Core IM | Internal Medicine Podcast

Learn about the importance of genetic counseling and incorporating Lynch syndrome into clinical practice. Discover the challenges and reclassification in genetic testing, the role of general internists in managing hereditary disorders, and the impact of GINA on insurance coverage. Explore prevention and treatment options for Lynch syndrome, and the need for primary care providers to have knowledge about genetic testing.

Dr. Melanie Honig, an ophrologist, joins the hosts to discuss the evidence, framework, goals, and treatment options for hypokalemia in internal medicine. They explore the relationship between potassium levels and cardiac complications, discuss treatment options including the benefits of using torsamide over furosemide, and question the necessity of routinely checking morning labs. They also emphasize the importance of engaging with all clinicians to bring about change in hypokalemia treatment.

#136 How Did Diabetes Medications Become Weight Loss Meds? SURMOUNT-1 trial explores the difference between semaglutide and tirzepatide in outcomes and mechanism. Discussion on the history of obesity treatment and how medications for diabetes were found to have a weight loss benefit. The effectiveness of tirzepatide as a weight loss drug compared to semaglutide. Speculations on future medications with similar potential.

Discussion on starting, continuing, and stopping GDMT medications for heart failure patients with kidney disease. Exploring the use of hydralazine and isosorbide dinitrate in hypertension management. Insights on ivabradine as a medication for heart failure. Considerations for starting GDMT inpatient versus outpatient. Addressing the question of EF recovery in patients on GDMT.

Explore improving diagnostic errors, cognitive biases, and practices to decrease error in medical education research. Emphasize the importance of building knowledge base and illness scripts. Highlight significance of reflection, feedback, and creative ways to obtain feedback in clinical practice.

Topics discussed in this podcast include side effects of tacrolimus and mycophenolate, medication interactions, unique causes of acute kidney injury in transplant recipients, viral syndromes associated with fever, signs and symptoms of rejection, immunosuppression, medication reconciliation, infections in transplant patients, transplant rejection, cancer after transplant, the role of steroids in post-kidney transplant maintenance, medication management and adherence, challenges and treatment options for hydro-nephrosis, viral serologies and risk factors, and cancer screening in immunocompromised patients.

In patients with heart failure with low ejection fraction and chronic coronary disease without unstable symptoms, does stenting open blocked coronary arteries extend life or reduce hospitalizations? There is some literature to suggest those with low EF may benefit from revascularization with surgery.How does the REVIVED trial change how we think about these patients? Tune in to the first episode in this new series brought to you by Core IM in collaboration with NEJM Group.Show notes & TranscriptAccess to Rotation Prep Cardiology guide on NEJM Resident 360 is free for August 2023. View the relevant sections on ACS and CHF.Timestamps00:50 Question REVIVED addressed01:44 Revascularication in HFrEF06:32 Revascularization in stable CAD10:02 REVIVED trial12:20 Summary and takeawaysTags: IMCore, CoreIM, cardiology, internal medicine podcast, hospitalist, stent, CABG, evidence-based medicineFind 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

Laugh and be humbled along some of Dr. Maria Rosasco's most memorable July stories !Listen to the original July Stories: https://bit.ly/3Y4n8jGBehind The Scenes videos on YouTubeSubscribe to our new Youtube Channel !Tags: medical humanities, internal medicine, residency, medical school, interprofessional education, rotation, imposter syndrome, feedbackFind 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

BONUS on Cosyntropin stimulation tests! What exactly is it? How do you interpret them? What is the difference between adrenal insufficiency and steroid withdrawal syndrome?Use promo code COREIM for 1 month of free access to Glass Pro at https://glass.health/coreim Behind The Scenes video on YouTubeShow notes & TranscriptSubscribe to our new Youtube Channel !Tags: IMCore, CoreIM, endocrine, internal medicine podcast, hospitalist, glucocorticoid withdrawal, fatigueFind 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

How do you choose between the different steroids? At what dose and duration do you get concerned about worrisome complications? What types of prophylaxis should be started in patients on steroids and when?In which patients should we wean steroids vs. stop abruptly, and how should we do so? What factors limit steroid weaning?Use promo code COREIM for 1 month of free access to Glass Pro at https://glass.health/coreim Subscribe to our new Youtube Channel !Use this link for CME-MOC credit with ACPShow notes & TranscriptTime Stamps02:59 Types of Corticosteroids14:31 Side Effects of Steroids21:15: Prophylaxis 27:32 Steroid Weaning 33:38 Steroid Weaning Limitations Tags: IMCore, CoreIM, endocrine, adrenal insufficiency, internal medicine podcast, hospitalist, hydrocortisone, fludrocortisone, methylprednisolone, prednisone, dexamethasone, steroid withdrawal syndromeFind 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