#119 A 80F with Melena and AKI also with an Unresolved Pneumonia: Hoofbeats Episode

#119 A 80F with Melena and AKI also with an Unresolved Pneumonia: Hoofbeats Episode

How does your problem representation change as we get more history in this episode? How can we use Oxaam's razor & Hickman's dictum as powerful diagnostic tools IF used properly?Show notes, Transcript and References: https://www.coreimpodcast.com/2023/02/15/25438/Use promo code COREIM for 1 month of free access to Glass Pro at https://glass.health/coreim (https://glass.health/coreim) Time stamps* 01:51 Intro* 07:57 Case * 13:09 Differential* 16:15 Diagnosis* 22:20 Problem Representation Tags: IM Core, CoreIM, diagnostic tools, Occam's razor, Hickam's dictum, data collection, mental model, clinical reasoning, rheumatology 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

Episoder(212)

#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

#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 Mar 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 Feb 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 Feb 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 Jan 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 Jan 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 Jan 38min

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