
#206 Eosinophilia: 5 Pearls Segment
Can you distinguish benign eosinophilia from a sign of serious disease, and know exactly when to act at the bedside? In this high-yield epis...
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Core Internal Medicine via following segments: 5 Pearls || Clinically relevant pearls on IM topics! Mind the Gap || Why do we do what we do? Hoofbeats || Dissecting clinical reasoning!

Can you distinguish benign eosinophilia from a sign of serious disease, and know exactly when to act at the bedside? In this high-yield epis...

Is coffee helping or harming our patients’ hearts? In this Beyond Journal Club, we unpack the CRAVE trial and use it as a lens to answer a b...

Why can these infections be tricky? How to diagnose osteomyelitis at the bedside? Do we always need IV vs oral antibiotics? And the best for...

A dialysis patient with a chronic cough: is it COPD, or are they still volume overloaded? A patient with AKI and hyperkalemia says they’re s...

Most clinicians see dementia medications on the med rec, but many of us aren’t sure how much they actually help . In this episode we break d...

Cognitive decline is tough for all parties. What are the high-yield questions to ask? What should you add to your one-liner? When do you sto...

From metformin to basal insulin to overlooked older medications, this episode reviews the T2D medication toolkit clinicians use every day. W...

Is patient confidentiality absolute or conditional? When does protecting privacy put others at risk? Can you follow a former patient in the...

Baby alligators - those betrayals of purpose , or, death by a thousand paper cuts ! Check out our latest episode, where Dr. Eileen Barrett w...

Gray zones of VTE management! How to approach anticoagulation duration in unprovoked, provoked-irreversible, and provoked-reversible clots?...

We hope these stories resonate with anyone who has felt pulled between professional purpose and personal life, and remind you that you’re no...

Antibiotic duration for bacteremia is something most of us learned by habit, not by trial data. In this episode, we walk through the BALANCE...

How quickly can triglycerides rise? At what threshold are patients at risk of pancreatitis or cardiovascular adverse outcomes? What do you h...

Why is venous congestion not the same as volume overload? How can looking at IVC as well as doppler on the hepatic vein, portal vein, and/or...

SGLT-2i vs. GLP-1? vs Metformin? How do you balance the cost and coverage of first-line options like metformin, SGLT-2, and GLP-1s? How do y...

What really works when treating HRS? Vasoconstrictors like terlipressin vs. norepinephrine vs. midodrine: how do we decide which to use? Do...

HRS-AKI vs. other causes of AKI in cirrhosis: What do serum or urine sodium clues, albumin challenges, and shifting diagnostic criteria actu...

Who’s really at risk for fractures, and how should we be treating them? Most fragility fractures occur in patients without osteoporosis. Sho...

Medications for orthostatic hypotension! When to initiate treatment, how to use them safely, and what to do when new issues arise during tre...

Learn specific, practical ways to counsel patients on non-pharmacologic interventions. What is our goal with OH treatment? Is it the blood p...

Next time you’re squinting at a chest tube, feel confident you know exactly what to look for and why. Hear it explained in a way that really...

How do you work up neutropenia? When is neutropenia benign? When do neutrophils recover? How can you diagnose neutropenic fever in the first...

Have a good laugh and reflect deeply with these three stories that hit the feels in different ways. If you'd love to hear more stories from...

What went wrong? What were the reasoning or contextual missteps that led us astray? 🔹 Sponsor : NEJM Fellowship Program, click here to lear...

Imaging Pearls | (01:12) Deciding on Thoracentesis | (04:00) Light’s Criteria and Pseudoexudates | (07:00) Pleural Fluid Studies: pH and Cel...

Listen for some good laughs and relatable stories! In this episode, we share raw and real stories from July — from rapid responses to unexpe...

How much do beta blockers help after a heart attack, even when the heart’s pumping well? In this episode, we revisit the origins of beta blo...

🔹 What is invasive fungal disease, and who is most at risk for developing invasive fungal disease? (~ 02:46) 🔹 What are the main classes o...

🔹What are clinically relevant limitations of an A1c vs. a CGM (1:40) 🔹What do the different parts of the ambulatory glucose profile tell y...

🔹When is an U/S vs. CT vs. MRI helpful before consulting Interventional Radiology? 🔹What factors go into an IR pre-op evaluation? 🔹 When...

🔹 High-yield reversible causes of constipation? (02:26) 🔹 Which type of fiber is more helpful? And is more hydration really better? And bu...

How good are we at preventing HIV? How do efficacy and effectiveness differ? We journey from oral pre-exposure prophylaxis (PrEP) to long-ac...

What does Lipoprotein(a) tell us that a standard lipid panel doesn’t? Should we be testing everyone for it? Dive into the genetics, clinical...

A new way to think of clots beyond provoked vs. unprovoked: Learn all about how important it is to think about reversibility! What patient s...

What is the impact of microplastics on human health? How can we use observational data to support the argument that microplastics may lead t...

What is the last sense to go? How can music create connection, ease anxiety, and help process emotions at the end of life? Join Dr. Jafar Al...

Incidental fibrosis on CT —what now? What does prone imaging tell you? Is it fibrosis, aspiration, or atelectasis? And once you diagnose ILD...

SPEP vs. UPEP? What does it tell you and not tell you? What is the role for immunofixation and free light chains in diagnosis? Learn about p...

How do you differentiate immune checkpoint inhibitor-related adverse events aka IrAEs from other conditions like infection? Join as we go th...

YouTube Videos Anion Gap Metabolic Acidosis: https://youtu.be/oE0lygmMANM Inhaler Delivery Systems: https://youtu.be/yYPdjClm9Bg Iron Defici...

What’s the evidence been for the use of PPIs in mechanically ventilated patients? What do more recent studies reveal about PPIs and possible...

Why are we missing peripheral arterial disease (PAD)? How is it diagnosed using the Ankle-Brachial Index (ABI)? What treatments improve symp...

How is TPN and PPN similar and how is it different? When should each be used? How does bacterial overgrowth lead to complications? Does TPN...

Limitations to urine drug screening (UDS) in primary care? What are common false positives and false negatives with the urine drug screen te...

What if a patient can't afford hospice? Which medications do you deprescribe when on hospice? What happens when patients who are on hospice...

Can the MINT trial change how we treat anemia in acute MI? The largest trial of its kind compared liberal vs. restrictive transfusion strate...

Strategies to address moral distress and moral injury — hear from the experts on their work on the topic! Transcript and Show notes Subscrib...

What is moral residue vs. moral injury vs moral distress? How do these concepts impact us as clinicians? Sponsor : Whether you're looking to...

Listen to 3 cardiorenal cases that highlight that “without flow it really doesn't matter what you're doing with the diuretic!” Sponsor : Fre...

Signouts! How can we do them better? Hear these memorable stories & ask yourself these FIVE questions when getting your handoff ready for th...