazz.orgAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

Discover the critical implications of long-term proton pump inhibitor (PPI) therapy, especially in elderly patients. Learn about the potential risks like vitamin B12 deficiency and osteoporosis. Find out effective strategies for discontinuing PPI use and managing symptoms through lifestyle changes. Explore how to properly time PPI administration to maximize benefits in treating GERD. Finally, dive into five essential insights that enhance patient education and care related to PPIs.

Explore a clinical case of a 57-year-old woman with confusion and word finding difficulties, emphasizing the challenges of diagnosing patients with incomplete medical histories. Delve into a medical mystery involving ambiguous symptoms and the importance of creating multiple causal models for diagnostics. Navigate the complexity of clinical diagnoses and the risks of overfitting data. Unpack the challenges of dealing with diagnostic uncertainty in medicine and the ethical responsibility of sharing uncertainties with patients.