The Curbsiders Internal Medicine Podcast #394 Recap, Top Pearls from ACP #IM2023
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May 8, 2023 
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Give Beta‑Lactam Before Vancomycin
- When treating suspected hospital pneumonia, give the beta‑lactam before vancomycin unless MRSA is proven.
- Early beta‑lactam administration reduces 48‑hour and 7‑day mortality compared with vancomycin‑first approaches.
Give Patients A Team Info Card
- Give patients a simple hospitalist info card listing who their team is, when rounds occur, and how to contact them.
- Doing this significantly raises 'excellent' patient satisfaction scores and reduces confusion.
Actively Screen For GSM
- Ask postmenopausal patients about vaginal and urinary symptoms; many don't volunteer genitourinary syndrome of menopause (GSM).
- Treat GSM with lubricants, pelvic floor PT, and topical vaginal estrogen (cream, tablet, or ring) after shared decision‑making.