Primecuts – This Week in the Journals

April 3, 2018
Primecuts – This Week in the Journals

By Maya Madhavan, MD

Peer Reviewed

Last week, over a people million took to the streets to march for gun control as part of the March for Our Lives movement. It was noted to be one of the biggest youth protests since the Vietnam War1. Across the nation, medical students and housestaff also participated in institution wide protests and discussions, as many consider gun-related violence to be a public health crisis. Let’s take a look at what else went on in the medical community over …

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A Rare Complication of Diabetes: Diabetic Myonecrosis

March 29, 2018
A Rare Complication of Diabetes: Diabetic Myonecrosis

By Allison Harrington, MD

Peer Reviewed

Learning Objectives:

1) When should diabetic myonecrosis be suspected?

2) What are the diagnostic criteria for diabetic myonecrosis? What is the pathophysiology?

3) What is the management of diabetic myonecrosis? How can it be prevented?

A 41-year-old female with a past medical history of poorly controlled type I diabetes (hemoglobin A1C , 13%), a right lower extremity deep vein thrombosis (DVT) status post inferior vena cava filter placement in March 2017 presents with persistent weakness and left lower extremity …

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Core IM: 5 Pearls on Latent Tuberculosis Infection

March 28, 2018

By Raphael Rabinowitz MD, Viren Kaul MD, Marty Fried MD, Shreya Trivedi MD; Illustration by Ramon Thompson. Quiz yourself on the 5 Pearls we will be covering:

  1. Who should be screened for latent tuberculosis infection (LTBI)? (1:45)
  2. What screening tests are available and how do they differ? (6:30)
  3. What are the LTBI treatment options available? (10:24)
  4. What are the major adverse drug effects to consider? (13:28)
  5. How frequently should you check liver function tests in a patient being treated for LTBI? What do you do with the results? 17:43
  6. Dr. Caplan-Shaw Recap (21:29)

A special thank you to Dr. Caralee E. Caplan-Shaw 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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Primecuts – This Week in the Journals

March 27, 2018
Primecuts – This Week in the Journals

By Lauren Yokomizo, MD

Peer Reviewed

One of the most underappreciated aspects of the current opioid epidemic is over prescribing in the elderly. In 2016, one in three patients on Medicare, approximately 14.4 million patients, was prescribed opioids. As part of the federal government’s response to the opioid epidemic, Medicare will no longer pay for long term, high dose opioid prescriptions. The new regulation is expected to take effect April 2nd. The rule has been met with a divided response. Supporters praised it as a …

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Smoking Cessation: Are all Modalities the Same?

March 22, 2018
Smoking Cessation: Are all Modalities the Same?

By  Monil Shah, MD

Peer Reviewed

Each year around 6 million people are killed by tobacco worldwide.1 Tobacco remains a leading preventable cause of death worldwide.2 From 1965 to 2010, the prevalence of cigarette smoking in the United States has declined from 42.4% to about 19%. This decline is mainly due to public awareness regarding harmful effects of smoking, increase in prices of tobacco products, and implementation of smoke-free policies.3 Despite tremendous strides made in raising public awareness regarding the adverse health effects of smoking …

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Tales of Survival: Night Float

March 16, 2018
Tales of Survival: Night Float

By: Margot Hedlin

Emergencies happen slowly sometimes. His organs were shutting down – first the liver, its failure evident from his skin’s jaundiced hue; then he couldn’t protect his airway, so they intubated him to make sure he’d keep breathing. That afternoon he’d started passing blood with his bowel movements – lots of blood – and the colonoscopy showed countless excoriations. He was bleeding everywhere, with no one area to staunch with coagulants and staples.

It was my fourth shift on night float, and my …

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Evidence-Based Nutritional Counseling in the Primary Care Setting

March 15, 2018
Evidence-Based Nutritional Counseling in the Primary Care Setting

By Oscar E. Dimant

Peer Reviewed

Nutritional counseling is an integral part of helping patients live healthier lives, as research demonstrates the ability of proper nutrition to prevent disease and even treat and reverse chronic disease. This article provides an overview of evidence-based nutrition and clinical tips for counseling adult patients in a primary care setting.

It is useful to discuss nutrition in terms of specific foods and food groups, rather than macronutrients. For example, carbohydrates in the form of whole grains are extraordinarily healthful, …

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Primecuts-This Week in the Journals

March 13, 2018
Primecuts-This Week in the Journals

By: Brooks Crowe, MD

There was big news last week in the area of mergers and acquisitions.  Cigna, a health care insurer, plans to purchase Express Scripts, a pharmacy benefit manager (PBM) for a total of $52 billion.  Express scripts manages prescription plans for over 80 million people. A similar merger occurred in December when CVS Health (a PBM) announced it would buy the insurer Aetna.

The CEO of Cigna David Cordiani promised the deal would help “improve the affordability and value to the consumer …

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