The Curbsiders Internal Medicine Podcast

#437 Clinical Pearls ACP #IM2024

30 snips
Apr 29, 2024
Topics covered include angina, COPD-asthma overlap, home oxygen, colon cancer screening, cancer survivorship, tobacco cessation, e-cigarettes, new drugs, RSV vaccine, addiction medicine, interstitial lung disease, APOL1-mediated kidney disease, testosterone therapy, and antimicrobial resistance.
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ADVICE

Cannabis and Heart Health

  • Counsel patients on potential cardiovascular risks of cannabis use, including vasoconstriction.
  • Acknowledge that some use it for pleasure, sleep, nightmares, or PTSD.
ADVICE

Preoperative Cannabis Use

  • Advise patients to stop cannabis use before elective surgery.
  • Preoperative use significantly increases perioperative adverse cardiac outcomes.
ADVICE

Suspecting and Managing ILD

  • Investigate unexplained cough, dyspnea, or interstitial changes with ILD.
  • Consider risk factors for progression, like tobacco use, age, and family history.
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