Core IM | Internal Medicine Podcast

Core IM Team

  • 30 minutes 44 seconds
    #152 Immune Checkpoint Inhibitors & IRAEs 101: 5 Pearls Segment
    • How do immune checkpoint inhibitors work? (01:56)
    • How do you organize the different immune-related adverse events (irAEs)? (07:15)
    • Generally, when do different adverse events can present? (13:42)
    • What makes someone more likely to develop an adverse effect? (22:20)
    • What role does complementary & alternative medicine play in this patient population? (26:38)

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    Tags: Side effects, oncology, cancer, primary care, CoreIM, IMcore, nurse practitioner, physician assistant, hospital medicine, pharmacy, pharmacology



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    22 May 2024, 5:00 am
  • 39 minutes 42 seconds
    #151 Cardiorenal Considerations: 5 Pearls Segment
    • Urinalysis in a patient with AKI from purely cardiorenal syndrome? (~02:05)
    • What is bioavailability, duration of action, and outcomes with furosemide, torsemide, and bumetanide? (~08:47)
    • How can spot urine sodium measurements be used to assess diuretic response? (~18:08)
    • What are the differences between thiazides (PO Metolazone vs. IV Chlorothiazide) and acetazolamide augment diuresis? (~27:35)
    • Spaced Repetition: RAAS inhibitors or SGLT2 inhibitors as GMDT in CKD? (~35:08)


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    Tags: nephrology, cardiology, primary care, CoreIM, IMcore, nurse practitioner, physician assistant, hospital medicine, pharmacy, diuretic resistance



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    13 May 2024, 5:00 am
  • 40 minutes 8 seconds
    #150 Rhythm Control in Afib: 5 Pearls Segment

    What are the benefits of early rhythm control versus rate control alone? When is electrical cardioversion used and what information can it tell us? What side effects for amiodarone, dofetilide, and sotalol, propafenone and flecainide? When should catheter ablation be considered in patients with atrial fibrillation?

    Time stamps:

    • 02:05 Pearl 1 - Rhythm control
    • 11:23 Pearl 2 - Electrical cardioversion
    • 17:53 Pearl 3 - Class III antiarrhythmics and side effects
    • 26:31 Pearl 4 - Class Ic antiarrhythmics and side effects
    • 31:55 Pearl 5 - Catheter ablation


    Tags: cardiology, primary care, CoreIM, IMcore, nurse practitioner, physician assistant, hospital medicine, pharmacy, nursing education, atrial fibrillation



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    24 April 2024, 5:00 am
  • 33 minutes 46 seconds
    #149 Asthma Management and the MANDALA Trial: Beyond Journal Club with NEJM Group

    Should your patients be reaching for albuterol when their asthma flares up? Some of us may have been treating asthma exacerbations incorrectly for many years… What is the right approach? Tune in to the fifth episode of Beyond Journal Club, a new series brought to you by Core IM in collaboration with NEJM Group, to learn about the latest asthma management trials and guidelines, and how to translate them into better patient care.

    Show Notes & Transcript

    Time Stamps

    • 01:47 Evolving story of asthma management
    • 03:26 Pathophysiology of asthma management
    • 06:01 Key players & terms
    • 08:56 Story of asthma through the decades
    • 17:55 MANDALA Trial


    Tags: IMCore, CoreIM, primary care, pulmonary, nurse practitioner, pharmacist, physician assistant, inhalers



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    10 April 2024, 5:00 am
  • 39 minutes 42 seconds
    #148 Iron Deficiency Treatment: 5 Pearls Segment

    How do you choose btw PO vs. IV iron? What is the best counseling for oral iron formulations? How do you choose between different IV iron formulations? Should you use the Ganzoni formula?  What is a Fishbane reaction? And how is it different from anaphylaxis?

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    Time stamps:

    02:09: Spaced repetition from the last Gray Matters Episode

    05:29: Choosing between oral and IV iron

    11:17: Considerations with oral iron repletion

    24:02: Considerations with IV iron repletion

    32:36: Complications and side effects of IV iron

    Tags: hematology, primary care, CoreIM, IMcore, nurse practitioner, physician assistant



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    27 March 2024, 5:00 am
  • 39 minutes 15 seconds
    #147 Iron Deficiency: Grey Matters Segment

    What do the different iron labs mean?! How to interpret iron labs in the setting of inflammation? How to take a good menstrual history?

