General Internal Medicine
Questions discussed in this category
Are there situations in which you still feel comfortable giving IV iron? If not, do you consider PO iron?
(i.e., isolated elevation in MCHC, RDW.)
Especially when all other lab results are normal and reassuring.
Do you prescribe it universally or based on specific risk factors?
Do you still find urinalysis helpful in this situation, or do you rely on more specific culture data, imaging studies, etc.?
If so, you have a recommended tapering strategy?
For your recommended medication, are you doing a scheduled set dose, or is it primarily symptom-driven?
As studied in Tang H, Donahoo WT, DeKosky ST, et al. GLP-1RA and SGLT2i Medications for Type 2 Diabetes and Alzheimer Disease and Related De...
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...
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...
Are there situations in which you would continue the possible offending agent with close monitoring?
For example, do you find trending WBC, procalcitonin, CRP, etc., more or less helpful?
Do you extend the course of fidaxomicin past initial 10 days to at least 3-7 days after completion of antibiotics?
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...
What non-pharmacological interventions do you recommend? Do you routinely prescribe prophylactic laxatives to patients initiating opioids? How do you ...
In low-risk patients (age < 40) or patients with very obvious causes of blood loss or iron deficiency (menorrhagia, pregnancy), do you routinely pe...
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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
Physiological reports, 2019-05
Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2002-11
Journal of addiction medicine, 2021 May-Jun 01
Academic emergency medicine : official journal of the Society for Academic Emergency Medicine, 2006-04