CORE IM
@COREIMpodcast
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Medicine Podcast || Inspiring curiosity & critical thinking || 5 Pearls || Mind the Gap || Hoofbeats || At the Bedside || Gray Matters || Biweekly Wed.
Joined October 2017
TRUE ‼️ Use this handy chart to remember conversions and glucocorticoid/mineralocorticoid activity of steroids! https://t.co/TnC9nNqhmI
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#TriviaTuesday True or false: 1mg dexamethasone is approximately equal to 20mg hydrocortisone
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⚕️September IM and Hospitalist Recap!⚕️ Orthostatic Hypotension (Core IM) Despite taking care of at least 1-2 patients with orthostasis each week, I still learned so much! Check out the linked @COREIMpodcast threads, and then some of my top takeaways below.
1/ 🚨 NEW #GrayMatters: Orthostatics part 1️⃣ Orthostatic hypotension is VERY common ‼️ ✨ 20% of those over 60 years old ✨ 50% in nursing homes Causes: ✨ Decreased venous return ✨ Neurogenic 🖥️: https://t.co/nJY9M0iQak Sponsor: Oakstone CME
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NEW JERSEY: Get to know MIKIE SHERRILL: —Voted to RAISE taxes by $3,700 —Voted to give ILLEGALS taxpayer-funded healthcare —Voted to CUT the child tax credit And Sherrill has NO idea what to do as Governor. 🤯 Vote AGAINST her on Nov. 4th.
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Do the benefits of bisphosphonates outweigh the risk of side effects? Dr. Ole-Petter R. Hamnvik, an endocrinologist @BrighamWomens in Boston, explains. Learn more about bisphosphonates and fracture prevention in the latest episode of Beyond Journal Club, a collaboration
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Had so much to say about HRS we had to split it into two episodes! Check out part 2 on HRS treatment, Transplant, and a topic near and dear to my heart, palliative care.
1/ 🚨 NEW #5Pearls: Hepatorenal Syndrome Part ✌️ Let’s dive into treatment 🌊! 1️⃣ Vasoconstrictors 2️⃣ Albumin 3️⃣ Diuretics Goal: raise MAP by 10-15 ‼️ 🖥️: https://t.co/pKkhkiWf3c
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7/ Thanks to all! Authors: @ShreyaTrivediMD @noahmarkewitz Dr. Yaling Tang Experts: Dr. Juan Carlos Q. Velez, Dr. Nikhilesh Mazumder, @serperm Graphic: Dr. Dexter Nwachukwu Peer Reviewers: Dr. Justin Belcher and @ebtapper Audio: Kathreene Gala
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6/ Palliative care? 🫘 The❓is whether to do chronic dialysis knowing it won’t ⬇️ the liver disease 🫘 W/ dialysis: expected lifespan is a few months 🫘 W/out dialysis: expected lifespan is days-weeks 🫘 BP may too ⬇️ for dialysis 💡 Early palliative care involvement is best
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MAYFIELD HIGH SCHOOLConstitutional Violations Case October 21st, 2025 Maras vs. Mayfield High School This case is not just about one student or one school — it’s about restoring the most fundamental truth in our nation: parents have the right to defend their children’s
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5/ Transplant? 🫘 Dialysis can act as a bridge to transplant 🫘 Liver transplant is based off MELD 3.0 🫘 To be considered for simultaneous Liver Kidney transplant must be on dialysis for 6+ weeks, or have a GFR < 60 for at least 90 days prior to dialysis start
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4/ Diuretics: 💡 “No BP no PP” 🫘 Before managing volume, first raise the MAP ‼️ 🫘 Diuretics may raise Cr mildly, but acceptable if patient is improving clinically
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3/ Albumin: 🫘 Only given to bring patients to euvolemia 💡 A main side effect of CONFIRM was respiratory compromise by giving repeated doses of albumin
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2/ Vasoconstrictors: 1️⃣ Terlipressin - CONFIRM trial - Contraindications: Cr > 5, MELD > 35, ACLF grade 3, volume overload, or active ischemia 2️⃣ Norepinephrine 3️⃣ Midodrine, octreotide - Usually only given if contraindications to terlipressin
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Waymo can offer aging adults a safe, accessible mobility option that provides independence without needing to drive.
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1/ 🚨 NEW #5Pearls: Hepatorenal Syndrome Part ✌️ Let’s dive into treatment 🌊! 1️⃣ Vasoconstrictors 2️⃣ Albumin 3️⃣ Diuretics Goal: raise MAP by 10-15 ‼️ 🖥️: https://t.co/pKkhkiWf3c
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On the way home, The Tappers listened to Nik Mazumder, Juan Carlos Velez, and THE @serperm on this episode of @COREIMpodcast on hepatorenal syndrome https://t.co/E9sV31h3h2
podcasts.apple.com
Podcast Episode · Core IM | Internal Medicine Podcast · 10/15/2025 · 36m
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#daily Pearl: Stop trusting Creatinine eGFR alone! Creatinine eGFR is inaccurate in patients with: 1. Low muscle mass (frail/elderly) → Falsely reassuring, overestimating GFR. 2. High muscle mass (bodybuilders) → Falsely suggesting CKD, underestimating GFR. Mind The Gap!
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pocketcasts.com
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It has been a dream to be able to be a part of my favorite podcast. Check out this very fun episode on one of the most interesting diseases, Hepatorenal Syndrome!
1/ 🚨 NEW #5Pearls: Hepatorenal Syndrome (HRS) part 1️⃣ AKI + portal HTN 🟰hepatorenal syndrome 🖥️: https://t.co/cNg901ck5g
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7/ Thanks to all! Authors: @ShreyaTrivediMD @noahmarkewitz Dr. Yaling Tang Experts: Dr. Juan Carlos Q. Velez, Dr. Nikhilesh Mazumder, Dr. Marina Serper Graphic: Dr. Dexter Nwachukwu Peer Reviewers: Dr. Justin Belcher and @ebtapper Audio: Kathreene Gala
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