Core IM | Internal Medicine PodcastMedicine

Core IM | Internal Medicine Podcast


Core IM | Internal Medicine Podcast

#148 Iron Deficiency Treatment: 5 Pearls Segment

Wed, 27 Mar 2024

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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#147 Iron Deficiency: Grey Matters Segment

Wed, 13 Mar 2024

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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#146 Tube Feeds: 5 Pearls Segment

Wed, 28 Feb 2024

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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#145 Heart Failure in Older Adults & Guardianship: Gray Matter Segment

Wed, 14 Feb 2024

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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#144 RSV & What Makes Vaccine Trials Different: Beyond Journal Club on the RENOIR and AReSVi Trials

Wed, 31 Jan 2024

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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