Latest Story

Core IM Hoofbeats: 57F with confusion

August 15, 2018

By John Hwang MD, Cindy Fang MD, Michael Phillips MD, Shreya Trivedi MD || Audio Editing by Richard Chen || Graphic by Amy Ou MD

Time Stamps

  1. Case history and exam 00:40
  2. Causal models 11:24
  3. Facets versus diagnoses 13:25
  4. Problem representation 16:37
  5. Part two of the case 17:10
  6. Occam’s razor, Hickam’s dictum, and Crabtree’s bludgeon 23:00
  7. Diagnostic uncertainty 27:10
  8. Learning points 34:24

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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Primecuts – This Week in the Journals

August 14, 2018
Primecuts – This Week in the Journals

By Elissa Lin, MD

Peer Reviewed

While the summer brings long daylight hours, it also brings dreaded bugs and mosquitos. Beware of a new tick species, the Asian long-horned tick, Haemaphysalis longicornis. It’s the first new species to arrive in the United States in 50 years and it is spreading along the East Coast, including through the suburbs of New York City . Fortunately, public health experts are not alarmed…yet. This tick species from Asia is more of a threat to livestock than to humans. …

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Primecuts – This Week in the Journals

August 6, 2018
Primecuts – This Week in the Journals

By Vicky Chiang, MD

Peer Reviewed

While New Yorkers are finally enjoying the first section of the Second Ave Subway after nearly a century of waiting, our friends in California have decided to move forward with their own ambitious public transportation project–a $100 billion high-speed rail from Los Angeles to San Francisco. If successful, the new rail is projected to create 450,000 new jobs, reduce greenhouse emissions by 300 thousand metric tons of carbon dioxide a year, and traverse the distance between SF and LA …

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Do Hospital Visitors Impact Patient Outcomes?

August 3, 2018
Do Hospital Visitors Impact Patient Outcomes?

By Brit Trogen

Peer Reviewed

In 2001, the Institute of Medicine’s Crossing the Quality Chasm became the seminal paper recognizing patient-centered care as a crucial component of overall health care quality. Since then, patient and family centered care (PFCC) has been increasingly recognized as a valuable model for improving patient outcomes, facilitating communication, and increasing satisfaction with care. Open and flexible visitation policies are a major component of many PFCC programs and have been widely embraced by hospitals throughout the US However, the impact …

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Core IM: Mind the Gap on Vancomycin

August 1, 2018

In this episode, we discuss the misunderstood side of our antibiotic hero, Vancomycin || By Steven R. Liu MD, John Hwang MD and Dr. Janine Knudsen MD || Graphic Design by Ramon Thompson

Time Stamps:

  1.     Where did vancomycin come from, and why is it so controversial? (0:28)
  2.     What is vancomycin-induced nephrotoxicity and how common is it? (4:37)
  3.     Vancomycin trough monitoring – what is it good for?  (7:28)
  4.     AUC to MIC ratio – the real math behind vancomycin dosing (7:53)
  5.     Review of teaching points (10:27)

Thank you to ID pharmacists from NYU, Polly Shin-Pung Jen, PharmD and Justin Siegfried, PharmD, 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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Should Patients Undergo Atrial Fibrillation Screening for Primary Stroke Prevention?

July 26, 2018
Should Patients Undergo Atrial Fibrillation Screening for Primary Stroke Prevention?

By Dixon Yang, MD

Peer Reviewed 

Abstract 

Atrial fibrillation (AF) is a common arrhythmia, especially in the elderly, and is often asymptomatic. However, absence of symptoms does not confer better prognosis. Many patients with AF present with stroke as their first manifestation. In the United States, no guidelines exist to screen for AF. Given the associated morbidity of AF and significant stroke risk reduction with oral anticoagulation, this article seeks to address whether patients should be screened for AF in primary stroke prevention.

Older patients …

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Primecuts – This Week in the Journals

July 23, 2018
Primecuts – This Week in the Journals

By Nihar Shah, MD

Peer Reviewed

Amidst the backdrop of an ever-tumultuous political landscape, this week has seen global heatwave warnings issued as beachgoers and sun-tanners seek respite with summer nearing its midpoint — notable warnings include those in the UK and Japan .

The sports world is still reeling from France’s victory over Croatia in the FIFA World Cup, as well as the events of this year’s Wimbledon Championships at the All England Lawn Tennis and Croquet Club. 23-time Grand Slam Champion, new mother, …

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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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