Core IM | Internal Medicine PodcastMedicine

Core IM | Internal Medicine Podcast


Core IM | Internal Medicine Podcast

#93 Hyperkalemia in CKD: Mind the Gap Segment

Wed, 17 Nov 2021

What degree of hyperkalemia makes you worried enough to send your patient to the ED? Are ECG changes sensitive in detecting hyperkalemia? Do you know how to advise your patient on dietary changes? What medications can you effectively use in the outpatient setting?

Show notes, Transcript and References: https://www.coreimpodcast.com/2021/11/17/hyperkalemia-mind-the-gap-segment/ 

Get CME-MOC credit with ACP: https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/core-im 

Time stamps

  • 01:01 Introductions
  • 07:58 Nutrition
  • 17:13 Medications
  • 20:48 Outpatient medications
  • 26:16 Recap

Tags: IM Core, CoreIM, outpatient, blood work, diet, electrolytes, ECG, nephrology, chronic kidney disease, nutrition

#92 The Geriatric Assessment: 5 Pearls Segment

Sun, 31 Oct 2021

What are pearls and pitfalls when assessing an older patient for the first time?

Time Stamps:

  • 02:25 Initial Office Visit
  • 08:08 Mobility Assessment 
  • 13:25 Cognitive Evaluation 
  • 19:27 Medications 
  • 26:29 Throwback Pearl

Show notes, Transcript and References: https://www.coreimpodcast.com/2021/10/31/5-pearls-on-geriatric-care/

Tags: Core IM, IM Core, delirium, goals of care, dementia, mini cog, MOCA, deprescribing

#91 Oral Diabetes Medications Inpatient: Mind the Gap Segment

Wed, 13 Oct 2021

Should we use oral diabetes agents in our hospitalized patients? Do you hold metformin for fear of lactic acidosis? Do you typically order an insulin sliding scale? When can you comfortably restart PTA meds?

Time Stamps:

  • 02:25 Can we give metformin in the hospital?
  • 10:50 Incretin-based therapies
  • 14:49 Sodium Glucose Cotransporter-2 Inhibitors
  • 16:27 Sulfonylurea & Thiazolidinediones
  • 18:00 Basal Insulin inpatient

Show notes, Transcript and References: https://www.coreimpodcast.com/2021/10/13/oral-diabetes-medications-in-hospitalization-mind-the-gap-segment/

ACP CME: https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/core-im

Tags: Core IM, IM Core, glucose, insulin, hospitalized patients, oral medications, sliding scale, DPP-4, GLP-1

#90 Stigma in Opioid Use Disorder: 5 Pearls Segment

Wed, 29 Sep 2021

What are practical phrases can you incorporate to help patients who use drugs? What changes can you make to ensure person-first language? What safe drug practices can you advise? What is MOUD?

Show notes, Transcript and References: https://www.coreimpodcast.com/2021/09/29/5-pearls-on-stig…oid-use-disorder/

ACP CME: https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/core-im

Time Stamps:

04:24 Starting the Conversation 

10:43 The Shared Agenda

14:46 Exploring patient goals

18:54 Reducing drug use

24:09 Reducing harm in opioid use

29:06 Recap

Tags: Core IM, IM Core, MOUD, buprenorphine, patient centeredness, motivational interviewing, safe practices

#89 Code Status: At the Bedside Segment

Sun, 12 Sep 2021

A very practical episode around nuanced code status conversations with many examples!

Time Stamps:

  • 00:08 Introduction
  • 04:01 Information Gathering
  • 20:41 Informed Consent
  • 29:47 Giving Recommendations
  • 36:47 Mistakes
  • 48:22 Wrap Up
 

Show notes, Transcript and References: https://www.coreimpodcast.com/2021/09/12/code-status

Tags: Core IM, IM Core, DNR/DNI, CPR, intubation, goals of care, shared decision making, documentation, conversations, recommendations

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