Episodes

Check out part 1: Acute Coronary Syndrome and TIMI Risk Score Lets go deeper into 1) How the chest pain history correlates with pathophysiology? [2:40] 2) How has high-sensitivity troponin changed the way we think about unstable angina? [7:34]

Solidify your knowledge on inpatient pain management! Quiz yourself on the 5 pearls we will be covering: How effective are non-opioids? ( 3:17) Are NSAIDs contraindicated in patients with kidney, liver or heart disease? If not, how can we use them safely? (10:51) What are the best practices for patients who require opioid analgesia? (19:00) When prescribing opioids at discharge what can we do to minimize harm? (25:02) Throwback to mechanism of acetaminophen and NSAIDs (27:14) How do we bel...

Let's go deeper into the world of ACS and the origin of the TIMI score and major adverse cardiac events "MACE" outcomes! The basics – what is acute coronary syndrome? (4:08) Clinical context matters – angina pectoris, atypical chest pain, and troponins (5:22) You can’t just “cath” everyone – risk stratification to identify patients with high mortality risk (9:42) TIMI isn’t perfect – the issues with the score and MACE outcomes (14:00) Review of teaching points (17:58) For full transcript a...

Dissect an interesting case and improve your clinical reasoning skills! Time Stamps: - New features in this episode [00:25] Data point 1: Early hypothesis generation? [03:20] Data point 2: Pertinent negatives? [11:18]

Solidify your knowledge on Barrett's Esophagus and more! Quiz yourself on the 5 pearls we will be covering: What is Barrett’s esophagus and why should we care? (4:12) Who do we screen for Barrett’s, and why? (8:41) How do we screen for Barrett’s and counsel? (13:50) How do we treat and monitor Barrett’s esophagus? (18:21) Take Aways (21:45) Throwback to trending troponins (23:05) For full transcript of the podcast, show notes and references: https://www.coreimpodcast.com/2019/01/30/5-pear...

Dissect an interesting case and improve your clinical reasoning skills! Time stamps: - Player three has entered the game! [0:15] Case presentation, part 1 [1:20] First impressions [3:24] Rethinking another provider’s diagnosis [4:36]

Solidify your knowledge on troponins and more! Quiz yourself on the 5 pearls we will be covering: - What aspects of the history are concerning in a patient with a positive troponin? (4:00) What is the difference between the TIMI, GRACE,

Let's dive deeper into the world of acetaminophen and fever and how it may work and patient outcomes Time Stamps: - - What data is there to support the use of acetaminophen as a fever reducer? (2:08) - Does acetaminophen improve patient outcomes?

Dissect an interesting case and think about the way clinicians think! Many clinical reasoning pearls here: Time stamps: Case [1:19] Diagnostic weight [8:42] Hypothesis driven reasoning [12:26] Anomalous clinical data [19:30] Final diagnosis [22:20] Take away points [31:21] Human Dx Case link: https://www.humandx.org/o/co7yrer3dim2y59t5c0sbd370?s=FEED For show notes: https://www.coreimpodcast.com/2018/12/05/hoofbeats-43m-with-diarrhea/ Find the best disability insurance for you: https://...

Women in medicine inspire us with what they would tell their younger selves. Some of the speakers with Shreya Trivedi MD @ShreyaTrivediMD at the Women in Medicine GirlMedLive Conference: Qaali Hussein MD @QaaliHussein1 Clinical Pearl @ClinicalPearl Marguerite Duane MD @mduanemd Kate Prior MBBS @doctorwibble C. Nicole Swiner MD @docswiner Carmen Landrau MD @DrLandrau Jessica Willett MD @jkwillettmd Ilene Brenner MD @irb123 Joannie Yeh MD @BetaMomma Karen Davidson, Esq karend@kdavidsonlaw.com Suz...

