Internal Medicine&nbsp;&nbsp;&nbsp;

How do you treat TBI-associated aggression?

Is it a good practice to prescribe clonidine to take as needed for occasional severe blood pressure elevations?

What is your approach to statin and/or PCSK9i initiation and counseling in a patient who has an HDL above 100, LDL within normal range, but markedly elevated calcium score exceeding 1000?

Should the elevated calcium score take precedence over lipid panel values when thinking about primary prevention?

How do you manage withdrawal symptoms of SNRIs that exist even after slow taper?

What work up do you pursue for a thorough evaluation in patients that present with a potential diagnosis of dermatitis artefacta?

Have you observed adverse mental health side effects in patients who start montelukast?

In light of the FDA warning about mental health side effects of the medication have you observed in particular any patients develop suicidal thoughts ...

6 Answers available

Given the data from SWOG 1826 suggesting that Nivo-AVD is likely the preferred regimen for advanced Hodgkin lymphoma patients, are there scenarios where alternative regimens may still be preferred?

When now would you consider regimens such as BV-AVD or BrECADD in advanced stage HL?

Do you use dual anti-platelet therapy inpatients with low NIHSS who have had bilateral brainstem strokes?

How would you manage LPL with associated AL amyloidosis?

Bendamustine or Cy-Bor-D? Or another induction regimen? Would you consider autologous transplant in CR1 like you would for AL amyloid on its own or wi...

How would you approach the treatment of an SLE patient with refractory mucocutaneous ulcerations and lichenoid skin eruption despite treatment with MMF, Aza, Benlysta, Saphnelo, Rituximab, and JAK inhibitors?

The patient was diagnosed on the basis of ANA 1:1,280, strongly positive Smith, Sm-RNP, dsDNA, pericarditis, inflammatory arthritis, and discoid lupus...

9 Answers available

How do you manage emotional blunting due to SSRIs/SNRIs?

7 Answers available

What medications do you find helpful to reduce drooling associated with antipsychotics?

5 Answers available

What is your experience with metformin for improving cognitive impairment in schizophrenia?

In reference to Shao et al., PMID 37821461.

Would you still consider omalizumab for CSU with angioedema in a patient with Factor V Leiden deficiency?

Omalizumab has been reported as a possible provoking factor for venous thromboembolism.

Is there a role for aspirin 81 mg daily in patients with nonischemic dilated cardiomyopathy with reduced EF?

For optimal GDMT for patients with HFrEF and co-existing ESRD, is there evidence to support the use of SGLT2 inhibitors and/or ARB/ARNI?

Besides treadmill, what other exercises may be considered for post-exercise ABIs, and are their diagnostic parameters identical to standard post-exercise ABIs?

What are standard selection criteria for patients who are eligible for heart transplantation?

How do you counsel patients with minimally symptomatic factor VII deficiency about procedures and periprocedural management?

When do you consider prophylaxis given that factor VII levels do not correlate well with bleeding symptoms?

Is there specific data on using luspatercept for sickle beta+ thalassemia with transfusion-dependent anemia?

For this subpopulation, are there additional risks such as thrombosis?

In the treatment of lupus nephritis, which patients may benefit from the use of rituximab or other B-cell depleting agents during induction?

This question is part of a collaboration with RheumMadness and is specifically in reference to: Obinutuzumab in Lupus Nephritis

How do you utilize anifrolumab for SLE in your practice?

This question is part of a collaboration with RheumMadness and is specifically in reference to: Long-term outcomes of anifrolumab in SLE.

How do you approach anxiety management for patients who have been on long-term (years or more) daily benzodiazepines?

How do you approach this in patients who are approaching or are over 65 given the contraindications of benzodiazepine use in geriatric populations? Wh...

7 Answers available

Would you supplement iron for low iron studies in absence of anemia?

Primary care providers often check iron studies during workup for fatigue, even if anemia is not present.

With the FDA recently approving acoramidis for ATTR cardiac amyloidosis, how should we decide on optimal drug therapy and options for our patients?

Do you observe worsening irritability, mood symptoms, or increased rates of suicidal ideation in patients with Bipolar Disorder who are using hormone birth control including hormone-releasing IUD?

How do you address exacerbation of mood symptoms in patients who want to continue hormone birth control?

What parameters do you follow to avoid rebound effects when using clonidine only for nightly or daily as-needed indications?