#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 Our Sponsors: * Check out Quince: https://quince.com/coreim * Use code FIGSRX for a great deal: https://wearfigs.com Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

Episoder(212)

#180 Beta-Blockers & REDUCE-AMI Trial: Beyond Journal Club Segment with NEJM Group

#180 Beta-Blockers & REDUCE-AMI Trial: Beyond Journal Club Segment with NEJM Group

How much do beta blockers help after a heart attack, even when the heart’s pumping well? In this episode, we revisit the origins of beta blockers in post-MI care, examine how evidence evolved, and exp...

25 Jun 202526min

#179 Invasive Fungal Disease: 5 Pearls Segment

#179 Invasive Fungal Disease: 5 Pearls Segment

🔹 What is invasive fungal disease, and who is most at risk for developing invasive fungal disease? (~ 02:46)🔹 What are the main classes of fungi? (~11:35)🔹 What are the pros and cons of B-D Glucan ...

11 Jun 202545min

#178 Continuous Glucose Monitor (CGM): 5 Pearls Segment

#178 Continuous Glucose Monitor (CGM): 5 Pearls Segment

🔹What are clinically relevant limitations of an A1c vs. a CGM (1:40)🔹What do the different parts of the ambulatory glucose profile tell you? (09:59)🔹What are common pitfalls, medications, lifestyle...

2 Jun 202533min

#177 Interventional Radiology (IR) 101: 5 Pearls Segment

#177 Interventional Radiology (IR) 101: 5 Pearls Segment

🔹When is an U/S vs. CT vs. MRI helpful before consulting Interventional Radiology?🔹What factors go into an IR pre-op evaluation?🔹 When do drains go in, and when do they come out?🔹 When a patient h...

14 Mai 202543min

#176 Constipation Medications: 5 Pearls Segment

#176 Constipation Medications: 5 Pearls Segment

🔹 High-yield reversible causes of constipation? (02:26)🔹 Which type of fiber is more helpful? And is more hydration really better? And bulk-forming laxatives (9:03)🔹 Osmotic vs Stimulant Laxatives ...

30 Apr 202539min

#175 A Revolution in HIV Prevention & The PURPOSE Trials: Beyond Journal Club Segment with NEJM Group

#175 A Revolution in HIV Prevention & The PURPOSE Trials: Beyond Journal Club Segment with NEJM Group

How good are we at preventing HIV? How do efficacy and effectiveness differ? We journey from oral pre-exposure prophylaxis (PrEP) to long-acting injectables, and then to the PURPOSE trials, which look...

16 Apr 202527min

#174 Lp(a) and ASCVD Risk: 5 Pearls Segment

#174 Lp(a) and ASCVD Risk: 5 Pearls Segment

What does Lipoprotein(a) tell us that a standard lipid panel doesn’t? Should we be testing everyone for it? Dive into the genetics, clinical implications, and evolving management strategies for Lp(a)....

2 Apr 202543min

#173 Hypercoagulability Workup: 5 Pearls Segment

#173 Hypercoagulability Workup: 5 Pearls Segment

A new way to think of clots beyond provoked vs. unprovoked: Learn all about how important it is to think about reversibility! What patient states affect the inherited thrombophilia testing? Learn the ...

19 Mar 202544min

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