#31: Troponins: 5 Pearls Segment

#31: Troponins: 5 Pearls Segment

Solidify your knowledge on troponins and more! Quiz yourself on the 5 pearls we will be covering: * What aspects of the history are concerning in a patient with a positive troponin? (4:00) * What is the difference between the TIMI, GRACE, and HEART scores, and how should we use them in the evaluation of a patient with an elevated serum troponin? (8:42) * How does the change in troponin over time help with diagnosis, and what should we consider in a patient with uptrending troponins but an unremarkable ECG? (14:48) * What can a “negative but detectable” troponin tell you about any patient, not just those with suspected ACS? (21:31) * Pearls Recap (25:26) * Throwback – what are the first-line medications for alcohol use disorder? (28:36) For full transcript of the podcast, show notes and references: https://www.coreimpodcast.com/2019/01/04/5-pearls-on-troponins/ (https://www.coreimpodcast.com/2019/01/04/5-pearls-on-troponins/) Tags: chest pain, cardiology, myocardial infarction, acute coronary syndrome Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840 Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

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#204 Diabetic Foot Infections & Osteomyelitis: 5 Pearls Segment

#204 Diabetic Foot Infections & Osteomyelitis: 5 Pearls Segment

Why are these infections often missed? How to diagnose osteomyelitis at the bedside? Do we always need IV vs oral antibiotics? And the best for last: Simple, practical wound care strategies for medica...

1 Huhti 33min

#203 POCUS for AKI & Dialysis | Real Cases That Changed Management

#203 POCUS for AKI & Dialysis | Real Cases That Changed Management

A dialysis patient with a chronic cough: is it COPD, or are they still volume overloaded?A patient with AKI and hyperkalemia says they’re still peeing — does that rule out post-obstructive AKI?A patie...

23 Maalis 29min

#202 Dementia Part 2: Gray Matters Segment

#202 Dementia Part 2: Gray Matters Segment

Most clinicians see dementia medications on the med rec, but many of us aren’t sure how much they actually help. In this episode we break down donepezil, memantine, and the new anti-amyloid drugs, and...

12 Maalis 47min

#201: Dementia Part 1: Gray Matters Segment

#201: Dementia Part 1: Gray Matters Segment

Cognitive decline is tough for all parties. What are the high-yield questions to ask? What should you add to your one-liner? When do you stop using MOCA and try to clearly describe their functional st...

25 Helmi 46min

#200: Insulin and QWINT-1 Trial in T2DM: Beyond Journal Club Segment with NEJM Group

#200: Insulin and QWINT-1 Trial in T2DM: Beyond Journal Club Segment with NEJM Group

From metformin to basal insulin to overlooked older medications, this episode reviews the T2D medication toolkit clinicians use every day. We then dive into new evidence on once-weekly insulin to help...

11 Helmi 28min

#199 Privacy & Confidentiality: At the Bedside Segment

#199 Privacy & Confidentiality: At the Bedside Segment

Is patient confidentiality absolute or conditional? When does protecting privacy put others at risk? Can you follow a former patient in the EHR for learning? Should you post a compelling case online e...

28 Tammi 37min

#198 Microskills for Change That are Big Enough to Matter, Small Enough to Win

#198 Microskills for Change That are Big Enough to Matter, Small Enough to Win

Baby alligators  - those betrayals of purpose , or, death by a thousand paper cuts !Check out our latest episode, where Dr. Eileen Barrett walks us through how to tackle baby alligators with:Regulated...

21 Tammi 28min

#197 Hypercoagulability Part 2: 5 Pearls Segment

#197 Hypercoagulability Part 2: 5 Pearls Segment

Gray zones of VTE management! How to approach anticoagulation duration in unprovoked, provoked-irreversible, and provoked-reversible clots?When dose-reduced DOACs make sense for long-term secondary pr...

7 Tammi 38min

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