
The Curbsiders Internal Medicine Podcast #437 Clinical Pearls ACP #IM2024
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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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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.
Preoperative Cannabis Use
- Advise patients to stop cannabis use before elective surgery.
- Preoperative use significantly increases perioperative adverse cardiac outcomes.
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.
