Core IM | Internal Medicine Podcast

Dr. Carly Kaplan-Shaw, pulmonologist and TB program director at Bellevue, gives an authoritative clinical recap. Dr. Rafael Revedon, an NYU IM resident, and Varen Kolf, pulmonary/critical care fellow, discuss who to screen for latent TB. They compare TST versus IGRA, review treatment regimens and shorter rifamycin options, and cover monitoring, hepatotoxicity, and important drug interactions.

Discover the ins and outs of albuminuria with five essential pearls! Learn about the effectiveness of dipstick tests versus more reliable urinalysis methods. Explore the conditions leading to transient proteinuria and the importance of timely rechecks. Uncover who should be screened for albuminuria and its link to cardiovascular mortality. Delve into how increased RAAS inhibition can enhance renal outcomes, and get tips on prescribing oral iron for better absorption. This episode is packed with vital insights for improving kidney health!

Let’s go deeper into to why we think about diseases the way we do: COPD Classifications through the years!Time Stamps:How did prior understanding of COPD pathophysiology lead to COPD classifications in the past? (3:25)How is COPD diagnosed? (6:13)How has COPD been classified and why? (6:42)For full show notes: https://www.coreimpodcast.com/2018/02/14/mind-the-gap-copd-classifications/Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840Our Sponsors:* Check out Quince: https://quince.com/coreim* Use code FIGSRX for a great deal: https://wearfigs.comAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

Dr. Amy Tang, a hepatology clinician and educator, walks through practical management of chronic hepatitis B. Short segments cover focused history and labs. Imaging and noninvasive fibrosis tools are compared. Clear criteria for who to treat and drug choice considerations are reviewed. Practical guidance on monitoring, stopping rules, and HCC screening rounds out the discussion.

Learn about Chronic Hepatitis B screening and vaccinations with 5 Pearls including who to screen, transmission risks, test orders, vaccination populations, and seroconversion implications. Understand the role of primary care in managing HBV, screening guidelines, interpreting serology markers, and insights on clinical trials.

Let's go deeper as to why we do what we do: albumin in spontaneous bacterial peritonitis (SBP) ! Time Stamps:1. How much albumin is recommended in SBP? (1:45)2. What antibiotics are used for the treatment of SBP? (2:30)3. Why do we give albumin in SBP? (4:15) - How does albumin compare to crystalloid? (7:15) - Do we always have to give to albumin? (9:00) For full shownotes: https://www.coreimpodcast.com/2018/01/03/mind-the-gap-albumin-in-sbp/Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840Our Sponsors:* Check out Quince: https://quince.com/coreim* Use code FIGSRX for a great deal: https://wearfigs.comAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

Cement your knowledge on Hepatic Encephalopathy (HE)! Quiz yourself on the following 5 Pearls we’ll be covering on HE: Time StampsWhat are other causes of altered mental status in cirrhotics? (1:45)What are common precipitants for an acute episode of HE?What is asterixis? (6:10)What is the diagnostic utility of a cirrhotic with asterixis?How do lactulose & rifaximin reduce symptoms of HE? (11:00)What are their indications?What is the connection between hypokalemia and HE? (14:10)What is the discriminatory power of an ammonia level in HE? (16:40)In what situation does the NH3 has stronger predictive value?For full shownotes: https://www.coreimpodcast.com/2017/12/13/5-pearls-on-hepatic-encephalopathy/Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840Our Sponsors:* Check out Quince: https://quince.com/coreim* Use code FIGSRX for a great deal: https://wearfigs.comAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

Part 2 on Abdominal Paracentesis ! Let's go deeperTime StampsShould a cirrhotic’s INR and platelets deter you from doing a paracentesis? (3:15)Do generalist have worse procedure complications than specialists?  (5:40)Do you need to send ascites fluid in blood culture bottles? (6:10)For full shownotes: https://www.coreimpodcast.com/2017/11/29/mind-the-gap-abdominal-paracentesis-2/Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840Our Sponsors:* Check out Quince: https://quince.com/coreim* Use code FIGSRX for a great deal: https://wearfigs.comAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

Solidify your knowledge on iron deficiency anemia! Quiz yourself on the 5 Pearls we will be covering:Should patients be screened for iron deficiency? If so, who and how often? (1:40)What are the indications for diagnostic endoscopy in iron deficient patients? (3:23)How should you advice patients to take oral iron? (5:53)What is optimal dosing for oral iron?In which patients would you consider IV iron? What are the risks? (11:41)Throwback Question: What is a medication-overuse HA? (14:44)For full shownotes: https://www.coreimpodcast.com/2017/11/15/5-pearls-on-iron-deficiency-anemia/Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840Our Sponsors:* Check out Quince: https://quince.com/coreim* Use code FIGSRX for a great deal: https://wearfigs.comAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

You have always been told to do a diagnostic paracentesis on admission in cirrhotics with ascites, but why? Can you just get away with clinical judgement to rule out SBP? Is faculty judgement any better? And if you’re going to do a paracentesis on admission, do you need to do it right away? Go deeper with Dr. Steve Liu and Dr. Janine Knudsen!Click the link for the full show notes: https://www.coreimpodcast.com/2017/11/01/mind-the-gap-admission-paracentesis/Time StampsWhat do guidelines say about diagnostic paracentesis in cirrhotics with ascites? (1:51)Can we just use clinical judgement to decide if paracentesis is warranted? (3:13)Do attendings have better clinical judgement than residents to rule out SBP?Does timing of paracentesis on admission matter for mortality? (6:33)Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840Our Sponsors:* Check out Quince: https://quince.com/coreim* Use code FIGSRX for a great deal: https://wearfigs.comAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy