Core IM | Internal Medicine Podcast

Lets go deeper into the misunderstood side of Vancomycin!Where did vancomycin come from, and why is it so controversial? (0:28)What is vancomycin-induced nephrotoxicity and how common is it? (4:37)Vancomycin trough monitoring – what is it good for? (7:28)AUC to MIC ratio – the real math behind vancomycin dosing (7:53)Review of teaching points (10:27)Full show notes: https://www.coreimpodcast.com/2018/08/01/mind-the-gap-vancomycin/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

Dr. Kate Lawrence, a third-year internal medicine resident at NYU, and Dr. Jennifer McNeely, an associate professor specializing in addiction medicine, delve into the nuances of unhealthy alcohol use. They clarify the distinction between alcohol use disorder and unhealthy drinking patterns. The conversation covers crucial screening methods, the implications of moderate alcohol consumption, and the importance of tailored assessments. The duo also highlights screening strategies for hepatocellular carcinoma in chronic hepatitis B patients, emphasizing collaboration in primary care.

Dissect an interesting case and think about the way clinicians think! Many clinical reasoning pearls here:Part one of case (0:56)Cognitive ease and strain (03:51)Metacognition and routine diagnostic timeout (08:15)Think outside the box of organ systems (11:19)Illness behavior (12:30)Part two of case (14:06)Algorithms (17:57)Fast thinking & pattern recognition (19:30)Slow thinking & analytical reasoning (21:31)Diagnosis (25:15)Takeaways (26:52)For full show notes: https://www.coreimpodcast.com/2018/06/27/hoofbeats-54m-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

Be inspired by why so many are proud to be in General Internal Medicine (GIM)!Episode page: https://www.coreimpodcast.com/2018/06/23/celebrating-proudtobegim/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 take your breath away… with a review on steroids in treating COPD exacerbations!Time StampsHow does GOLD (Global Initiative for Chronic Obstructive Lung Disease) define a COPD exacerbation? (2:44)What outcomes do steroids actually improve in treating a COPD exacerbation? (5:08)What is the evidence behind a 5 day steroid “burst”? (7:20)Are IV steroids more powerful than PO? (9:00)For full show notes: https://www.coreimpodcast.com/2018/05/30/mind-the-gap-steriods-in-copd/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

Dive into the world of contrast-induced nephropathy (CIN) with engaging insights on its diagnostic criteria and risk factors. Discover how intra-arterial and intra-venous exposures differ in risk. Learn about preventive measures that can significantly reduce CIN and how even hemodialysis patients can face this challenge. The discussion is enriched with humor and critical analysis, making complex topics more accessible. Don't miss the recap that ties all these pearls of wisdom together!

Dissect an interesting case and think about the way clinicians think! So many clinical reasoning pearls here:Part 1 Case (2:05)Framing bias (7:07)Data-driving reasoning (11:48)Hypothesis-driven approach (12:38)Periodic paralysis syndromes (16:08)Representativeness heuristic (17:26)Part 2 Case (20:51)Pivot Points (31:36)Diagnosis (35:55)Take aways (37:20)Check out the key teaching points: https://www.coreimpodcast.com/2018/05/02/hoofbeats-a-36f-with-weakness/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

Solidify your knowledge on adrenal insufficiency! Quiz yourself on the 5 pearls we will be covering:What are signs and symptoms of chronic adrenal insufficiency (AI)? What is the most sensitive? (2:02)How do we diagnose and differentiate types of adrenal insufficiency? (6:05)How sensitive and specific are the diagnostic tests for AI & at what cutoffs? (12:06)Can we both test and treat adrenal insufficiency at the same time? (16:40)Throwback: How do hypokalemia and hepatic encephalopathy connected? (24:55)Dr. Nidhi Agrawal Recap (19:20)For full show notes: https://www.coreimpodcast.com/2018/04/18/5-pearls-chronic-adrenal-insufficiency/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

Solidify your knowledge on latent TB! Quiz yourself on the 5 pearls we will be covering:Who should be screened for latent tuberculosis infection (LTBI)? (1:45)What screening tests are available and how do they differ? (6:30)What are the LTBI treatment options available? (10:24)What are the major adverse drug effects to consider? (13:28)How frequently should you check liver function tests in a patient being treated for LTBI? What do you do with the results? 17:43Dr. Caplan-Shaw Recap (21:29)For full show notes: https://www.coreimpodcast.com/2018/03/28/5-pearls-latent-tuberculosis-infection/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 ins and outs of albuminuria with five essential pearls! Learn about the effectiveness of dipstick tests versus more reliable urinalysis methods. Explore the conditions leading to transient proteinuria and the importance of timely rechecks. Uncover who should be screened for albuminuria and its link to cardiovascular mortality. Delve into how increased RAAS inhibition can enhance renal outcomes, and get tips on prescribing oral iron for better absorption. This episode is packed with vital insights for improving kidney health!