Solidify your knowledge on Alcohol Use Disorder (AUD) treatment and more! Quiz yourself on the 5 pearls we will be covering: Throwback: At what levels of drinking does unhealthy alcohol use start, and how do you screen for unhealthy alcohol use? (1:47) What does the brief intervention and counseling part of SBIRT entail? (4:43) What are the first line medications for AUD and contraindications to them? (11:11) What are the second-line medications for AUD and their limitations? (18:14) What n...

Dissect a working diagnosis through a process of validation! Time Stamps: - Your collective differential [0:40] The test results (that you asked for) are in... [2:13] The hospital course, and the diagnosis (or is it?) [7:10]

Submit your diagnosis or differential for this episode's case at HumanDx.org (free registration required): http://hdx.org/2VP ! Part 2 (releasing 10/24) will have the final diagnosis! Time stamps: A new challenge and the rules of the game (1:13) Introduction to Human Dx (3:06) The case: An 85 year-old woman with paranoid delusions (5:28) What exactly is problem representation? (15:15) Building the differential (19:53) For full show notes: https://www.coreimpodcast.com/2018/10/10/hoofbeats-...

Join us in this episode with Doctors Who Create where we explore how Core IM was started and some things that happen behind the scenes! Episode page: https://www.coreimpodcast.com/2018/09/27/meet-the-producers/ Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840 Our Sponsors: * Check out FIGS: https://wearfigs.com * Click for 15% off Premium Starter Kit at Branch Basics: https://branchbasics.com/COREIM Advertising Inquiries: https://redc...

Let's go deeper into the world of UTIs and delirium! - The basics – what are the official (IDSA) definitions for bacteriuria, pyuria, and UTI? (02:07) The lay of the land – how common are bacteriuria and delirium? (07:09)

Solidify your knowledge on Proton-Pump Inhibitors (PPIs) and more! Quiz yourself on the 5 pearls we will be covering: What are associated adverse effects for patients are on long-term PPIs? (2:02) What are strategies to get your patient off PPIs? (10:57) How do histamine-2 (H2) receptor antagonists blockers work and how can it explain why H2 blockers might not be as effective as PPIs? (13:30) How should you educate patients to take PPIs to get the maximize benefit? (16:48) How do you manage...

Dissect an interesting case and think about the way clinicians think! Many clinical reasoning pearls here: Case history and exam 00:40 Causal models 11:24 Facets versus diagnoses 13:25 Problem representation 16:37 Part two of the case 17:10 Occam’s razor, Hickam’s dictum, and Crabtree’s bludgeon 23:00 Diagnostic uncertainty 27:10 Learning points 34:24 For show notes: https://www.coreimpodcast.com/2018/08/15/hoofbeats-57f-with-confusion/ Find the best disability insurance for you: https...

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)

Solidy your understanding of unhealthy alcohol use! Quiz yourself of the 5 Pearls we will be covering: What is alcohol use disorder (AUD), and how is it different from unhealthy alcohol use? Who should we screen for unhealthy alcohol use, and which screening tools are preferred? What are the consequences of unhealthy alcohol use? Can moderate alcohol be good for patients, and if so, how much is “moderate”? Who, how and how often should patients with chronic hepatitis B infection be screened...

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://...

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/

Let’s take your breath away… with a review on steroids in treating COPD exacerbations! Time Stamps - How does GOLD (Global Initiative for Chronic Obstructive Lung Disease) define a COPD exacerbation? (2:44)

Solidify your understanding of contrast-induced nephropathy (CIN)! Quiz yourself on the 5 pearls we will be covering: Are there diagnostic criteria for CIN? (2:11) Is there a difference between exposure to intra-arterial vs. intra-venous contrast in terms of risk of CIN? (6:28) What are the biggest risk factors for CIN? (14:48) What preventive measures have been shown to best reduce the risk of CIN? (19:41) Can ESRD patients on hemodialysis still suffer from CIN? (23:32) Recap (25:49) For...

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 ...