Core IM | Internal Medicine Podcast

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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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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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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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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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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