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    Expert Interviews on Youtube

    Time stamps:

    • 03:43 Iron deficiency labs and interpretation in inflammation
    • 16:08 Heavy menstrual bleeding evaluation
    • 27:04 When should a premenopausal woman with iron deficiency have endoscopy?
    • 35:15 Recap


    Tags: hematology, women's health, gastroenterology, heavy menstrual bleeding, primary care, CoreIM, IMcore, nurse practitioner, physician assistant, iron deficiency diagnosis



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    13 March 2024, 5:00 am
  • 42 minutes 51 seconds
    #146 Tube Feeds: 5 Pearls Segment

    Uncover many blind spots on tube feeds!

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    Youtube Interviews: 

    Short-term enteral access

    Durable enteral access

    What is venting aka decompression?

    Show Notes & Transcript

    Timestamp

    • 02:21 Indications for tube feeds
    • 09:36 Routes of enteral access
    • 19:20 Components of tube feeds
    • 7:03 Tube feeds complications
    • 34:50 Counseling patients before discharge and medication interactions


    Tags: IMCore, CoreIM, nursing home, primary care, dietician, nutrition support, hospital medicine, interprofessional education, enteral feeds



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    28 February 2024, 6:00 am
  • 38 minutes 35 seconds
    #145 Heart Failure in Older Adults &amp; Guardianship: Gray Matter Segment

    How do you manage GDMT in a frail older adult? When is a guardian needed and what is the process for obtaining guardianship?

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    Youtube Interviews: 

    When to consider a guardian?

    Guardianship Process

    Limitation and value of individualism

    Show Notes & Transcript

    Timestamp

    • 04:03 Deep Dive 1: How do you approach guideline-directed medical therapy of heart failure with reduced ejection fraction in a frail older adult?
    • 11:55 Deep Dive 2: When is a guardian needed and what is the process for obtaining guardianship?
    • 28:30 Deep Dive 3: How do you re-evaluate GDMT in a frail older adult once an adverse event has occurred?
    • 33:27 Reflections
    • 37:06 Recap


    Tags: IMCore, CoreIM, nursing home, primary care, cardiology, palliative care hospital medicine, interprofessional education, social work, case management



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    14 February 2024, 6:00 am
  • 23 minutes 28 seconds
    #144 RSV &amp; What Makes Vaccine Trials Different: Beyond Journal Club on the RENOIR and AReSVi Trials

    How do you counsel patients eligible for the RSV vaccines? What do the results of the RENOIR and AReSVi trials tell us and how do they compare? How should we interpret vaccine trials in the first place? Tune in to the fourth episode of Beyond Journal Club, a new series brought to you by Core IM in collaboration with NEJM Group.

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    Show Notes & Transcript

    Time Stamps

    • 02:30 Epidemiology of RSV
    • 03:46 Development of RSV vaccine
    • 05:55 Vaccine trial design
    • 12:22 ARESVI and RENOIR Trials
    • 18:18 Who should we recommend the RSV vaccine to?
    • 19:50 What don’t we know?


    Tags: IMCore, CoreIM, primary care, infectious disease, nurse practitioner, pharmacist, physician assistant



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    31 January 2024, 6:00 am
  • 37 minutes 57 seconds
    #143 Hypomagnesemia and Hypophosphatemia: 5 Pearls Segment

    When you see a low mag or a low phos, what are you thinking about? And do PPIs effect magnesium absorption? How much sodium and potassium are found in a typical oral phosphorus supplement?

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    Youtube interview on key points on magnesium

    Youtube interview on key points on phosphate

    CME : http://bit.ly/CIMCME || Show Notes & Transcript

    Timestamp

    • 01:37 Pearl 1: Magnesium
    • 09:39 Pearl 2: Framework for hypomagnesemia
    • 16:53 Pearl 3: Magnesium repletion
    • 22:39 Pearl 4: Phosphorous
    • 28:36 Pearl 5: Phosphorous repletion


    Tags: IMCore, CoreIM, nephrology, hospital medicine, interprofessional education, renal



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    17 January 2024, 6:00 am
  • 38 minutes 37 seconds
    #142 Managing Conflict: At the Bedside Segment

    Sharpen your de-escalation skills!

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    Timestamps:

    • 02:26 Difficult Patients
    • 10:25 Mediation Toolkit
    • 17:20 Maxims of Mediation
    • 26:46 When the Conversation Still Breaks Down
    • 35:11 Conclusion


    Tags: IMCore, CoreIM, ethics, humanities, nurse practitioner, pharmacist, physician assistant, burnout



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    27 December 2023, 6:00 am
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