Other than infection, what do you think about as other causes of fever? How can you distinguish sepsis from drug fever from antibiotics? What medications are most likely to cause neurotoxicity? What are some risk factors? How do you think about goals of care with patients? 

Show notes & Transcript:  https://bit.ly/3P8wqG6

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Time stamps

• 02:50 Deep Dive #1
• 13:12 Deep Dive #2
• 26:39 Deep Dive Recap

Tags: IM Core, CoreIM, antibiotics, CMO, DNR/DNI, sepsis, reflection, grey matters

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What are the 3 different types of inhaler devices and what should you educate patients about each? When do you stop the inhaled steroid in COPD? And when do you think of increasing the dose? What is important to communicate at the time of diagnosis, and during goals of care discussions?

Show notes, Transcript and References:

https://www.coreimpodcast.com/2022/06/22/5-pearls-on-copd-management/

Sponsor: Use the code “COREIM-AMBOSS” to get a free month of access on https://go.amboss.com/CoreIM-E3

Timestamps:

• Pearl 1: 3:20
• Pearl 2: 8:20
• Pearl 3: 15:47
• Pearl 4: 26:55
• Pearl 5: 34:10

Tags: IMCore, CoreIM, Pulmonary, medication management, spirometry

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How do you ask about spiritual health? How is spirituality different from religion?

Show notes, Transcript and References:

https://www.coreimpodcast.com/2022/06/15/spirituality/

Time stamps

• 00:01 What is spirituality?
• 7:12 Why does spirituality matter?
• 12:09 How do we screen for it?
• 18:50 Chaplains
• 27:49 Conclusion

 

Tags: IM Core, CoreIM, ethics, medical humanities

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What are the indications for a simple transfusion? And what the indications for an exchange transfusion? What is your approach to pain management in patients with sickle cell? What are the treatment options for sickle cell and which ones actually decrease sickle crisis and improve mortality? What are some of the major sickle cell complications to watch out for and how can we prevent some of them?

Show notes, Transcript and References: https://www.coreimpodcast.com/2022/06/01/5-pearls-on-sickle-cell-anemia/

Sponsor: https://go.amboss.com/CoreIM-E2

Timestamps:

• 1:33 Pearl 1
• 4:48 Pearl 2
• 18:43 Pearl 3
• 29:45 Pearl 4
• 35:22 Pearl 5

Tags: IM Core, CoreIM, hematology oncology, health inequity, vaso-occlusive crisis

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How do you counsel patients on beta blockers? Is one beta-blocker better than the other? What is preferred: ACEi, ARBs or ARNIs? What are the pros and cons of each? How does spironolactone compare to eplerenone? When do you stop mineralocorticoid receptor antagonist? What are risks with SGLT2 inhibitors? How do you initiate GDMT? Which meds do you start first and in what order?

Show notes, Transcript and References:  https://www.coreimpodcast.com/2022/05/11/5-pearls-on-guideline-directed-medical-therapy/

Sponsor: https://go.amboss.com/GDMT

Get CME-MOC credit with ACP: https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/core-im 

Time stamps:

• 03:13 Pearl 1
• 12:14 Pearl 2
• 20:36 Pearl 3
• 26:42 Pearl 4
• 32:16 Pearl 5

Tags: IM Core, CoreIM, heart failure with reduced ejection fraction, GDMT, treatment, cardiology

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How much of D5W vs. isotonic saline contributes to intravascular volume? How do you distinguish between oncotic pressure and tonicity? What balanced solutions do you reach for? What is the data behind using colloids like albumin as an intravascular expander? How much do pRBCs stay in the plasma? 

Show notes, Transcript and References:  https://www.coreimpodcast.com/2022/04/27/fluids-colloids-5-pearls-segment/

Get CME-MOC credit with ACP: https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/core-im 

Time stamps:

• 02:14 Intro
• 04:26 Pearl 1
• 11:08 Pearl 2
• 20:43 Pearl 3
• 31:06 Pearl 4
• 35:06 Pearl 5

Tags: IM Core, CoreIM, fluids, hypertonic, volume, crystalloid, tonicity, blood, nephrology, hospital medicine

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What do you include in your initial basic work-up for suspected pulmonary hypertension? Do you know how to calculate the PASP on the ECHO? What physiological insults that can cause high pulmonary pressures? How can we interpret the E/e’ ratio?

Whiteboard animation video on YouTube

Show notes, Transcript and References

Get CME-MOC credit with ACP

Time stamps:

• 02:18 | Intro
• 05:27 | Pearl 1 
• 12:17 | Pearl 2
• 16:13 | Pearl 3
• 24:04 | Pearl 4
• 30:08 | Pearl 5

Tags: IM Core, CoreIM, PASP, Echo, hypoxia, PA pressure, vascular resistance

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How can we use food as medicine? How can we best counsel our patients on their diets? Which pre-set diets can we recommend for or against? How can we make the changes sustainable? 

Show notes, Transcript and References: https://www.coreimpodcast.com/2022/03/23/obesity-and-nutr…-2021-sgim-recap/

Time stamps:

• 03:10 Trends in weight and dieting
• 06:01 Counseling patients on diet
• 09:35 Food group recommendations
• 14:53 Pre-set diets
• 20:47 Making sustainable changes

Tags: Core IM, IM Core, diet, salt intake, fiber, weight

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What are some tricks to help you perform a virtual physical exam? What role do these visits play in our overall care for the patient? What tools do we have at our disposal for a more thorough evaluation?

Show notes, Transcript and References: https://www.coreimpodcast.com/2022/03/09/telemedicine-and…-2021-sgim-recap/

Tags: IM Core, CoreIM, tele visit, gizmos, history taking, virtual, physical exam, assessment, functional status, tips

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How long should you anticoagulant for a PE? When can you safely stop anticoagulation for thrombogenic patients who need an urgent biopsy? Should an IVC filter be placed to prefer further embolization of a DVT? What percentage of patients with cancer associated blood clots will have progression while on anticoagulation?

Show Notes, Transcript, and References: https://www.coreimpodcast.com/2022/02/23/24433/

Get CME-MOC credit with ACP: https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/core-im

Time Stamps:

• 02:40 Deep Dive #1 Anticoagulation
• 08:50 Deep Dive #2 DOACs
• 14:08 Deep Dive #3 IVC Filter
• 17:49 Deep Dive #4 Biopsy
• 25:00 Recap

Tags: Core IM, IM Core, Anticoagulation, Bleeding, DOACs, IVC, reflections, clots

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