Latest Story

Age Is Just a Number: Combating Muscle Loss in The Elderly

December 14, 2017
Age Is Just a Number: Combating Muscle Loss in The Elderly

By Carl Preiksaitis

Peer Reviewed

The term “sarcopenia” was introduced in 1989 to characterize the loss of muscle mass that occurs as a consequence of advancing age.1 Use of the term has since grown to include the loss of muscular function experienced in older adults. The prevalence of sarcopenia is estimated to be approximately 29% in community-dwelling older adults and 33% in individuals living in long-term care institutions. Sarcopenia is linked to increased morbidity and mortality from physical disability, increased falls and fractures, decreased quality …

Read more »

Core IM Podcast: 5 Pearls on Hepatic Encephalopathy

December 13, 2017

By Dr. John Hwang MD, Marty Fried MD and Shreya P. Trivedi MD; Illustration by Mike Natter MD.  Quiz yourself on the following 5 Pearls we’ll be covering on Hepatic Encephalopathy (HE):

Time Stamps

  1. What are other causes of altered mental status in cirrhotics? What are common precipitants for an acute episode of HE? (1:45)
  2. What is asterixis? What is the diagnostic utility of a cirrhotic with asterixis? (6:10)
  3. How do lactulose & rifaximin work? What are their indications? (11:00)
  4. What is the connection between hypokalemia and HE? (14:10)
  5. What is the discriminatory power of an ammonia level in HE? In what situation does the NH3 has stronger predictive value? (16:40)

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

Read more »

PrimeCuts – This Week in the Journals

December 11, 2017
PrimeCuts – This Week in the Journals

By Gregory Rubinfeld, MD

Peer Reviewed

Manhattan enjoyed its first snow of the season and in its wake New Yorkers trudge carefully through the slick and slush covered streets. On a somber note, tragedy grips the west coast as wildfires in Southern California continue to spread forcing hundreds of thousands to evacuate their homes. Our thoughts go out to those suffering from this disaster as we turn towards this week’s medical news. 

Catheter Directed Thrombolysis Does Not Reduce the Incidence of the Post Thrombotic Syndrome

Read more »

Burnout- The Hot Topic in Medicine

December 8, 2017
Burnout- The Hot Topic in Medicine

By Monica Gupta, MD and Alice Tang, MD

Peer reviewed

Physician burnout is a phenomenon that is becoming recognized as widespread in both trainees and in practicing doctors. Long taxing hours, insurmountable educational debt, the burden of daily decisions affecting patients’ lives, and the routine sacrifice of self-care are just a few of the factors that physicians identify as causes of their burnout.

What exactly is burnout?

Burnout is assessed across multiple professional fields with the Maslach Burnout Inventory. It has 3 scales that measure …

Read more »

From the Archives: Corticosteroids and Prophylaxis. What complications should you try to prevent in patients on chronic corticosteroids?

December 7, 2017
From the Archives: Corticosteroids and Prophylaxis. What complications should you try to prevent in patients on chronic corticosteroids?

 

Please enjoy this post from the archives dated October 30, 2013

By Robert Joseph Fakheri, MD

Faculty Peer Reviewed

A 55 year-old male is recently diagnosed with systemic sarcoidosis. The patient is started on prednisone 40mg with the plan to decrease the dose after remission of symptoms, which may take a number of months. What kind of prophylaxis should the patient receive?

Corticosteroids are an effective treatment option for a number of diseases spanning many specialties. However, long-term corticosteroid treatment is marred with a …

Read more »

Cancer Survivors – Who are they, what are their needs, and how can medical providers meet these needs?

December 6, 2017
Cancer Survivors – Who are they, what are their needs, and how can medical providers meet these needs?

By Maria Garcia-Jimenez, MD/MHS, Abinav Baweja, MD, and Nicole LaNatra, MD

Peer Reviewed

Clinical vignette

A 65-year old woman with history of invasive breast cancer presents to her primary care provider for regular follow up. She was diagnosed with breast cancer over 10 years ago and received chemotherapy, radiation, and hormonal therapy with aromatase inhibitors. She follows with several providers including an oncologist, surgical oncologists, and a gynecologist. In your clinic, she reports concerns of neuropathy and arthralgia, and mentions that since retiring she worries …

Read more »

Primecuts – This Week in the Journals

December 4, 2017
Primecuts – This Week in the Journals

By Margot Hedlin, MD

Peer Reviewed

It’s a brave new world – on Saturday the Senate approved a much-debated tax bill intended to cut $1.4 trillion from taxes, in part by lowering the corporate tax rate from 35% to 20% and repealing the individual health insurance mandate. The nonpartisan Congressional Budget Office estimates that 13 million fewer people will have health insurance by 2027, in part because as healthy individuals opt out of the market, rates will rise prohibitively for those who remain – an …

Read more »

Core IM Podcast: Mind the Gap Part 2 on Paracentesis

November 29, 2017

Should a cirrhotic’s INR and platelets deter you from doing a paracentesis? Do you need to transfuse prior to a paracentesis? Do generalist have worse procedure complications than specialists?  Go deeper with Dr. Steve Liu and Dr. Janine Knudsen! Illustration by Dr. Mike Natter.

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

Read more »