The Curbsiders Internal Medicine Podcast Random Pearls #IM2019 Day 1
4 snips
Apr 15, 2019 
Join Renee Dversdal, Chief of POCUS at Cashlack Memorial, as she shares insights from the ACP’s Internal Medicine Meeting in Philadelphia. She dives into the significance of point-of-care ultrasound in diagnosis. The conversation also touches on Lyme disease treatment, management of back pain, and the latest on sexually transmitted infections. Listeners will benefit from invaluable pearls on cardiology, including when it’s safe to resume intimacy after a myocardial infarction and the flip-flop fungal sign in pulmonology. Tune in for a wealth of practical medical knowledge!
AI Snips
Chapters
Transcript
Episode notes
Rectal Swabs in STI Testing
- Always inquire about receptive anal intercourse when testing women for gonorrhea and chlamydia.
- Perform rectal swabs to avoid missing infections present only in anal sites.
Manage Diuretics for Better Absorption
- Switch from furosemide to torsemide or bumetanide if diuresis is inadequate due to variable bioavailability.
- Choose diuretics with more reliable absorption for better clinical response.
Paracentesis Eases Heart Failure
- Perform therapeutic paracentesis in heart failure patients with ascites to improve diuretic responsiveness.
- Removing fluid relieves intra-abdominal pressure on kidneys, enhancing diuretic effect and symptoms.