Core IM | Internal Medicine Podcast

Explore the intricacies of diuretic resistance with three compelling cardiorenal case studies. Discover how intra-abdominal hypertension and low cardiac output challenge effective diuretic use. Learn the importance of renal perfusion and hemodynamic assessments in managing fluid issues, particularly in critically ill patients. Uncover key interventions and decision-making strategies that can improve patient outcomes in complex scenarios involving heart and kidney complications.

Explore the art of patient handoffs with memorable stories and five essential questions to enhance communication. Discover the weight of delivering complete information about patient goals and their prognosis to night teams, especially for critically ill individuals. Navigate the complexities of emergency situations where consent and language barriers come into play. Uncover the importance of effective communication during overnight shifts to ensure continuity of care, ultimately impacting patient outcomes.

Explore the philosophy of hospice care and who qualifies for it. Learn about the hospice team composition and payment options. Understand the different levels of care available and limitations of Medicare benefits. Dive into the importance of caregiver support and the value of hospice care in enhancing end-of-life experiences.

Explore microskills from 'Microskills: Small Actions, Big Impact' for navigating the professional world gracefully. Learn about mastering email communication, receiving and processing feedback in residency, meaningful end-stage conversations in healthcare, and expressing gratitude to mentors.

Exploring the impact of colonoscopy on preventing colon cancer, analyzing NordICC trial, the complexities in studying colon cancer screening benefits, debate over analysis methods, comparison of colonoscopy and sigmoidoscopy, controversy in screening colonoscopy, and importance of advising patients on lifestyle modifications.

Explore the complexities of HFpEF: causes, diastolic dysfunction, BNP levels, scoring systems, and treatment options. Learn about the challenges in diagnosis, risk scores, alternative maneuvers, and comprehensive management strategies. Delve into the nuances of HFpEF management with medications, gender differences, and research updates.

Learn about how immune checkpoint inhibitors work and the different immune-related adverse events, including when they can present and what factors influence adverse effects. Discover the role of complementary medicine in this patient population. Sponsored by Panacea Financial, discussing side effects, oncology, and the importance of disability insurance.

Exploring cardiorenal considerations such as diuretic response, loop diuretics, and medical therapy in CKD. Differentiating between cardio-renal syndrome and intrinsic renal processes. Discussing diuretic dosing strategies, assessing response in hospitalized patients, and medication management in CKD.

Learn about the benefits of rhythm control in atrial fibrillation, the use of electrical cardioversion, side effects of antiarrhythmics, and when catheter ablation should be considered. Explore the nuances of treating AFib patients with class III and class Ic antiarrhythmics, and understand the importance of tailoring treatment approaches to individual patient responses.

Explore the evolving story of asthma management and the key players in this field. Learn about the impact of the MANDALA Trial, which shows the benefits of a combination inhaler for asthma. Delve into the debate on early medication initiation and optimizing asthma care with updated guidelines. Discover the importance of smart therapy and proper inhaler use for enhanced asthma management.