General Internal Medicine

Primary Care   

Questions discussed in this category



For your recommended medication, are you doing a scheduled set dose, or is it primarily symptom-driven? 

How do you approach shared decision-making when patients express hesitancy about medication exposure in utero? What is your approach when a patient is...

How do you risk-stratify this otherwise low-risk young patient given the lack of specific guidelines for this rare cancer? Additionally, at what point...

Are there situations in which you still feel comfortable giving IV iron? If not, do you consider PO iron?

Referring to podiatry vs MRI vs referring PT with therapies like shock wave.

When do you have consider sending them as part of your initial workup?

Do you ever continue medications such as rate-control agents for tachyarrhythmias, anticoagulation for blood clots, immunosuppression to prevent trans...

For example, how do you address tendency to "over-order" these tests in patients with common aches/pains but no structural abnormalities on advanced i...

For example, do you find it most useful for outpatient disease assessment/management, consideration of further imaging or specialist referral, or tria...

Do you use the traditional strict limit of 1.5 L, or do you consider removing more volume if a patient appears to tolerate it?

The controlled trial below demonstrated improvement in dysphagia among Parkinson's patients. Might this have greater potential for benefit than modifi...

In low-risk patients (age < 40) or patients with very obvious causes of blood loss or iron deficiency (menorrhagia, pregnancy), do you routinely pe...


Papers discussed in this category


Circulation, 2016-11-22

JAMA, 2022 Apr 26

J Clin Oncol, 2020 Feb 14

Journal of clinical lipidology, 2022 Sep 11

Drug and alcohol dependence, 2024 Sep 07

JAMA psychiatry, 2025 Apr 01

Journal of the American College of Radiology : JACR, 2024 Jun

AJR. American journal of roentgenology, 2010-02

The New England journal of medicine, 2023 Aug 17

Thorax, 2009 Oct

Heart failure reviews, 2021 Apr 09

International journal of cardiology, 2017 Aug 01

Cardiovascular ultrasound, 2006 Aug 31

The journal of pain : official journal of the American Pain Society, 2014-12

JAMA, 2009 Nov 11

Journal of addiction medicine, 2020 May/Jun

Alcohol (Fayetteville, N.Y.), 2014-06

American journal of preventive medicine, 2015-10

Blood advances, 2024 Jul 09

Blood advances, 2023 Nov 28

BMC medical informatics and decision making, 2010 Sep 16

Annals of internal medicine, 2025 Sep 30

British journal of clinical pharmacology, 2023 Jun 13

Journal of the American Geriatrics Society, 2013 Sep

American journal of hematology, 2024 Jan 29

Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association, 2024 Jun 12

American family physician, 2022 Sep

Journal of the American College of Cardiology, 2024 Jun 25

Am J Respir Crit Care Med, 2019 Sep 1

Chest, 2023 Oct 07

Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2024 Mar 05