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Core IM: 5 Pearls of Unhealthy Alcohol Use

July 11, 2018

By Kate Lawerence MD, Marty Fried MD, Shreya P. Trivedi MD; Illustration by Ramon Thompson. Quiz yourself on the 5 Pearls we will be covering:

  1. What is alcohol use disorder (AUD), and how is it different from unhealthy alcohol use? (2:53)
  2. Who should we screen for unhealthy alcohol use, and which screening tools are preferred? (8:45)
  3. What are the consequences of unhealthy alcohol use? (14:33)
  4. Can moderate alcohol be good for patients, and if so, how much is “moderate”? (20:53)
  5. Pearls Recap (24:29)
  6. Throwback question: Who, how and how often should patients with chronic hepatitis B infection be screened for hepatocellular carcinoma? (24:29)

Thank you to Dr. John Martin and Dr. Dan Schatz for their help with the script, as well Dr. Jennifer McNeely, an Associate Professor at NYU School of Medicine who specializes in addiction medicine for peer reviewing this podcast!

Subscribe to CORE IM on any podcast app! Follow us on Facebook @Core IM || Twitter @COREIMpodcast || Instagram @core.im.podcast.  Please give any feedback at COREIMpodcast@gmail.com.

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Core IM Hoofbeats: 54M with diarrhea

June 27, 2018

By Cindy Fang MD, John Hwang MD, Verity Shaye MD, Shreya P. Trivedi MD || Audio Editing by Richard Chen || Graphic by Amy Ou MD

Time Stamps

  1. Part one of case (0:56)
  2. Cognitive ease and strain (03:51)
  3. Metacognition and routine diagnostic timeout (08:15)
  4. Think outside the box of organ systems (11:19)
  5. Illness behavior (12:30)
  6. Part two of case (14:06)
  7. Algorithms (17:57)  
  8. Fast thinking & pattern recognition (19:30)
  9. Slow thinking & analytical reasoning (21:31)
  10. Diagnosis (25:15)
  11. Takeaways (26:52)

Subscribe to CORE IM on any podcast app! Follow us on Facebook @Core IM || Twitter @COREIMpodcast || Instagram @core.im.podcast. Please give any feedback at COREIMpodcast@gmail.com.

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Core IM: Celebrating #ProudtobeGIM

June 23, 2018

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By Shreya P. Trivedi MD, Steven R. Liu MD, John Hwang MD and Martin Fried MD.

Be inspired by why so many are proud to be in General Internal Medicine (GIM)!

References:

  1. “ProudtobeGIM2.” SGIM Society of General Internal Medicine, 2018. www.sgim.org/career-center/proudtobegim.

Cardiac Rehabilitation: Does it Reduce Morbidity and Mortality?

June 21, 2018
Cardiac Rehabilitation: Does it Reduce Morbidity and Mortality?

By  Monil Shah, MD and Arun Manmadhan, MD

Peer Reviewed

A 64-year old male with a history of hypertension, dyslipidemia, and uncontrolled diabetes is brought to the emergency room with new onset substernal chest pressure radiating to his left arm. His electrocardiogram is notable for ST elevations in the anterior leads V2-V4. The patient undergoes percutaneous coronary intervention with deployment of a drug-eluting stent to his left anterior descending artery. His hospital course was otherwise unremarkable. The patient is initiated on an appropriate medication regimen. …

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From the Archives: How Much Do We Know About HDL Cholesterol?

June 20, 2018
From the Archives: How Much Do We Know About HDL Cholesterol?

Please enjoy this post from the archives, dated January 29, 2014

By Gregory Katz, MD

Peer Reviewed

As levels of HDL cholesterol increase, rates of heart disease go down. It’s this fact that has given HDL its reputation as the “good cholesterol,” serving a crucial role in reverse cholesterol transport. According to our models, HDL ferries cholesterol away from our arteries – where its buildup leads to heart disease and stroke – and back towards our liver, safely out of harm’s way. The epidemiology backs …

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A Case of Fatal Colonic Perforation without Abdominal Exam Findings

June 14, 2018
A Case of Fatal Colonic Perforation without Abdominal Exam Findings

By  Christopher Sonne, MD

Peer reviewed

Learning Objectives:

1. Understand the pathophysiology of peritonitis secondary to bowel perforation.
2. Understand how classic findings of peritonitis can be absent in some cases of bowel perforation.
3. Recognize bowel perforation as a complication requiring emergent surgical intervention.

Case:

An 89 year-old woman with a history of chronic constipation was admitted for several weeks of severe constipation and abdominal bloating. On initial exam, she exhibited abdominal distention but had minimal abdominal tenderness. Initial CT imaging demonstrated a significant …

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Are Latino Cultural Beliefs Increasing Antibiotic Resistance in the US?

June 8, 2018
Are Latino Cultural Beliefs Increasing Antibiotic Resistance in the US?

By Daniela Rebollo Salazar

Peer Reviewed

In the past ten years, the number of bacterial pathogens resistant to multiple antibiotics has dramatically increased. The emergence of resistant microorganisms is a direct product of the excessive use of antibiotics, as exposure to multiple antibacterial agents provides the selective pressure for the rise and spread of these pathogens.1 Studies have shown that the overuse of antibiotics is a consequence of the increased worldwide availability of these agents and the overprescription of antimicrobials when they are not necessary.1 …

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From the Archives: Is it Time to Skip the Gym?

June 7, 2018
From the Archives: Is it Time to Skip the Gym?

Please enjoy this post from the archives, date January 15, 2014

By Robert Mocharla, MD

Peer Reviewed

No. Sorry. Despite such reasonable excuses as – “I forgot my iPod”, “It’s pouring rain”, or “Game of Thrones is on” — an exhaustive literature search will not reveal a shred of evidence that you or most of your patients should skip daily exercise. However, a subset of your patients should indeed be skipping workouts regularly. The group referred to consists of endurance athletes (e.g. cyclists, swimmers, long-distance …

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