CORE IM podcast: Mind The Gap on Admission Paracentesis

CORE IM podcast: Mind The Gap on Admission Paracentesis

You have always been told to do a diagnostic paracentesis on admission in cirrhotics with ascites, but why? Can you just get away with clinical judgement to rule out SBP? Is faculty judgement any better? And if you’re going to do a paracentesis on admission, do you need to do it right away? Go deeper with Dr. Steve Liu and Dr. Janine Knudsen! Click the link for the full show notes: https://www.coreimpodcast.com/2017/11/01/mind-the-gap-admission-paracentesis/ (https://www.coreimpodcast.com/2017/11/01/mind-the-gap-admission-paracentesis/) Time Stamps * What do guidelines say about diagnostic paracentesis in cirrhotics with ascites? (1:51) * Can we just use clinical judgement to decide if paracentesis is warranted? (3:13) * Do attendings have better clinical judgement than residents to rule out SBP? * Does timing of paracentesis on admission matter for mortality? (6:33) Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840 Our Sponsors: * Check out CovePure and use my code CovePure.com/coreim for a great deal: https://covepure.com * Check out ElevenReader and use my code PODCAST for a great deal: https://elevenreader.io * Check out FIGS: https://wearfigs.com Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

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Jaksot(222)

#214 Hyponatremia Management: A Core IM Classic

#214 Hyponatremia Management: A Core IM Classic

Throwback: Should you really fluid-restrict every patient with SIADH? When can IV fluids make hyponatremia better or worse? Are salt tabs actually doing enough? And what can urine studies tell you bef...

12 Elo 44min

#213 Hypertension First-Line Medications Troubleshooting | Bread & Butter Series

#213 Hypertension First-Line Medications Troubleshooting | Bread & Butter Series

Why can lower-dose combinations be more effective and better tolerated than maximizing one medication? How to troubleshoot common challenges such as amlodipine edema, gout, electrolyte abnormalities, ...

28 Heinä 32min

#212 Top 10 Highlights of the New Lipid Guidelines

#212 Top 10 Highlights of the New Lipid Guidelines

Learn from primary care docs what has been practiced and changed from the 2026 ACC/AHA Lipid Guidelines! Learn how the new CPR framework (Calculate, Personalize, Reclassify) and PREVENT risk calculato...

15 Heinä 23min

#211  Breaking Down MASLD vs. MASH and the MAESTRO-NASH & ESSENCE Trials: Beyond Journal Club Segment

#211 Breaking Down MASLD vs. MASH and the MAESTRO-NASH & ESSENCE Trials: Beyond Journal Club Segment

MASLD affects nearly one in three adults worldwide, yet many patients remain undiagnosed until advanced fibrosis or cirrhosis develops. So, which patients should clinicians actually be screening? When...

29 Kesä 33min

#210 HTN in Dialysis: 5 Pearls Segment

#210 HTN in Dialysis: 5 Pearls Segment

What blood pressure should we target in patients on hemodialysis? Why volume control remains the foundation of treatment? How blood pressure targets differ from the general population. Learn practica...

17 Kesä 25min

#209 Dialysis and Fluid Management: 5 Pearls Segment

#209 Dialysis and Fluid Management: 5 Pearls Segment

Why is fluid management the most important part of dialysis care? This episode explores the fundamentals of hemodialysis, why ESKD patients have unique physiology, and how volume overload, not just hy...

10 Kesä 31min

#208 AI vs. Human with Post-Op AFib: Bread & Butter Series

#208 AI vs. Human with Post-Op AFib: Bread & Butter Series

Can AI manage post-op atrial fibrillation or does medicine still require human judgment? Using post-op AFib as a case study, we explore where algorithms help, where evidence falls short, and why clini...

27 Touko 29min

#207 Is There a Doctor on Board? In-Flight Emergencies

#207 Is There a Doctor on Board? In-Flight Emergencies

We start with a gripping story of seizures and use it as a jumping-off point to unpack practical pearls for in-flight emergencies. Along the way: what’s actually in the emergency medical kit, when pla...

18 Touko 27min

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