#41 A 23M with AMS and Fever: Hoofbeats Segment

#41 A 23M with AMS and Fever: Hoofbeats Segment

Dissect clinical reasoning and dive deeper into an interesting case! * 02:04 Initial Presentation * 03:03 The Core IM team tackles the case * 09:30 Social History * 16:05 Physical Exam * 22:47 An exercise in Bayesian inference * 36:35 Pre-mortem * 43:37 Revealing the diagnosis * 48:57 How do we define diagnostic success? Full transcript with references and show notes (https://www.coreimpodcast.com/2019/05/22/hoofbeats-a-23m-with-ams-and-fever/) 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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Episoder(218)

#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 Aug 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 Jul 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 Jul 23min

#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 Jun 25min

#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 Mai 29min

#206 Eosinophilia: 5 Pearls Segment

#206 Eosinophilia: 5 Pearls Segment

Can you distinguish benign eosinophilia from a sign of serious disease, and know exactly when to act at the bedside?In this high-yield episode, test your clinical reasoning as we tackle:When eosinophi...

28 Apr 43min

#204 Diabetic Foot Infections & Osteomyelitis: 5 Pearls Segment

#204 Diabetic Foot Infections & Osteomyelitis: 5 Pearls Segment

Why can these infections be tricky? 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 medical s...

1 Apr 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 Mar 29min

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