Core IM | Internal Medicine Podcast

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.

Exploring the nuances of iron deficiency treatment, including oral vs. IV options. Insights on choosing IV iron formulations and using the Ganzoni formula. Understanding Fishbane reaction vs. anaphylaxis during infusion. Discusses dosing regimens for optimal iron supplementation efficacy and safety concerns.

Exploring iron deficiency labs interpretation in inflammation, heavy menstrual bleeding evaluation, and when a woman with iron deficiency should have endoscopy. Highlights the importance of investigating iron deficiency anemia causes in women, including GI cancers, colitis, ulcers, and celiac disease. Emphasizes the diagnostic significance of time in iron deficiency management, advocating for time-limited trials and recurrence monitoring post-repletion.

Explore the nuances of tube feeds with insights on indications, routes of access, complications, counseling patients, and medication interactions. Learn about the impact of malnutrition, initiating tube feeds in hospitalized patients, optimizing formulas, and specialized options for renal and digestive patients. Dive into managing challenges like aspiration risk, diarrhea, and cramping, emphasizing individualized care and patient-specific needs.

How do you manage GDMT in a frail older adult? When is a guardian needed and what is the process for obtaining guardianship?Sponsor: Echonous, the maker of Kosmos, is redefining point-of-care ultrasound at half the price (or less) of comparable carts. Mention Core IM at the Demo to get a free A.I application of choice!Behind The Scenes YouTube InterviewShow Notes & TranscriptTimestamps:(04:03) | Deep Dive 1: How do you approach guideline-directed medical therapy of heart failure with reduced ejection fraction in a frail older adult?(11:55) | Deep Dive 2: When is a guardian needed and what is the process for obtaining guardianship?(28:30) | Deep Dive 3: How do you re-evaluate GDMT in a frail older adult once an adverse event has occurred?(33:27) | Reflections(37:06) | RecapTags: IMCore, CoreIM, nursing home, primary care, cardiology, palliative care hospital medicine, interprofessional education, social work, case managementFind 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