#112 ANA (Antinuclear Antibody) Test: 5 Pearls Segment

#112 ANA (Antinuclear Antibody) Test: 5 Pearls Segment

Is a positive ANA always significant? What does the titer mean? Is the pattern of the ANA helpful? What patient histories should you not get an ANA for and which aspects of the history would raise suspicion for autoimmunity? How can you use the physical exam to assess likelihood of autoimmune disease? What is the ddx for a positive ANA?Show notes, Transcript and References: https://www.coreimpodcast.com/2022/10/05/ana-antinuclear-…5-pearls-segment/ (https://www.coreimpodcast.com/2022/10/05/ana-antinuclear-antibody-test-5-pearls-segment/)Get CME-MOC credit with ACP: https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/core-im (https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/core-im)Sponsor: Visit www.medmastery.com/coreim (http://www.medmastery.com/coreim) for 15% off on all subscriptions. Discount code: “COREIM”Timestamps:* 01:37 (https://www.coreimpodcast.com/?p=25112#) Pearl 1* 03:54 (https://www.coreimpodcast.com/?p=25112#) Pearl 2* 13:53 (https://www.coreimpodcast.com/?p=25112#) Pearl 3* 18:07 (https://www.coreimpodcast.com/?p=25112#) Pearl 4* 29:30 (https://www.coreimpodcast.com/?p=25112#) Pearl 5Tags: IM Core, CoreIM, autoimmune, joint disease, titers, Raynaud's, lupus, Rheumatology 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

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#94 Treatment Over Objection Part 1: At the Bedside Segment

#94 Treatment Over Objection Part 1: At the Bedside Segment

Get a very useful framework to help you weigh the risks and benefits of treatment over objection!Show notes, Transcript and References: https://www.coreimpodcast.com/2021/12/08/treatment-over-objectio...

8 Dec 202125min

#93 Hyperkalemia in CKD: Mind the Gap Segment

#93 Hyperkalemia in CKD: Mind the Gap Segment

What degree of hyperkalemia makes you worried enough to send your patient to the ED? Are ECG changes sensitive in detecting hyperkalemia? Do you know how to advise your patient on dietary changes? Wha...

17 Nov 202130min

#92 The Geriatric Assessment: 5 Pearls Segment

#92 The Geriatric Assessment: 5 Pearls Segment

What are pearls and pitfalls when assessing an older patient for the first time?Time Stamps:* 02:25 Initial Office Visit* 08:08 Mobility Assessment * 13:25 Cognitive Evaluation * 19:27 Medications * 2...

31 Okt 202129min

#91 Oral Diabetes Medications Inpatient: Mind the Gap Segment

#91 Oral Diabetes Medications Inpatient: Mind the Gap Segment

Should we use oral diabetes agents in our hospitalized patients? Do you hold metformin for fear of lactic acidosis? Do you typically order an insulin sliding scale? When can you comfortably restart PT...

13 Okt 202122min

#90 Stigma in Opioid Use Disorder: 5 Pearls Segment

#90 Stigma in Opioid Use Disorder: 5 Pearls Segment

What are practical phrases can you incorporate to help patients who use drugs? What changes can you make to ensure person-first language? What safe drug practices can you advise? What is MOUD?Show not...

29 Sep 202130min

#89 Code Status: At the Bedside Segment

#89 Code Status: At the Bedside Segment

A very practical episode around nuanced code status conversations with many examples!Time Stamps:* 00:08 Introduction* 04:01 Information Gathering* 20:41 Informed Consent* 29:47 Giving Recommendations...

12 Sep 202150min

"Best of" | SNF, SAR, NH, ALF and More Discharge Options

"Best of" | SNF, SAR, NH, ALF and More Discharge Options

What are the differences in resources, nursing and clinician oversight and who pays for what?! Show notes, transcript and references: https://www.coreimpodcast.com/2020/06/10/snf-sar-nh-alf-and-more-d...

25 Aug 202133min

"Best of" | Stress Testing 5 Pearls

"Best of" | Stress Testing 5 Pearls

What are the indications for a stress test?  How to choose stress protocol in a stress test?  How to choose diagnostic imaging in a stress test?  How do we interpret results from stress tests, and how...

11 Aug 202141min

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