The Curbsiders Internal Medicine Podcast #333 Prescribing pearls, Periop Medicine, PMR, Gout, OSA, Nocturia, Food as Medicine, a new Obesity paradigm, and rethinking Afib! ACP #IM2022 Highlights
19 snips
May 6, 2022 AI Snips
Chapters
Transcript
Episode notes
Use Potassium Salt Substitute Carefully
- Consider population-level salt substitute (25% KCl) to lower blood pressure but screen individuals for hyperkalemia risk.
- Avoid potassium substitutes in patients on ACE/ARB, spironolactone, or with baseline hyperkalemia.
Recognize PMR By Bilateral Shoulder Pain
- Suspect polymyalgia rheumatica in patients >50 with prominent bilateral shoulder aching and elevated ESR/CRP.
- Apply ACR/EULAR criteria before committing to long steroid courses.
Be Aggressive With Urate-Lowering Therapy
- Start urate-lowering therapy at first gout flare if CKD, uric acid >9 mg/dL, or urolithiasis are present.
- Use these risk features to decide early initiation rather than waiting for recurrent flares.