Core IM | Internal Medicine Podcast

Let’s go deeper into to why we think about diseases the way we do: COPD Classifications through the years!Time Stamps:How did prior understanding of COPD pathophysiology lead to COPD classifications in the past? (3:25)How is COPD diagnosed? (6:13)How has COPD been classified and why? (6:42)For full show notes: https://www.coreimpodcast.com/2018/02/14/mind-the-gap-copd-classifications/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

Quiz yourself on the following 5 Pearls on Chronic Hepatitis B (HBV) Management!What is the focused history, physical and lab workup in a patient with chronic HBV? (1:40)What is the best imaging to evaluate for intermediate stages of liver fibrosis? (4:06)What scoring tools can you use to estimate fibrosis and what are their limitations?What factors do you use to assess which patients get treatment? (7:41)What drugs are available for HBV treatment and how do you choose? (11:18)Which chronic HBV patient should be screened for HCC, and how often? (14:45)For full show notes: https://www.coreimpodcast.com/2018/01/31/5-pearls-on-chronic-hepatitis-b-2/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

Learn about Chronic Hepatitis B screening and vaccinations with 5 Pearls including who to screen, transmission risks, test orders, vaccination populations, and seroconversion implications. Understand the role of primary care in managing HBV, screening guidelines, interpreting serology markers, and insights on clinical trials.

Let's go deeper as to why we do what we do: albumin in spontaneous bacterial peritonitis (SBP) ! Time Stamps:1. How much albumin is recommended in SBP? (1:45)2. What antibiotics are used for the treatment of SBP? (2:30)3. Why do we give albumin in SBP? (4:15) - How does albumin compare to crystalloid? (7:15) - Do we always have to give to albumin? (9:00) For full shownotes: https://www.coreimpodcast.com/2018/01/03/mind-the-gap-albumin-in-sbp/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

Cement your knowledge on Hepatic Encephalopathy (HE)! Quiz yourself on the following 5 Pearls we’ll be covering on HE: Time StampsWhat are other causes of altered mental status in cirrhotics? (1:45)What are common precipitants for an acute episode of HE?What is asterixis? (6:10)What is the diagnostic utility of a cirrhotic with asterixis?How do lactulose & rifaximin reduce symptoms of HE? (11:00)What are their indications?What is the connection between hypokalemia and HE? (14:10)What is the discriminatory power of an ammonia level in HE? (16:40)In what situation does the NH3 has stronger predictive value?For full shownotes: https://www.coreimpodcast.com/2017/12/13/5-pearls-on-hepatic-encephalopathy/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

Part 2 on Abdominal Paracentesis ! Let's go deeperTime StampsShould a cirrhotic’s INR and platelets deter you from doing a paracentesis? (3:15)Do generalist have worse procedure complications than specialists?  (5:40)Do you need to send ascites fluid in blood culture bottles? (6:10)For full shownotes: https://www.coreimpodcast.com/2017/11/29/mind-the-gap-abdominal-paracentesis-2/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 iron deficiency anemia! Quiz yourself on the 5 Pearls we will be covering:Should patients be screened for iron deficiency? If so, who and how often? (1:40)What are the indications for diagnostic endoscopy in iron deficient patients? (3:23)How should you advice patients to take oral iron? (5:53)What is optimal dosing for oral iron?In which patients would you consider IV iron? What are the risks? (11:41)Throwback Question: What is a medication-overuse HA? (14:44)For full shownotes: https://www.coreimpodcast.com/2017/11/15/5-pearls-on-iron-deficiency-anemia/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

You have always been told to do a diagnostic paracentesis on admission in cirrhotics with ascites, but why? Can you just get away with clinical judgement to rule out SBP? Is faculty judgement any better? And if you’re going to do a paracentesis on admission, do you need to do it right away? Go deeper with Dr. Steve Liu and Dr. Janine Knudsen!Click the link for the full show notes: https://www.coreimpodcast.com/2017/11/01/mind-the-gap-admission-paracentesis/Time StampsWhat do guidelines say about diagnostic paracentesis in cirrhotics with ascites? (1:51)Can we just use clinical judgement to decide if paracentesis is warranted? (3:13)Do attendings have better clinical judgement than residents to rule out SBP?Does timing of paracentesis on admission matter for mortality? (6:33)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

Cement your knowledge on headaches with 5 Pearls on when imaging is indicated, approach to abortive medications, medication overuse headaches, when to use migraine prophylaxis and effective non-pharmacological treatment for migraines!For full shownotes: https://www.coreimpodcast.com/2017/10/18/5-pearls-on-headaches/Time StampsWhat are the indications for imaging for HA? (1:36)What is your approach to abortive therapy for migraines? (4:45)How do you diagnose medication overuse HA? (6:41)What is your approach to migraine prophylaxis? (8:29)What are some evidence based nonpharmacological therapies for migraines? (10:42)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

CORE IM is an independent consortium of educators aligned to create internal medicine-specific portable learning tools in the form of podcasts, corresponding show notes and illustrations. Segments include 5 Pearls and Mind The Gap.For more information: https://www.coreimpodcast.com/2017/10/13/introducing-the-core-im-podcasts-5-pearls-mind-the-gap/Sincerely,CORE IM team:Executive Producer: Shreya P. Trivedi, MD (@ShreyaTrivediMD)Five Pearls Producer: Marty Fried, MD (@Marty_Fried)Mind the Gap Producer: Steve Liu, MDAdvisors: Neil Shapiro MD, John Hwang MD, Vincent Santillo MDPodcast editing and technical set-up: Harit Shah and Steven Liu MDDirector of Sound Design, Theme song: Shaun FinneganArtistic director: Dr. Mike Natter (@mike_natter)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