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Feb 23 5 tweets 3 min read
1/🚨New Episode & Segment Alert🚨

Grey Matters: Because medicine is rarely black and white!

Hosts: Alison Trainor, @FreedoBaggins
Discussants: @PishkoMD, Brett Carroll MD, Jeff Weinstein MD
Graphic: @samwoodworthmd

🎶 bit.ly/35hN1Fd
ACP: bit.ly/3oVhwbI
2/ Let's review some deep dives 👇

Where does the *strong rec* to anticoagulate for PE at least 1 month (if not the full 3 months) come from?!

We have natural history data tells us:
3/ How long do you hold DOACs for peri-procedure?

Let’s see what we can extrapolate from the PAUSE trial
4/ What do we know about IVC filters in preventing further embolization of DVTs?

PREPIC1 and PREPIC2 compared anticoagulation alone vs. anticoagulation plus IVC filter

❌ No difference in mortality
❌ No difference in symptomatic PE
5/ When to perform a liver biopsy in a patient with an active clot AND has failed outpt interruption of anticoagulation?

Look to the IR Consensus Guidelines! They can help estimate patient/procedure bleeding risk and guide your clinical decision making bit.ly/3haU0m0

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More from @COREIMpodcast

Feb 15
1/ Good morning #MedTwitter and welcome back to #TriviaTuesday

Let’s start with our question of the week👇 Image
2/ And the answer is: Pneumo-Ultra-Microscopic-Silico-Volcano-Coniosis

Say that 5x times fast! Image
3/ Silicosis is a lung disease caused by inhalation of silica dust.

Workers in what industries should perk your clinical ears for considering silicosis? Image
Read 6 tweets
Jan 5
1/ 🚨New Episode! 🚨

What is an “appropriate” Hgb bump?

Why do we usually say 1g/dL for 1 pRBC?

iTunes: bit.ly/coreimpodcast
Show Notes: bit.ly/3eUgyGw

First, let’s figure out how many grams of hemoglobin are donated?
2/ What is the patient’s PRE-transfusion #intravascular volume?

Usually 6.5% of body weight for women 👩
Usually 7.5% of body weight for men👨
3/ What is the patient’s POST-transfusion intravascular volume?
Read 7 tweets
Dec 28, 2021
1/ #MedTwitter, welcome back to our #TriviaTuesday series

Today's question:
What disease is prevented by the "4-inch law"?

Hint- the reservoir/host is 4 inches...
2/ Non-typhoidal salmonellosis is prevented by the "4-inch law" !

What is the "4-inch law" ? Keep scrolling to learn more!
3/ The U.S. FDA bans the sale of small turtles <4 inches in length.

Did you know that turtles GI tracts are colonized with non-typhoidal Salmonella and often pet turtles swim in their feces?!
Read 6 tweets
Nov 17, 2021
1/ 🚨New Episode Alert🚨
Bringing you the latest edition of #MindTheGap: Hyperkalemia in CKD

Available on any podcast app:
iTunes: bit.ly/coreimpodcast
Show Notes: bit.ly/3Hrkwn0
CME/MOC: bit.ly/CIMCME Image
2/ Learn more about pseudohyperkalemia

Can there be pseudohyperkalemia if the lab doesn’t report it as #hemolyzed?!

What happens with whole blood collection that ⬇️ chances of pseudohyperkalemia?!

Sounds like you want to Keep listening right #MedTwitter ?... Image
3/ #MedTwitter, what have you learned in the past about restricting potassium in the diet in the context of CKD?

Talking with @sjoshimd, we discussed his approach, especially since high K foods have significant CV benefits, especially for those with CKD. Image
Read 4 tweets
Oct 19, 2021
1/ Good Morning #MedTwitter and happy #TriviaTuesday!

Think you know where we’re going with this? Read on ⚡️
2/ The answer is… Takotsubo cardiomyopathy

Comment other triggers you can think of!
3/ So what is Takotsubo cardiomyopathy?

Let’s define it. Takotsubo cardiomyopathy refers to acute, stress-induced reversible dysfunction of the left ventricle. It has also been called “broken heart syndrome” 💔
Read 5 tweets
Oct 13, 2021
1/🚨 New #MindtheGap Episode🚨

#MedTwitter, Can you use oral diabetes meds in the hospital? If so, which ones?!

🎶Listen on any podcast app!
iTunes: bit.ly/coreimpodcast
Show Notes: bit.ly/3mGXXRG
CME/MOC: bit.ly/3oVhwbI
2/ What about DPP-4s?

Usually well tolerated because they ONLY release insulin with a glucose load

So we don’t have to be too concerned if the patient will be NPO!
3/ What about GLP-1s? They act similarly to DPP-4s.

When should we avoid GLP-1s?
Read 5 tweets

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