#173 Hypercoagulability Workup: 5 Pearls Segment

Core IM | Internal Medicine Podcast

Core IM Team

Mental Health, Education, Health & Fitness, Medicine

4.8 • 1K Ratings

🗓️ 19 March 2025

⏱️ 49 minutes

🔗️ Recording | iTunes | RSS

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Summary

A new way to think of clots beyond provoked vs. unprovoked: Learn all about how important it is to think about reversibility! What patient states affect the inherited thrombophilia testing? Learn the nuances and practical approaches!

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Transcript and Show Notes

Timestamps:

(02:07) | Pearl 1: Reframing Provoked vs. Unprovoked to Reversibility

(09:12) | Pearl 2: How can Virchow's Triad help us categorize the etiology of a clot?

(17:01) | Pearl 3: What factors affect anti-thrombin III, Protein C and Protein S deficiency

(28:50) | Pearl 4: Is the Factor V Leiden or Prothrombin Gene Mutation as important as the family history?

(38:41) | Pearl 5: Spaced Repetition of Learning Points

Tags: CoreIM, Internal Medicine, ClinicalPearls, Medical Education, IMCore, hospitalist, physician assistant, nurse practitioner, medical student, internal medicine, hematology

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Transcript

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0:00.0	A quick word from our sponsor, Freed.
0:02.8	We all want a more efficient workflow, and Freed is an AI scribe that helps with just that.
0:07.8	Freed AI not only listens, it transcribes, and writes your medical documentation for you.
0:14.1	And yes, it's HIPAA compliant.
0:16.2	I use it regularly when I'm on service, and I have to say, Freed is a really intuitive interface,
0:21.0	so it really seamlessly integrated into my daily workflow and routine. I think we all have our
0:26.0	own particular way we like to write notes, and so what's great about Freed is that it not only
0:30.6	listens, but it also understands and adapts to your unique style over time. So the sooner you start
0:36.1	with Freed, the easier that your day could
0:37.9	possibly be, give it a try and see if an AI scribe fits into your workflow. You can use the code
0:43.9	Core 50 to get $50 off your first month of Freed. Again, use the code Core 50 to get $50 off your first
0:51.4	month of Freed. And with that, let's get into this episode. And I think that, again,
0:56.0	one of the reasons I love hematology, but also found it anxiety provoking in the beginning,
1:01.7	is you really have to get comfortable with this uncertainty. Welcome to Core IM Five Burles
1:07.7	Podcast, bringing you high-yield evidence-based burles. That's Dr. Rebecca Carply, a hematologist at Massachusetts General Hospital, and one of our experts that we'll be hearing throughout this episode.
1:17.8	I'm Dr. Marty Fried, General Internist and Addiction Doc at the Ohio State University Wexter Medical Center.
1:23.4	Great to be back and super excited to be working with the wonderful Sam Kumersen.
1:28.6	Hi everyone. I'm Sam, a he-monged palliative fellow at the Beth Israel Deaconess Medical Center in Boston Mass.
1:35.1	In today's episode, we're zooming into what has become one of my favorite hematology topics, clodding and hypercoagulability.
1:41.4	Quiz yourself on the following pearls. A wise person once told me that the more you test yourself, the deeper the learning gains.
1:49.3	Pearl 1.
1:50.7	Reframing provoked and unprovoked Venus thrombolism.
	...

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