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Core IM | Internal Medicine Podcast

#182 Pleural Effusions: 5 Pearls Segment

Core IM | Internal Medicine Podcast

Core IM Team

Mental Health, Education, Health & Fitness, Medicine

4.81K Ratings

🗓️ 9 July 2025

⏱️ 42 minutes

🧾️ Download transcript

Summary

  • Imaging Pearls | (01:12)
  • Deciding on Thoracentesis | (04:00)
  • Light’s Criteria and Pseudoexudates | (07:00)
  • Pleural Fluid Studies: pH and Cell Differential | (16:56)
  • Diagnosing and Treating Parapneumonic Effusions | (23:32)
  • Malignant Pleural Effusions: Diagnosis and Management | (30:39)


🔹 Sponsor: Oakstone CME’s ACP MKSAP Audio Companion

Use the code "CORE25" for 25% off: https://www.coreimpodcast.com/MKSAP

🔹 Transcript and Show Notes


Tags: Internal Medicine, Medical Education, Pulmonology, CoreIM, Clinical Reasoning, critical care, pulm



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Transcript

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0:00.0

A quick word from our sponsor, Oakstone CME's ACP Mixap Audio Companion.

0:05.1

What would it feel like to have bite-sized mixap teaching ready to go anywhere with you?

0:10.5

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0:11.7

I found it very interesting, the line that points out that observational studies suggest an increase in heart failure with insulin therapy.

0:20.2

That's something I hadn't known prior to this exercise.

0:25.0

Yes, and a lot of patients now are interested in considering a GOP1 receptor agonist.

0:32.0

These drugs reduce major adverse cardiovascular events, but have no effect or detriment in patients with heart failure.

0:39.8

And on top of the high-yield teaching, they give you supplementary content, monthly multiple

0:44.5

choice questions discussion, so that really brings the clinical pearls to life. It's a really smart

0:49.2

way to reinforce key concepts without high effort set up. For 50 years, Oakstone CME has helped busy clinicians

0:56.0

stay current with expert-led education free of outside commercial influence. From board prep to

1:01.8

earning CME, their mobile-friendly platforms offer trusted multimedia content designed for learning on the go.

1:08.1

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1:11.8

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1:17.2

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1:23.0

use the code Core 25 for 25% off. Go to oakstone.com forward slash mix app. That's oakstone.com

1:31.7

forward slash mkSAP. Use the code core 25. And with that, let's get into the episode.

1:37.7

I've said this multiple times and I can't believe I've said this multiple times being a proceduralist,

1:41.9

but you know, you just can't shake the internist at heart.

1:44.3

And this is where your pre-test probability for these things is so critical.

1:47.8

That's Chris Kapp, an interventional pulmonologist at Northwestern.

1:51.3

Welcome to the Core I.M. Five Pearls podcast from Yu High Yield's Evidence-Beroyles.

...

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